Personalized teleprehabilitation in elective cardiac surgery: a study protocol of the Digital Cardiac Counselling randomized controlled trial
| Autor: | Jos G. Maessen, Chanu Mohansingh, Arnoud W J van 't Hof, Merel L Kimman, Ton F Lenssen, Sardari Nia Peyman, P. Geerlings, Yvonne I M S Wouters, Maxime Nieman, Henriette F M Knols, Sander M. J. van Kuijk, Bart Scheenstra, Bart C. Bongers, Sandra Dahmen |
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| Rok vydání: | 2021 |
| Předmět: |
Protocol (science)
medicine.medical_specialty business.industry Cost effectiveness Prehabilitation Telehealth 030204 cardiovascular system & hematology law.invention Cardiac surgery 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law Informed consent Physical therapy Medicine 030212 general & internal medicine business |
| Zdroj: | European Heart Journal - Digital Health. 2:477-486 |
| ISSN: | 2634-3916 |
| Popis: | Aims Previous research has shown the possibility to use the pre-operative period to improve a patient’s tolerance for surgery. However, there is limited experience with prehabilitation in cardiac surgery. The aim of this study is to evaluate the effect of a comprehensive personalized teleprehabilitation programme on major adverse cardiac events (MACE) in patients scheduled for elective cardiac surgery. Secondary outcomes are post-operative complications, cardiovascular risk factors, quality of life, and cost-effectiveness. Methods and results In this single-centre randomized controlled trial, patients are eligible for inclusion when they are ≥18 years of age and cardiac surgery is scheduled at least 8 weeks from informed consent. Participants will be randomized to the teleprehabilitation group or the control group. After a digital baseline screening for perioperative risk factors, patients in the intervention arm can pre-operatively be referred to one or more of the prehabilitation modules (functional exercise training, inspiratory muscle training, psychological support, nutritional support, and/or smoking cessation). The programme is targeted at a duration of at least 6 weeks. It is executed by a multidisciplinary team using (video)calls and supported by a custom-made digital platform. During the pre-operative period, the platform is also used to inform patients about their upcoming surgery and for telemonitoring. Conclusion Reducing perioperative risk factors might result in a reduction of MACE, post-operative complications, length of stay, and cardiovascular risk factors, as well as improved quality of life. Cost-effectiveness will be evaluated. |
| Databáze: | OpenAIRE |
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