Cardiac Valve Disease, Heart Diseases, Heart Failure, Surgery
Conditions
Brief summary
Our study aims to compare postoperative outcomes, postoperative pain and postoperative quality of lives in patients who receive the standard sternal precautions to those in patients who received self-managed sternal precautions following sternotomy for cardiac surgeries. The purpose of the study is to see if self-managed sternal precautions following sternotomy for cardiac surgeries lead to better quality of lives while maintaining same postoperative pain and rate of postoperative adverse events than standard sternal precautions. Postoperative pain and postoperative quality of lives will be assessed by phone call surveys. Postoperative outcomes will be measured by following the patients for up to a year using electronic medical record.
Detailed description
Patients who are recruited in this study will be randomized (1:1) into one of two groups/arms. The ?rst arm (Arm 1) will receive instruction to use pain and discomfort as the safe limits for their upper limb use during daily activities at post operative discharge. The second arm (Arm 2) will receive the standard sternal precautions at time of post operative discharge. Standard sternal precautions in study arm (2) include: Don't reach both arms overhead Don't reach both arms out to the side Don't reach behind your back Don't lift more than 5 to 8 pounds Don't push with your arms Don't pull with your arms Don't drive Each arm will receive weekly phone calls for 8 weeks. Information including pain, quality of life, and adherence to the sternal precaution protocol will be collected. Please refer to supporting documents (Pain Scale, Quality of Life Questionnaire, and Sternal Precaution Checklist) for the specific questions that will be asked at the patients. We will also investigate any adverse events related to the medical care.
Interventions
OTHERSelf Managed Care
Self Managed Care
Sponsors
University of Chicago
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
1:1 randomization
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Undergoing a sternotomy, English speaking, 18-70 years old, able to ambulate independently
Exclusion criteria
* Sternotomy due to VAD implantation or cardiac transplantation, discharge over 1.5 weeks after surgery, prior sternotomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sternal Precaution Checklist | Patient will be called weekly for 8 weeks by a medical professional. | Assessing patients' adherence to protocol |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sternal Precautions- Quality of Life Questions | Patient will be called weekly for 8 weeks by a medical professional. | Assessing patients' postoperative quality of life |
| Sternal Precaution Pain Scale | Patient will be called weekly for 8 weeks by a medical professional. | Assessing patients' postoperative pain |
Countries
United States
Outcome results
None listed