Cardiac surgery
Conditions
Interventions
Intervention group At the time of the first visit to the outpatient clinic, the left and right grip strength is measured, and a hand gripper with 50% of grip strength is handed over for home training
Sponsors
Nara Medical University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients scheduled for valvular heart surgery 2. Patients scheduled for coronary artery bypass surgery
Exclusion criteria
Exclusion criteria: 1.Patients who are currently being treated in a psychiatry due to a mental illness 2. Patients with a Mini-Mental State Examination score of 21 or less at registration 3. Patients who cannot speak daily conversation in Japanese 4.Patients who have entered the intensive care unit including other hospitals within a past year 5. Compared to the left and right side, patients with strong grip strength >30 kg for men and >20 kg for women 6.Patients with upper limb paralysis who cannot be gripped or trained 7. NYHA IV patients 8.Patients suspected to have symptomatic cerebral ischemia such as syncope due to exercise in the past 9. Patients who have not been extubated within 24 hours after surgery 10. Patients who have offered to withdraw consent after registration 11. Patients who died during surgery or was returned to the ICU after wearing the assisted heart-lung machine 12.Patients who were scheduled for coronary artery bypass surgery without cardiopulmonary bypass, but were treated with cardiopulmonary bypass by intraoperative judgment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of delirium during admission to the intensive care unit | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Delirium incidence after POD 2 2) Number of days ICU stays 3) Mortality after 30 days 4) Change rate of WHODAS 2.0 | — |
Countries
Japan
Contacts
Public ContactYusuke Naito
Nara Medical University Department of Anesthesiology
Outcome results
None listed