Pulmonary Complications After Heart Surgery.

Study Overview
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Brief Summary
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Abstract: Post-operative pulmonary complications after cardiac surgery Background The Catharina Hospital performs approximately 1700 heart operation each year. One third of the patients stay at the Catharina hospital during their entire post-operative period. Two years ago they abolished the pulmonary support by a physiotherapist. Subjectively, the pulmonary complications increased over the last two years. During an investigation of the contentment of the patients an increase of the pulmonary problems came forward after eliminating the pulmonary support. There have been no further examinations to the pulmonary complications post-operatively. Objectives The aim of this study is to give the department of cardio-thoracic surgery an advice about the post-operative pulmonary support for patients who underwent heart surgery. During the study a budgetary analysis will be made. Methods 120 patients are prospectively randomised in three groups. Randomisation takes place through block randomisation every three weeks. 40 patients will be supported by a physiotherapist. Another 40 patients will be supported by the nurses on the cardiothoracic surgery ward and the last 40 patients will use an incentive therapy with 'Airlife' by a self-management method. The study population are all patients undergoing heart surgery and spend their entire post-operative period at the Catharina Hospital. In- and exclusion criteria are specified in the protocol on pages 3 and 4. Outcome The primary outcome is to qualify the pulmonary complications within the three groups. These complications will be objectified by measuring peak flow, an instrument to determine the lung function, and an x-ray of the thorax. The secondary outcome is the contentment of the patient, which will be determined by a VAS-score (Visual Analogue Scale). Risks There are no risks for the patient when participating on this study. The patient will have to fill in the VAS-score and measure lung function with the peak flow at two different moments. The study takes place in a clinical setting. There is no extra insurance in conformity with the advice of the METC.

Official Title
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Pulmonary Complications After Heart Surgery

Conditions
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Heart Surgery

Intervention / Treatment
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* Behavioral: use of Airlife (therapy)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Euroscore < 8 Age > 18 year Patients whereby ECC is peri-operatively used No psychological history Informed consent obtained Follow -up at Catherina Hospital Exclusion Criteria: COPD Mitral valve plasty or reconstruction Off-pump Cognitive problems Expected comlpications during operation Patients with decompensation Day 5 post- ok thoracic drains insitu Pain score grater than 4 Abnormal chest x-ray

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: use of Airlife (therapy)|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pulmonary complications