Effects of Preoperative Frailty and Dependency on Postoperative Recovery and Readiness for Hospital Discharge in Older Adults Undergoing Cardiac Surgery
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 187
- 试验地点
- 1
- 主要终点
- Postoperative Recovery
研究概览
简要总结
Frailty and dependency are common conditions among older adults undergoing cardiac surgery and may adversely affect postoperative recovery and readiness for hospital discharge. Early identification of these conditions before surgery may facilitate individualized perioperative care and improve postoperative outcomes. This observational study aims to investigate the effects of preoperative frailty and dependency on postoperative recovery and readiness for hospital discharge in older patients undergoing cardiac surgery. Data will be collected before surgery and at hospital discharge using validated assessment instruments. The findings are expected to support preoperative risk assessment and contribute to individualized nursing care planning for older cardiac surgery patients.
详细描述
The growing elderly population has resulted in an increasing number of older adults undergoing cardiac surgery. Age-related physiological decline, multiple comorbidities, polypharmacy, and reduced physiological reserve increase vulnerability to adverse postoperative outcomes. Frailty and dependency are common geriatric conditions that may influence postoperative recovery, functional status, and readiness for discharge.
Frailty is characterized by increased vulnerability to stressors because of diminished physiological reserve, whereas dependency reflects limitations in performing activities of daily living independently. Identifying these conditions before surgery may facilitate early recognition of patients at risk for delayed recovery and inadequate discharge readiness.
This single-center observational study will be conducted in the Cardiovascular Surgery Clinic of Aydın Adnan Menderes University Research and Application Hospital. Patients aged 65-85 years scheduled to undergo cardiac surgery will be recruited consecutively. Before surgery, participants will complete the Patient Information Form, the FRAIL Scale, and the Katz Activities of Daily Living Scale. At hospital discharge, postoperative recovery will be evaluated using the Postoperative Recovery Index, and readiness for hospital discharge will be assessed using the Readiness for Hospital Discharge Scale-Short Form.
The primary objective is to determine the effects of preoperative frailty and dependency on postoperative recovery and readiness for hospital discharge among older adults undergoing cardiac surgery. The findings are expected to improve perioperative risk assessment and contribute to evidence-based nursing care planning.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 65 Years 至 85 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 65 and 85 years
- •Scheduled to undergo cardiac surgery (coronary artery bypass graft surgery,
- •Bentall procedure, heart valve surgery, or aneurysm surgery)
- •No surgical history within the previous two months
- •Able to read and write Turkish
- •No hearing impairment
- •Willing to participate and provide written informed consent
排除标准
- •Surgery within the previous eight weeks
- •Diagnosis of a psychiatric disorder
- •Withdrawal of consent during the study
- •Incomplete study questionnaires
结局指标
主要结局
Postoperative Recovery
时间窗: At hospital discharge (approximately postoperative day 6)
Postoperative recovery will be assessed using the Postoperative Recovery Index. The scale consists of 5 subdimensions and 25 items. The subdimensions are: psychological symptoms, physical activities, general symptoms, bowel symptoms, and desire symptoms. When determining subdimension scores, the scores of the relevant items are summed and their arithmetic mean is calculated. For the total score, all items are summed and their arithmetic mean is calculated. High scores on the index reflect greater difficulties in postoperative recovery, while low scores indicate easier postoperative recovery.
Readiness for Hospital Discharge
时间窗: At hospital discharge (approximately postoperative day 6)
Readiness for hospital discharge will be assessed using the Readiness for Hospital Discharge Scale-Short Form. The scale consists of 8 questions and 4 sub-dimensions: personal situation, knowledge, coping, and expected support. The questions are evaluated on a scale of '0=not ready' to '10=completely ready'. A total score of 0-80 can be obtained from the scale based on the answers given to the questions; a higher score indicates a higher level of readiness for discharge. On the scale dimensions, a score of 7 and above indicates readiness for discharge, while a score below 7 indicates readiness for discharge.
次要结局
- Frailty(One day before surgery (Baseline))
- Dependency in Activities of Daily Living(One day before surgery (Baseline))
研究者
Ezgi Arslan
PhD, Research Assisstant (Principal Investigator)
Aydin Adnan Menderes University