Protocol for the PREHAB study—Pre-operative Rehabilitation for reduction of Hospitalization After coronary Bypass and valvular surgery: a randomised controlled trial
Key result
Upcoming RCT evaluates if 8-week preoperative exercise reduces prolonged hospital stays in frail cardiac surgery patients.
- n=244
Why the study?
Does an 8-week preoperative exercise and education intervention reduce the proportion of patients requiring a hospital length of stay greater than 7 days in frail patients waiting for elective coronary artery bypass and valvular surgery?
Population
244 frail patients waiting for elective coronary artery bypass and valvular surgery
Comparison
Standard of care plus an 8-week preoperative… vs Current standard of care (StanC)
Design
Randomised, assessor blinding
Follow-up
12 months postoperatively
Authors
Discussion
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Implication
Whether preoperative exercise and education reduces prolonged stays in frail cardiac surgery patients remains open; this RCT will deliver the first direct test.
Study Design
Type
RCT (n=244)
Blinding
Assessor blinding
Randomization
Randomized
Multicenter
Yes
Structured PICO
Does an 8-week preoperative exercise and education intervention reduce the proportion of patients requiring a hospital length of stay greater than 7 days in frail patients waiting for elective coronary artery bypass and valvular surgery?
P
Population
244 frail patients waiting for elective coronary artery bypass and valvular surgery
I
Intervention
Standard of care plus an 8-week preoperative, interdisciplinary exercise and education intervention (two weekly sessions, aerobic exercise at 40-60% of heart rate reserve) at a certified medical fitness facility
C
Comparator
Current standard of care (StanC)
O
Outcome
Proportion of patients requiring a hospital length of stay greater than 7 dayshard clinical
This protocol describes a randomized trial to evaluate whether a preoperative exercise and education intervention reduces hospital length of stay in frail patients undergoing elective cardiac surgery.
Cite This Study
Stammers et al. (2015) conducted an RCT in Frail patients waiting for elective coronary artery bypass and valvular surgery (n=244). Preoperative exercise and education intervention vs. Standard of care was evaluated on Proportion of patients requiring a hospital length of stay greater than 7 days. An 8-week preoperative exercise and education intervention will be evaluated to determine if it reduces hospital stays >7 days in 244 frail patients undergoing elective cardiac surgery.