Home-based Multimodal Prehabilitation to Improve Outcomes for Adults Awaiting Elective Coronary Artery Bypass Surgery A Feasibility Study

What this Trial Is About

Patients with ischemic heart disease who are scheduled for elective coronary artery bypass graft CABG surgery often face challenges such as advanced age, frailty, other health conditions, and physical inactivity. These factors, along with the physical and psychological stress of surgery, can affect recovery after the operation. Traditionally, efforts to improve surgical outcomes focus on care during and after surgery, but the waiting period before surgery may offer a valuable opportunity for prehabilitation to boost patients ability to recover. The study evaluates the feasibility of a home-based multimodal prehabilitation program for patients awaiting elective CABG surgery. This program combines web-based supervised exercise sessions, nutritional guidance, psychological support, and advice on smoking and alcohol cessation. Patients in the intervention group receive these additional preoperative supports alongside usual care, while the control group receives usual care alone. The intervention includes three exercise sessions per week via a tablet and weekly phone consultations with a specialized nurse. Participants will be involved from enrollment until 30 days after surgery. Researchers will monitor recruitment, retention, adherence to the prehabilitation program, and safety throughout the preoperative period. Various assessments will occur at baseline, the day before surgery, and 30 days post-surgery, including exercise capacity, muscle strength, nutritional status, quality of life, anxiety, depression, and lifestyle factors such as tobacco and alcohol use. The study aims to inform a larger future trial and improve patient outcomes using the pre-surgery period.

CABGpreHAB - a Feasibility Study Protocol