Effects of Pre-operative Exercise Therapy on Postoperative Outcomes in Children With Corrective Cardiac Surgeries.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Quality of Life
- Sponsor
- Riphah International University
- Enrollment
- 46
- Locations
- 1
- Primary Endpoint
- Health related Quality of life
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
To determine the effects of preoperative exercise therapy on postoperative cardiopulmonary outcomes and quality of life in children with corrective cardiac surgeries.Within literature there is limited evidence on preoperative exercise therapy in the pediatric population, positive results of the study can introduce a new tradition of preoperative exercise therapy and significantly reduce post-operative complications. Secondary complications would also be addressed in the study, a positive result can reduce the total costs by reducing hospital stays and improving the quality of life of child.
Detailed Description
Cardiac surgeries are often associated with some post-operative cardiopulmonary complications most often cardiac arrhythmias, pulmonary atelectasis, and hospital induced pneumonia and reduced inspiratory capacities which can be reduced by exercise therapy this study is therefore significant not only for the determination of the effects of preoperative exercise therapy, it will also provide a path toward pre-habilitation followed by effective postoperative cardiac rehabilitation which is mostly lacking in many setups.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Diagnosed with congenital heart disease
- •Undergoing elective corrective cardiac surgery
- •Vitally stable
Exclusion Criteria
- •Having acquired heart disease or undergoing emergency cardiac surgeries
- •Patients undergoing valvular repairing surgeries
- •Functional status is limited due to conditions other than CHD or having any contraindications
- •Inability to adhere to study protocols
- •Participants who refused or withdrew from the study
Outcomes
Primary Outcomes
Health related Quality of life
Time Frame: 4 weeks
Changes from pre-operative to 15 days after discharge from the hospital, measured through a Pediatric quality of life questionnaire consisting of 23 questions that are categorized into 4 major components namely, Physical functioning (8 items), Emotional functioning (5 items), Social functioning (5 items), School functioning (5 items). The scoring of the scale is based on the frequency of performance of particular activity ranging from 0 (mean never performed) to 5(mean always functioning).
Abnormal heart rhythms
Time Frame: 7 days
pre-operative to post-operative and discharge day observed through Electrocardiography (ECG) on cardiac monitor.
Post-operative Pulmonary complications
Time Frame: 4 weeks
Changes from pre-operative to post-operative, discharge day and 15 days after discharge from the hospital, measured through chest x-ray including Consolidation, Atelectasis, Pneumonitis, Pleural Effusion.
Forced Expiratory Volume in 1 second (FEV1)
Time Frame: 4 weeks
Changes from pre-operative to post-operative, discharge day, and 15 days after discharge measured through the digital spirometer in Liters
Forced vital capacity
Time Frame: 4 Weeks
Changes from pre-operative to post-operative, discharge day, and 15 days after discharge measured through the digital spirometer in Liters.