Effect of Pre-operative Respiratory Rehabilitation on Post- Operative Outcomes in Coronary Artery Bypass Graft Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 86
- 试验地点
- 1
- 主要终点
- Ratio of Forced expiratory volume in 1 second and Forced Vital Capacity (FEV1/FVC)
研究概览
简要总结
To compare the effects of conventional preoperative respiratory rehabilitation and specific preoperative respiratory rehabilitation program on pulmonary functions in coronary artery bypass graft patients.
详细描述
After cardiac surgeries many postoperative changes occur that lead to pulmonary complication such as respiratory changes, functional capacity of lungs and gaseous changes that leads to hypoxemia and ischemic injury of lungs. CABG, although a successful procedure, post operative pulmonary complications still pursue a big challenge to the health and fitness of the patients. Although post operative complications have been managed in in-patient setup post CABG, there are pre-operative measures on the rise to prevent the complications to occur after CABG.
This study will contribute in describing the rate of improvement in pulmonary functions with rehabilitation program including preoperative out of bed mobilization, active cycle breathing techniques, forced expiratory technique and volume-based incentive spirometry as compared to the conventional treatment of flow-based incentive spirometry and chest percussion in prevention of post operative pulmonary complications occurring after CABG leading to delayed recovery of patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing elective Coronary Artery Bypass Grafting (CABG) surgery for Triple vessel coronary artery disease (TVCAD), double vessel coronary artery disease (DVCAD), single vessel coronary artery disease (SVCAD) and left main stem (LMS) disease.
- •Patients who cover at least 400 steps on 6-minute walk test.
- •Patients with ejection fraction 45% or more
排除标准
- •Acute ailments i.e., patient's cardiac condition deteriorating.
- •Cardiac emergency (shock, acute MI)
- •Presence of neurological disorders e.g., altered state of consciousness, paralysis.
- •Redo surgeries
- •Any musculoskeletal disorder e.g., amputation of limb, problems of balance and risks of fall, muscles weakness grade 3 or less, osteoporosis; leading to limitation in exercise.
结局指标
主要结局
Ratio of Forced expiratory volume in 1 second and Forced Vital Capacity (FEV1/FVC)
时间窗: 4th postoperative day of coronary artery bypass graft (CABG)
FEV1/FVC: The FEV1/FVC Ratio (FEV1%) parameter is calculated by dividing the measured FEV1 value by the measured FVC value. In healthy adults of the same gender, height, and age, the normal Predicted percentage should be between 70% and 85.
Forced expiratory volume in one second (FEV1)
时间窗: 4th postoperative day of coronary artery bypass graft (CABG)
The Forced Expiratory Volume in 1 Second parameter measures the volume of air that was exhaled into the mouthpiece in the first second after a full inhalation. The normal test values range between 80% and 120% of the average (predicted) values.
Forced Vital Capacity (FVC)
时间窗: 4th postoperative day of coronary artery bypass graft (CABG)
Forced Vital Capacity measures the total volume of air that you were able to blow forcefully into the mouthpiece following a full inhalation
次要结局
- Borg scale(4th postoperative day of coronary artery bypass graft (CABG))
- 6-minute walk test (6MWT)(4th postoperative day of coronary artery bypass graft (CABG))