Comparative Effects of ACBT and Diaphragmatic Breathing on Pulmonary Function and Sputum Diary After CABG

NCT ID: NCT05936788

Last Updated: 2024-06-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-15

Study Completion Date

2023-11-20

Brief Summary

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To compare the effects of active cycle of breathing technique and diaphragmatic breathing on pulmonary functions and sputum diary after coronary artery bypass graf

Detailed Description

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It will be a randomized clinical trial. Age of selected subjects will be between 40 to 60 years and data will be collected from intensive care units (ICUs) and cardiac care units (CCUs) of selected hospitals. There will be 2 groups i.e. group A will receive active cycle of breathing technique (ACBT) and group B will receive diaphragmatic breathing technique. Spirometer will be used to evaluate pulmonary functions and breathless, cough and sputum scale (BCSS) will be used to evaluate the improvement in sputum diary of patients. The trial will be completed in two days after patients admitted in the ICUs/CCUs and before and after each session, primary and secondary outcomes will be measured for both groups. After data collection, data will be analyzed using SPSS version 25

Conditions

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Breathing Exercises

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

There will be 2 groups i.e. group A will receive active cycle of breathing technique (ACBT) and group B will receive diaphragmatic breathing technique. Spirometer will be used to evaluate pulmonary functions and breathless, cough and sputum scale (BCSS) will be used to evaluate the improvement in sputum diary of patients. The trial will be completed in two days after patients admitted in the ICUs/CCUs and before and after each session, primary and secondary outcomes will be measured for both groups. A
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
There will be 2 groups i.e. group A will receive active cycle of breathing technique (ACBT) and group B will receive diaphragmatic breathing technique. Spirometer will be used to evaluate pulmonary functions and breathless, cough and sputum scale (BCSS) will be used to evaluate the improvement in sputum diary of patients. The trial will be completed in two days after patients admitted in the ICUs/CCUs and before and after each session, primary and secondary outcomes will be measured for both groups. A

Study Groups

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Active cycle of breathing technique

Group A will receive ACBTs with 1 session a day for total 2 days in a week.

Group Type EXPERIMENTAL

Active cycle of breathing technique

Intervention Type OTHER

Group A will receive ACBTs with 1 session a day for total 2 days in a week.

diaphragmatic breathing

Group B will receive diaphragmatic breathing for 1 session a day for total 2 days in a week.

Group Type EXPERIMENTAL

diaphragmatic breathing

Intervention Type OTHER

Group B will receive diaphragmatic breathing for 1 session a day for total 2 days in a week.

Interventions

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Active cycle of breathing technique

Group A will receive ACBTs with 1 session a day for total 2 days in a week.

Intervention Type OTHER

diaphragmatic breathing

Group B will receive diaphragmatic breathing for 1 session a day for total 2 days in a week.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Post-CABG patients
* Gender: males and females
* Have speaking, hearing and cognitive ability
* On mechanical ventilation for ≤ 24 h after CABG

Exclusion Criteria

* Prior history of open heart surgery
* Prior severe pulmonary/hepatic or renal disease- Complications after CABG (cardiogenic shock, bleeding requiring transfusion, acute kidney injury, cardiac temponade and severe hypotension)
* Life-threatening arrhythmias (ventricular fibrillation, ventricular tachycardia, atrial fibrillation)
* On mechanical ventilator for more than 24 h after CABG
* Pulmonary complications (atelectasis, acute respiratory distress syndrome (ARDS), diaphragmatic injury)
Minimum Eligible Age

40 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sidra Faisal, MS.CPPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Sadiq Saadiq hospital Gujranwala, DHQ hospital Gujranwala

Gujranwala, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Jasani N, Awad NT, Raut C. Effect of Coronary Artery Bypass Grafting Surgery on Pulmonary Function Tests and Arterial Blood Gases. Indian J Chest Dis Allied Sci. 2016 Jul;58(3):161-164.

Reference Type BACKGROUND
PMID: 30152648 (View on PubMed)

Urell C, Westerdahl E, Hedenstrom H, Janson C, Emtner M. Lung Function before and Two Days after Open-Heart Surgery. Crit Care Res Pract. 2012;2012:291628. doi: 10.1155/2012/291628. Epub 2012 Aug 8.

Reference Type BACKGROUND
PMID: 22924127 (View on PubMed)

Ono M, Serruys PW, Hara H, Kawashima H, Gao C, Wang R, Takahashi K, O'Leary N, Wykrzykowska JJ, Sharif F, Piek JJ, Garg S, Mack MJ, Holmes DR, Morice MC, Head SJ, Kappetein AP, Thuijs DJFM, Noack T, Davierwala PM, Mohr FW, Cohen DJ, Onuma Y; SYNTAX Extended Survival Investigators. 10-Year Follow-Up After Revascularization in Elderly Patients With Complex Coronary Artery Disease. J Am Coll Cardiol. 2021 Jun 8;77(22):2761-2773. doi: 10.1016/j.jacc.2021.04.016.

Reference Type BACKGROUND
PMID: 34082905 (View on PubMed)

Moradian ST, Najafloo M, Mahmoudi H, Ghiasi MS. Early mobilization reduces the atelectasis and pleural effusion in patients undergoing coronary artery bypass graft surgery: A randomized clinical trial. J Vasc Nurs. 2017 Sep;35(3):141-145. doi: 10.1016/j.jvn.2017.02.001.

Reference Type BACKGROUND
PMID: 28838589 (View on PubMed)

Montrief T, Koyfman A, Long B. Coronary artery bypass graft surgery complications: A review for emergency clinicians. Am J Emerg Med. 2018 Dec;36(12):2289-2297. doi: 10.1016/j.ajem.2018.09.014. Epub 2018 Sep 8.

Reference Type BACKGROUND
PMID: 30217621 (View on PubMed)

Rademacher J, Welte T. Bronchiectasis--diagnosis and treatment. Dtsch Arztebl Int. 2011 Dec;108(48):809-15. doi: 10.3238/arztebl.2011.0809. Epub 2011 Dec 2.

Reference Type BACKGROUND
PMID: 22211147 (View on PubMed)

Other Identifiers

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REC/RCR & AHS/23/0310

Identifier Type: -

Identifier Source: org_study_id

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