Prehabilitation and Heart Valve Surgery

Riphah International University

Status: Completed

Conditions: Valvular Heart Disease

Treatments: Other: Control Standard Group; Other: Cycle Ergometery Training (Prehabilitation)

Study type: Interventional

Funder types: Other

Identifiers

NCT04993963

Rec/00881 Tayyaba kiran

Details and patient eligibility

About

To evaluate the impact of prehabilitation on quality of recovery in heart valve surgery. To evaluate the effects of Mild to moderate valvular diseases with Newyork Heart Association (NYHA) grade I and II . Previous studies were designed to target on Coronary artery bypass graft surgery (CABGs) patients no specifically heart valve surgery patients was studied so this study cover this aspect as well so from the outcomes of this study we will determine the prehabilitation effects on valvular surgery patients.

Full description

A review stated that " the concept of prehabilitation has entered the forefront which encompasses multidisciplinary interventions to improve health and lessen the incidence of postoperative decline.

In the previous study held in pre-operative assessment clinic between March 2016 and August 2016, evaluated that PREHAB programme for frail patients undergoing CABG or Valve surgery may be able to improve functional ability and reduce hospital length of stay for those patients undergoing cardiac surgery.

previous other studies, parental study which is PREQUEL study recruitment started in July 2018 expect patient recruitment and 3 months of follow-up will be completed in June 2022 then their analysis will be done.

To improve functional and enhance the resources and postoperative recovery, prehabilitation plays a very cardial role. In some studies, it has been noticed that preoperative improvement in physical fitness, improve functional capacity all this is the part of the model for improving post-surgery recovery, this could play a vital role.

Enrollment: 36 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients awaiting heart valve surgery for repair or replacement
• Both gender
• Mild to moderate valvular diseases
• NYHA grade I and II
• Pre-frail to moderately frail patients with a CFS of 4-6
• Patients with an estimated 6-8 weeks of surgical waiting list time.
• Able to perform 6MWT at baseline with RPE<13

Exclusion criteria

• Patients with severe left ventricular obstructive disease (severe aortic or mitral stenosis and dynamic left ventricular outflow obstruction).
• Patients with unstable or recently unstable cardiac syndrome
• Other than valve surgeries e.g. CABG
• Hospitalization for arrhythmias/ congestive heart failure

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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36 participants in 2 patient groups

Cycle Ergometery Training (Prehabilitation)

Experimental group

Description:

Hospital-based ergometer cycling for 20 minutes (Including warm-up and cooldown) Interval training on cycle ergometer: between 40% and 60% Vo2max, perceived exertion \<13 on Borg scale

Treatment:

Other: Cycle Ergometery Training (Prehabilitation)

Control Standard Group

Active Comparator group

Description:

Breathing exercise 15 Reps and Walk (10-15 minutes)

Treatment:

Other: Control Standard Group