Impact of Delay in Surgery on Outcome in Patients Undergoing Cardiac Revascularisation Surgery

Al-Omary, M.; Williams, Trenton A.; Brienesse, S.; Khan, Akhtar A.; Graffen, Simon; Sheehan, Ayrton; Doolan, Moira; Walker, Rhonda; Boyle, Andrew; Mejia, Ross; Collins, Nicholas

doi:10.1016/j.hlc.2020.09.935

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Another important consideration is the waiting time and duration of prehabilitation. A study reported that a delay of more than 7 days in patients requiring CABG was associated with worse in-hospital and long-term outcomes (23). Therefore, there is a need for short-term prehabilitation programs to quickly prepare patients for surgery.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a short-term multimodal prehabilitation program in adult patients awaiting selective cardiac surgery: study protocol for an open-label, pilot, randomized controlled trial

Gao

Chen

et al. 2023

Front. Cardiovasc. Med.

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BackgroundPrehabilitation has been demonstrated to positively impact postoperative recovery in patients undergoing selective cardiac surgery. However, the optimal modules included in prehabilitation programs are yet to be fully explored, as existing studies have primarily focused on exercise. This study will explore the effectiveness of a three-arm prehabilitation program among adult patients awaiting selective cardiac surgery.Methods and analysisA single-center, parallel-group randomized controlled trial will be conducted at the Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU). A total of 152 adult patients scheduled for elective cardiac surgery (coronary artery bypass grafting or valvular surgery) will be recruited from a tertiary teaching hospital. The patients will be randomly assigned to either the control group or the prehabilitation group. Patients assigned to the control group will receive standard care, which includes patient education and counseling as well as personal guidance on exercise, breathing, and coughing. Patients in the intervention group will be provided a multimodal prehabilitation program, including nutrition guidance, a diet journal, mindfulness training, and exercise guidance. The interventions will begin with home-based training and continue after hospital admission and before surgery. The primary outcome will be the perioperative 6-minute walk distance (6 MWD). The secondary outcomes will include preoperative readiness, postoperative recovery, and patient experience with the program.DiscussionThe purpose of the study is to examine whether a short-term multimodal prehabilitation program will be associated with improved preoperative readiness and postoperative outcomes. The findings of this study will provide evidence to support the development of a perioperative program aimed at enhancing patient recovery.Clinical Trial Registrationwww.ClinicalTrials.gov; identifier: NCT05503004.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of a short-term multimodal prehabilitation program in adult patients awaiting selective cardiac surgery: study protocol for an open-label, pilot, randomized controlled trial

Gao

Chen

et al. 2023

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…As wait times increase, patients are exposed to risks of worsening symptoms, hospitalization, and serious complications. 1 The COVID-19 pandemic in early 2020 led to delays and cancellations of major cardiac surgeries. A provincial multidisciplinary team of cardiac surgery stakeholders was formed in January 2021 to find system improvements that would potentially enhance high-quality patient care while preserving limited resources.…”

mentioning

confidence: 99%

Introducing Cardiac Enhanced Recovery After Surgery best practices in Saskatchewan

O’Brien,

Barbour-Tuck,

Xia

et al. 2023

Can J Anesth/J Can Anesth

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Meta-Analysis of Nonrandomized Studies to Assess the Optimal Timing of Coronary Artery Bypass Grafting After Acute Myocardial Infarction

Weigel

Nudy

Krakowski

et al. 2022

The American Journal of Cardiology

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Impact of Delay in Surgery on Outcome in Patients Undergoing Cardiac Revascularisation Surgery

Cited by 3 publications

References 28 publications

Effectiveness of a short-term multimodal prehabilitation program in adult patients awaiting selective cardiac surgery: study protocol for an open-label, pilot, randomized controlled trial

Effectiveness of a short-term multimodal prehabilitation program in adult patients awaiting selective cardiac surgery: study protocol for an open-label, pilot, randomized controlled trial

Introducing Cardiac Enhanced Recovery After Surgery best practices in Saskatchewan

Meta-Analysis of Nonrandomized Studies to Assess the Optimal Timing of Coronary Artery Bypass Grafting After Acute Myocardial Infarction

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