Elderly patients of cardiac surgery scheduled
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. age: patients who are older than 70 years old 2. gender: Male and Female 3. inpatients 4. before elective cardiovascular surgery 5. expiratory muscle training is permitted by the surgeon 6. patients who gained sufficient explanation for their participation in this study, and obtained written consent with the patient's free will with sufficient understanding
Exclusion criteria
Exclusion criteria: 1. patients who are judged difficulty to implement respiratory muscle training due to cognitive impairment or neurological disorders, etc. 2. patients who cannot properly use the training equipment 3. patients who cannot intervene for more than two weeks before surgery 4. patients who cannot walk alone with assistance 5. patients who underwent surgery under general anesthesia within a month prior to surgery 6. patients who satisfied cancellation criteria at training implementation 7. patients with LVAD 8. patients planned for thoracic endovascular aortic repair 9. patients scheduled for abdominal aorta operation 10. patients planned for thoracic aorta operation 11. patients with history of pneumothorax
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 7th day after surgery the pressure expiratory maximum | — |
Secondary
| Measure | Time frame |
|---|---|
| incidence of postoperative pulmonary complications, respiratory function (peak cough flow, pressure inspiratory maximum, peak expiratory flow, vital capacity (VC), % VC, %forced expiratory volume in one second (FEV1), FEV1/FVC, swallowing function (The Food Intake LEVEL Scale, repetitive saliva swallowing test), progression of post-operative rehabilitation (initiation days of sitting edge of bed, standing, and walking) | — |
Countries
Japan
Contacts
Nagasaki University Department of Cardiopulmonary Rehabilitation Science, Nagasaki University Graduate School