Programme to Optimise Risk Factors in Patients Waiting for Coronary Artery Bypass Surgery

Royal Brompton & Harefield NHS Foundation Trust

Status and phase

Completed

Phase 3

Phase 2

Conditions

Coronary Artery Disease

Treatments

Behavioral: a nurse led home-based education and support programme

Study type

Interventional

Funder types

Other

Identifiers

NCT00124371

PG02/116/14483

2001HS030B

01-180

DHSAEPC2675

Details and patient eligibility

About

The time spent waiting for heart surgery can be extremely stressful. This programme aims to address this by providing a home-based, nurse-led support and education programme. Patients will be followed up in their own homes monthly by a cardiac nurse and given lifestyle advice and information to prepare them for surgery. This will be evaluated to test whether providing this support improves patients' anxiety and quality of life while they wait and also whether their blood pressure, weight and cholesterol are reduced and they have a smoother recovery as a consequence.

Full description

While waiting for coronary artery bypass graft (CABG) surgery many patients receive little if any medical and nursing input, at a time which is very stressful for them and their families. This randomised controlled trial will test whether a home-based, nurse-led support and education programme for patients waiting for such surgery can optimise mental and physical fitness and improve coronary heart disease risk factors by addressing anxiety, hypertension, obesity, diabetes and serum cholesterol in the waiting period. Patients will be followed up in their own homes monthly by a cardiac nurse and given lifestyle advice and information to prepare them for surgery. Primary outcome measurements will be anxiety, length of stay, blood pressure, cholesterol, blood glucose, smoking and body mass index. Secondary outcomes will be quality of life, and post-operative complications. Economic analysis and qualitative assessment of patients' opinion of the programme will also be performed.

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients waiting for first time cardiac bypass surgery
Able to read and understand English

Exclusion criteria

Patients living outside designated geographical area (>1.5 hours drive from hospitals)
Patients having surgery other than first time coronary artery bypass grafts
Patients unable to read and understand English
Patients with life-threatening significant non-cardiovascular disease e.g. cancer
All risk factors under control (blood pressure <140 systolic and/or < 90 diastolic and/or serum cholesterol <5 mmol/L and/or blood glucose < 7mmol/L and anxiety score < 8 on the Hospital Anxiety and Depression Scale).