Evaluating a Digital Platform Based on Enhanced Recovery After Surgery to Shorten Hospital Stay After Coronary Artery Bypass Grafting in Sao Paulo
Led by University of Sao Paulo General Hospital · Updated on 2026-07-23
480
Participants Needed
2
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
Cardiovascular diseases remain the leading cause of death worldwide, with coronary artery disease being a major contributor. This research focuses on patients undergoing coronary artery bypass grafting CABG, a common cardiac surgery primarily funded by the Unified Health System in Brazil. The study aims to evaluate the impact of a technology platform based on the Enhanced Recovery After Surgery ERAS concept, which promotes multidisciplinary protocols to help patients recover faster, reduce complications, and shorten hospital stays.
Participants in this trial will be divided into two groups. One group will receive standard care for CABG as provided by their treating institution. The other group will follow a modified ERAS-based protocol supported by a digital platform designed to assist patient preparation and recovery. This platform includes pre-operative evaluations, scheduling, communication tools for patients, families, and care teams, and monitoring of recovery up to 30 days after hospital discharge.
During the study, participants will be monitored for their length of hospital stay up to 30 days after surgery. Additional assessments include the completeness of protocol steps within one week after surgery, morbidity and mortality rates, and patient-reported outcomes and experiences up to six months post-surgery. The trial is randomized and parallel in design, with no masking, and aims to improve recovery processes and sustainability of cardiac surgery programs.
CONDITIONS
Brief Title
Impact of a Technology Platform Based on Enhanced Recovery After(ERAS) Surgery on Length of Stay After Coronary Artery Bypass Grafting: Timely Project
Research Team
O
Omar A V Mejia, MD, PhD
G
Gabrielle B Borgomoni, BSc, PhD student
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Scheduled for primary isolated coronary artery bypass grafting (elective or urgent)
Own a personal cell phone
Have internet access
Able to use the device
Fully understand and agree to the informed consent form
You will not qualify if you...
Scheduled for associated surgeries
Glycosylated hemoglobin level above 8%
Creatinine clearance less than 30 mL/min
Pre-operative atrial fibrillation or use of pre-operative anticoagulation
Hemoglobin less than 12 g/dL
Use of illicit drugs
STS score above 4%
Physical or mental disabilities preventing protocol adherence
Refusal by patient or family member
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to 30 days after surgery
Participants receive either standard care for coronary artery bypass grafting or follow a modified recovery protocol using a digital platform based on ERAS.
Weekly visits during hospitalization and follow-up assessments up to 30 days post-discharge
Follow-up
Duration - Up to 6 months after surgery
Researchers monitor patient outcomes including morbidity, mortality, and patient-reported experiences up to six months after surgery.
Scheduled follow-up visits for assessments
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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Published Research Related To This Trial
The technological proposal based on enhanced recovery after cardiac surgery for changing traditional care in Latin America: REPLICCAR III Study Protocol.
Gabrielle Barbosa Borgomoni, Pedro Horigoshi Reis, Guilherme Pinheiro...