RecruitingNot ApplicableNCT06275100

PREhabilitation in Patients Awaiting Acute Inpatient Cardiac SurgEry

Sponsor

University of Hull

Enrollment

20 participants

Start Date

Apr 3, 2024

Study Type

INTERVENTIONAL

Conditions

Endocarditis Cardiac Disease Coronary Artery Disease Aortic Valve Disease Valve Heart Disease

Summary

This is a single centre, single arm pilot feasibility study to determine the feasibility and practicality of prehabilitation in acute inpatients waiting for cardiac surgery. We will be looking into participant eligibility, acceptability, recruitment rates, completion rates and barriers to implementing a prehabilitation programme. Secondary outcomes include safety (incidence of adverse events directly related to the study), improvement in 6 minutes walk test (6MWT), hand grip strength, quality of life, and spirometry. At the end of the trial, we will be seeking the feedback of the participants to help us improve the design further.

Eligibility

Min Age: 18 Years

Inclusion Criteria1

All patients over the age of 18 scheduled for acute cardiac surgery in CHH will be given consideration to participate in this clinical trial.

Exclusion Criteria14

Cardiac/ clinical instability such as:
Recurrent unstable angina/ crescendo angina
Untreated decompensated heart failure
Malignant arrhythmias awaiting treatment
Resting tachycardia (HR>100 bpm)
Left ventricular outflow obstruction such as Aortic Stenosis with pre-syncopal or syncopal symptoms
Unresolved acute pericarditis or myocarditis
Second or third degree heart block without pacemaker
Aortic Dissection
Myxoma
Functional/ anatomical impairment such as:
Severe musculoskeletal conditions that would prohibit exercise
Amputees
Registered blind

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Interventions

OTHERPrehabilitation

Participants will be exposed to exercise and psychoeducation. Aerobic exercise will be on a cycle ergometer tailored to their capability and will aim for a low to moderate intensity.The patients will be exercised using the intermittent protocol of alternating 1 minute moderate and 1 minute low intensity aerobic exercise. This duration can be gradually increased during subsequent sessions depending on the patient's ability. Aerobic exercise will be conducted 2- 3 times per week depending on patient's ability. In addition, participants are expected to do strength and inspiratory muscle training in their own time. The psychoeducation booklet and audio are designed with input from in-house clinical psychologist. The aim of the booklet is to explain the emotions they may feel whilst being in hospital, symptoms of anxiety, suggest how to manage anxiety, behavioural strategies that may help and signposting if they require further support.