Early remote rehabilitation to improve health of the elderly after cardiac surgery - study protocol for a randomised trial.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2025-06-21 DOI:10.61409/A11240820

Rikke Daugaard, Lotte Sørensen, Stian Ingemann-Molden, Ivy Susanne Modrau

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Abstract

Introduction: Early rehabilitation is recommended after cardiac surgery to enhance recovery. However, due to precautions of sternum healing, the initiation of cardiac rehabilitation is often postponed for 6-8 weeks after surgery, leaving patients to face physical and emotional barriers on their own. This study aims to investigate whether early remote cardiac rehabilitation can enhance physical function and reduce the emotional challenges that older patients face after discharge.

Methods: In this bi-entre, randomised controlled trial, 120 patients older than 65 years of age undergoing open heart surgery are assigned to individualised exercise training and step counting supported by a mobile health app and weekly calls with a physiotherapist as an adjunct to standard care (intervention group), or standard care alone (control group) for six weeks after discharge. Outcomes are assessed at baseline, a six-week follow-up and a six-month follow-up. The primary outcome is change in the 30-second Chair Stand Test. Secondary outcomes include health-related quality of life, cost-effectiveness and prevalence of sarcopenia.

Conclusions: This trial will determine if early remote rehabilitation after cardiac surgery can accelerate recovery and alleviate emotional distress, advocating for early post-discharge interventions through digitally delivered care.

Funding: This trial is supported by external funds: the Novo Nordisk Foundation, the Health Foundation and the Eva and Henry Frænkels Memorial Fund.

Trial registration:

Clinicaltrials: gov NCT06370611.

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心脏手术后早期远程康复改善老年人健康——随机试验研究方案

导读：心脏手术后建议早期康复，以促进康复。然而，由于胸骨愈合的预防措施，心脏康复的开始往往推迟到手术后6-8周，使患者独自面对身体和情感上的障碍。本研究旨在探讨早期远程心脏康复是否能改善老年患者出院后的身体功能，减少患者的情绪挑战。方法：在这项双中心随机对照试验中，120名年龄大于65岁的接受心脏直视手术的患者被分配到个性化的运动训练和步数，由移动健康应用程序支持，每周与物理治疗师进行电话联系，作为标准治疗的辅助（干预组），或出院后六周单独进行标准治疗（对照组）。结果在基线、6周随访和6个月随访时进行评估。主要结果是改变30秒椅子站立测试。次要结局包括与健康相关的生活质量、成本效益和肌肉减少症的患病率。结论：本试验将确定心脏手术后早期远程康复是否可以加速康复并减轻情绪困扰，倡导通过数字化交付的护理进行早期出院后干预。资金：该试验由外部资金支持：诺和诺德基金会、健康基金会和Eva和Henry rænkels纪念基金。试验注册：Clinicaltrials: gov NCT06370611。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.