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Do cardiac surgery patients have weak breathing muscles before surgery? An observational study

Prevalence of inspiratory muscle weakness in pre-operative cardiac surgery patients: an observational study.

Status
Completed
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12618001397202
Enrollment
24
Registered
2018-08-20
Start date
2018-08-31
Completion date
2019-06-30
Last updated
2020-12-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Emerging evidence indicates that elective cardiac surgery patients may benefit from inspiratory muscle training (targeted strengthening of the respiratory muscles) to reduce the incidence of post-operative pulmonary complications (PPCs). However, little is known about the baseline (pre-operative) inspiratory muscle strength of patients undergoing elective cardiac surgery. It is unlikely that every patient requires inspiratory muscle training,and it would be helpful to clarify the proportion of patients who are likely to benefit from such training. This can be easily done through measuring their inspiratory muscle strength pre-operatively as part of their preparation for surgery. However, such measurement is not yet standard practice. We hypothesise that the prevalence of inspiratory muscle weakness may be 30% or greater in a cohort of patients preparing for elective cardiac surgery.

Interventions

Inspiratory muscle weakness measured prior to cardiovascular surgery Presence of post-operative pulmonary complications in the 1 week following cardiac surgery.

Sponsors

University of Canberra
Lead SponsorUniversity

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patients presenting at the pre-admission clinic for assessment prior to elective cardiac surgery (e.g. coronary artery bypass grafting, valve replacements, or any other major open cardiac surgery via sternotomy). Must be able to follow instructions and provide informed written consent.

Exclusion criteria

Patients will be excluded if they cannot provide informed written consent (eg due to physical or intellectual disability). Patients with recent lung surgery, a known pneumothorax, or an inability to maintain a lip seal on the assessment device will also be excluded.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026