Status:
COMPLETED
Telehealth Home-monitoring for Frailty in Cardiac Surgery
Lead Sponsor:
New Brunswick Heart Centre
Conditions:
Frailty
Surgery
Eligibility:
All Genders
60+ years
Phase:
NA
Brief Summary
Cardiac surgical interventions are increasingly offered to vulnerable patients or patients living with frailty. Unfortunately, frailty has been shown to be an independent predictor of poorer outcome a...
Eligibility Criteria
Inclusion
- Patients, aged 55 years or older, undergoing elective isolated coronary artery bypass grafting (CABG), aortic valve repair/replacement, mitral valve repair/replacement or combined CABG/valve procedures.
- Patients defined as pre- vulnerable, vulnerable or frail based on the Edmonton frailty scale (\> 4 considered pre- vulnerable) as defined prior to surgery
Exclusion
- Medical reasons for exclusion
- Patients who have unstable or recent unstable cardiac syndrome requiring urgent (within 24hr) or emergent surgery
- Acute endocarditis who are at higher risk for adverse events
- Dialysis dependent who are at higher risk for adverse events
- Patients who have cognitive deficits, visual impairments, inability to read or major difficulties with electronic devices that would preclude use of the intervention
- Patients who do not have any support or potential caregivers to help facilitate their transition home
- Patients undergoing minimally invasive surgery which has been shown to enhance recovery
- Patients unable to be discharged home within 10 days of their surgery. The average length of hospitalization is 5 days with frail patients often requiring additional time but usually within 10 days unless some major barrier exists in allowing discharge home.
- Patients who are transferred to another hospital for recovery or care.
Key Trial Info
Start Date :
October 30 2019
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 31 2021
Estimated Enrollment :
64 Patients enrolled
Trial Details
Trial ID
NCT05349708
Start Date
October 30 2019
End Date
December 31 2021
Last Update
April 27 2022
Active Locations (1)
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1
New Brunswick Heart Centre, Saint John Regional Hospital
Saint John, New Brunswick, Canada, E2L4L4