None listed
Conditions
Brief summary
Older people are more likely to develop postoperative pulmonary complications (PPCs) after cardiac surgery due to the possible age-related decline in inspiratory muscle strength. We aim to investigate the impact of frailty on inspiratory. muscle strength amongst older people following elective cardiac surgeries. We also aim to investigate the impact of frailty on lung function and PPCs. The findings of the study may elucidate potential means to identify individuals who may be more at risk of PPCs following surgery and could assist in the development of tailored post-surgical management strategies.
Interventions
Following provision of informed consent from the participants, participants will be required to complete a series of outcome measures which include a lung function test via a portable spirometry and a inspiratory muscle strength test via a Sniff Nasal Inspiratory Pressure (SNIP) machine. These outcome measures will be repeated once again at time of discharge from hospital post elective cardiac surgery to ascertain changes to the inspiratory muscle strength following cardiac surgery Initial testing will occur at cardiothoracic preadmission clinic. Patients attend cardiothoracic preadmission clinic when their scheduled cardiac surgery is between 2 weeks to 1 month. Duration of testing is approximately 5 minutes, time may vary depending on patients understanding the instructions
Sponsors
Eligibility
Inclusion criteria
To be eligible, participants are required to: - Be over the age of 65 years - Possess a score of six or less on the Rockwood Clinical Frailty Score (RCFS). - Undergoing elective cardiac surgery via sternotomy. Patients from non-English speaking backgrounds who require language assistance will be included to ensure the sample represents the population at SWSLHD. An interpreter or a family member nominated by the participant will assist in interpretations during the recruitment and throughout the study.
Exclusion criteria
Undergoing a minimally invasive/emergency cardiac procedure - Presence of neuromuscular disease based on documented past medical history in the medical notes. - Anyone with cognitive deficits assessed by a medical profession