Pre-operative Respiratory Rehabilitation in Coronary Artery Bypass Graft Patients

NCT ID: NCT05736770

Last Updated: 2023-09-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 86 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-03-15
• Study Completion Date: 2023-08-21

Brief Summary

To compare the effects of conventional preoperative respiratory rehabilitation and specific preoperative respiratory rehabilitation program on pulmonary functions in coronary artery bypass graft patients.

Detailed Description

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.

Conditions

Respiratory Rehabilitation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Respiratory rehabilitation and out of bed mobilization group

The Respiratory rehabilitation and out of bed mobilization group will perform 4 exercises.

Group Type: EXPERIMENTAL

Respiratory rehabilitation and out of bed mobilization

Intervention Type: OTHER

The Respiratory rehabilitation and out of bed mobilization group will perform following exercises: pre operative out of bed mobilization, active cycle breathing techniques, forced expiratory technique and volume based incentive spirometery

Conventional exercise program group

The conventional exercises program will perform conventional exercises

Group Type: ACTIVE_COMPARATOR

conventional treatment

Intervention Type: OTHER

The conventional exercise program group will perform :Flow based Incentive spirometery, Chest percussion if needed

Interventions

Respiratory rehabilitation and out of bed mobilization

The Respiratory rehabilitation and out of bed mobilization group will perform following exercises: pre operative out of bed mobilization, active cycle breathing techniques, forced expiratory technique and volume based incentive spirometery

Intervention Type: OTHER

conventional treatment

The conventional exercise program group will perform :Flow based Incentive spirometery, Chest percussion if needed

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 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

Exclusion Criteria

• 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.

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Ali Awan, MS-CPPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Muhammad ali awan

Rawalpindi, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

Riphah/RCRS/REC/ 01378

Identifier Type: -

Identifier Source: org_study_id