Structured inpatient physiotherapy before and after CABG for high-risk patients

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

High-risk patients undergoing CABG often have longer recoveries. This study compares two physiotherapy approaches: a structured inpatient program started before surgery and continued afterward versus the same program started only after surgery. Both groups receive breathing exercises, mobilization, and related techniques, but the preoperative start may influence recovery metrics. The primary outcome is hospital length of stay, with secondary outcomes including ICU stay, inflammatory markers, anemia, and patient-reported dyspnea and fatigue. Conducted at Bezmialem Vakif University, the study aims to clarify whether preoperative rehabilitation enhances postoperative recovery in this high-risk population.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Adults aged 18 years or older.
* Scheduled to undergo elective coronary artery bypass grafting (CABG).
* High-risk patients meeting at least three of the following criteria:

Left ventricular ejection fraction (LVEF) \<40%. Three-vessel coronary artery disease. More than two comorbidities. History of smoking. Age \>65 years.

\- Able and willing to provide written informed consent.

Exclusion Criteria:

* Planned redo CABG surgery.
* Severe neurological or orthopedic conditions limiting mobilization.
* Severe cognitive impairment.
* Hemodynamic instability.
* Contraindications to mobilization or exercise.
* Inability to complete at least two days of the preoperative physiotherapy program.

Where it's running

• Bezmialem Vakif University
  Istanbul, Eyupsultan, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: Fuat Gökdemir, PT, MSc
• Email: fuat.gokdemir@bezmialem.edu.tr
• Phone: +905543727084

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.