No registrations found.
ID
Source
Brief title
Health condition
Pre- en postoperative rehabilitation
Peri-operative complications
Quality of life
cardiovascular surgery
Sponsors and support
Intervention
Outcome measures
Primary outcome
This study will mainly evaluate post-operative complications (infections, stroke, and heart rhythm problems), duration at the intensive care unit, hospital stay and mortality.
Secondary outcome
Secondary, psychophysical parameters (e.g. delirium, post-operative cognitive decline, disability free survival, quality of life, physical fitness, labor participation, and life style) will be evaluated.
Study design
There are five timepoints. The first two measurements (four to seven weeks before surgery (T0) and in the last week before surgery (T1) are baseline measurements and evaluate the preoperative outward patient phase in elective patients. The three measurements after surgery (four days after surgery (T2), at the end of the post-operative clinical phase (T3) and at the end of the post-operative outward patient phase (T4) will evaluate the two post-operative phases. A follow up measurement (T5) is performed after three to four months.
Intervention
This intervention consists of 1) a preoperative outward patient clinical optimization period (three times a week for 4-6 weeks), 2) a three week clinical rehabilitation period starting at four days after surgery and a subsequent four week outward patient clinical rehabilitation period (two times a week). During each phase, patients will regularly visit a physical therapist, a dietician and a psychologist to optimize general health and receive advices with regard to lifestyle management. Non-elective patients are starting with the second phase of the intervention.
Inclusion criteria
- Age > 18 years
- Accepted for cardiovascular surgery under general anesthesia
- Patients (age > 18 years) admitted for coronary bypass surgery, valve surgery or aortic surgery (or combined)
- Bed available in the rehabilitation center during the post-operative clinical phase
Exclusion criteria
- Co-morbidities that prevent participation in one program elements (e.g. disorders to the nervous or musculoskeletal system that limits exercise capacity, severe COPD (GOLD class 3-4), non-coping behaviour/ addiction/ serious psychological illness) or when it is undesirable to exercise
- Unable to understand or read Dutch instructions
- Unable to sign informed consent before surgery
- MRSA-positive
- Pregnancy, childbearing potential
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
NTR-new | NL5114 |
NTR-old | NTR5246 |
Other | : 52279 |