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Does preoperative muscle mass predict outcomes after heart and/or lung transplantation

Preoperative assessment of muscle mass and heart rate variability as predictors of outcome in patients undergoing heart and/or lung transplantation

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12621000164897
Enrollment
100
Registered
2021-02-17
Start date
2021-05-01
Completion date
2023-04-30
Last updated
2021-02-22

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

Conditions

None listed

Brief summary

Heart and/or lung transplantation is performed in patients with significant co-morbidities and burden of disease. Their peri-operative period is high risk and recovery may be prolonged due to the risk of complications. There is considerable effort applied to appropriate risk stratification and selection of these patients prior to listing for transplantation. Recently sarcopenia has been used as a surrogate for frailty. Patients undergoing heart and/or lung transplant surgery may be particularly susceptible to the risks associated with frailty. In heart/lung transplant surgical patients objective measurements of sarcopenia has been difficult and not fully investigated. The hypothesis of this study is that reduced cross sectional area of the rectus femoris muscles as assessed by ultrasound and/or reduced heart rate variability will be associated with poorer outcomes amongst cardio-thoracic patients undergoing major surgery.

Interventions

The rectus femoris muscle will be measured using ultrasound. This will occur in the outpatient clinic prior to surgery. The ultrasound takes less than 5 minutes and will be performed by an anaesthetist who is part of the research team. A 5 minute electrocardiograph (ECG) recording will also be performed for subsequent analysis

Sponsors

St Vincent’s Hospital
Lead SponsorHospital

Eligibility

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

Inclusion criteria

All patients undergoing heart and/or lung transplantation

Exclusion criteria

None

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026