Clinical trial NCT06402903: Physiotherapy in Patients in a Cardiac Intensive Care Unit
Official title: Physiotherapy in Patients in a Cardiac Intensive Care Unit. A Retrospective Cohort Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Cardiac Surgery Patients
Keywords: Physiotherapy
Intensive Care Unit
Postoperative complications prevention
Cardiac surgery
Lead sponsor: University of Oviedo
Sponsor class: OTHER
First posted: 2024-05-07
Enrollment: 110
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The data will be collected in May 2024 at the Physical Medicine and Rehabilitation Service of the Hospital Universitario Central de Asturias (HUCA), belonging to the Health Area IV of the Health Service of the Principality of Asturias.

Brief summary: Background. Cardiovascular diseases are a major cause of morbidity and mortality. The management of these patients requires multidisciplinary therapeutic approaches. Physiotherapy plays a fundamental role in the postoperative management of patients undergoing cardiac surgery.

Objective: To analyse the relationship between the administration of a physiotherapy intervention and the time spent in the cardiac ICU and on the ward.

Method. Retrospective cohort study. The medical records of 110 patients undergoing cardiac surgery who received a Physiotherapy intervention during their stay in the Intensive Care Unit will be analysed. Data will be collected from patients admitted to the cardiac ICU in 2023. The variables assessed will be: length of stay in ICU and hospital admission (days), age (years completed), weight (kg) and sex. A one-factor analysis of variance will be performed to calculate the association between the variables and a linear regression analysis will be used to describe the hospital stay variables as a function of the other predictor variables.

Expected outcomes. Physiotherapy treatment in an Intensive Care Unit improves ICU and hospital stay times in patients undergoing cardiac surgery.


Eligibility criteria: Inclusion Criteria:

* Patients diagnosed with cardiac pathology
* Undergoing cardiac surgery at the Hospital Universitario Central de Asturias between 1 January and 31 March 2023
* In the postoperative phase in the Intensive Care Unit and subsequently on transfer to the ward, they received physiotherapy treatment or not.
* That the period of stay in the ICU was less than 30 days.

Exclusion Criteria:

* Patients with comorbidities prior to surgery that hindered independence from third parties in the performance of activities of daily living and ambulation; iii) patients with previous cardiac surgeries; and iv) patients whose study variables were not fully recorded in the Medical History.
* Patients with previous cardiac surgeries
* Patients whose study variables were not fully recorded in the Clinical History.

Primary outcomes:
measure: Assess length of stay in the Intensive Care Unit
timeFrame: Screening visit
measure: Assess time from hospital admission to medical discharge
timeFrame: Screening visit
Secondary outcomes:
measure: Assess the age
timeFrame: Screening visit
measure: Assess the gender
timeFrame: Screening visit
measure: Assess the weight
timeFrame: Screening visit
measure: Assess the administration of a physiotherapy intervention
timeFrame: Screening visit
Other outcomes:
Locations:
city: Oviedo
country: Spain
facility: University of Oviedo
state: Asturias
Study officials:
References: