Prehabilitation program for frail patients before heart surgery
The Feasibility and Triability of a Prehabilitation Program for Mild to Moderately Frail Patients Undergoing Cardiac Surgeries/Procedures
NA · The University of Hong Kong · NCT06323317
This study is testing a special program that helps frail patients get stronger and healthier before heart surgery to see if it improves their recovery and quality of life.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 50 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | The University of Hong Kong (other) |
| Locations | 1 site (Hong Kong, Please Select) |
| Trial ID | NCT06323317 on ClinicalTrials.gov |
What this trial studies
This study aims to develop and evaluate a prehabilitation program specifically designed for frail patients awaiting cardiac surgeries such as coronary artery bypass grafting and heart valve replacement. The program includes a multi-component exercise regimen, nutritional optimization, and stress management to enhance patients' physical and psychological readiness for surgery. By focusing on frailty, the study seeks to improve various outcomes including functional capacity, quality of life, and reduce hospital stays and readmission rates. The trial will recruit 50 adults in Hong Kong who meet specific frailty criteria.
Who should consider this trial
Good fit: Ideal candidates are frail adults scheduled for elective cardiac surgeries with a Clinical Frailty Scale score between 4 and 6.
Not a fit: Patients with impaired cognition or significant physical limitations to exercise may not benefit from this program.
Why it matters
Potential benefit: If successful, this program could significantly improve recovery outcomes and quality of life for frail patients undergoing cardiac procedures.
How similar studies have performed: Previous studies have shown promise for prehabilitation in general cardiac patients, but this specific approach for frail individuals is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. A confirmed schedule for elective CABG, valve repair/replacement, or combined CABG and valve repair/replacement, or TAVI 2. Mild to moderate frailty at the time of recruitment, indicated by a Clinical Frailty Scale score between 4 and 6 3. At least 5 weeks of procedural waiting time 4. Physically fit for prehabilitation according to the surgeon/cardiologist's endorsement on a risk-assessment checklist 5. Living with family 6. Using an electronic device with internet access (patient/family). Exclusion Criteria: 1. Impaired cognition (Abbreviated Mental Test score ≤6) or communication 2. With physical limitations to exercise
Where this trial is running
Hong Kong, Please Select
- Polly Wai Chi — Hong Kong, Please Select, Hong Kong (RECRUITING)
Study contacts
- Principal investigator: Polly Li, Dr — The University of Hong Kong, School of Nursing
- Study coordinator: Polly Li, Dr
- Email: pwcli@hku.hk
- Phone: 852-39176686
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Coronary Artery Bypass Grafting, Heart Valve Replacement, Transcatheter Aortic Valve Implantation, Frailty, prehabilitation, home-based exercise, centre-based exercise, coronary artery bypass grafting