Congenital Heart Disease, Heart; Surgery, Heart, Functional Disturbance as Result, Quality of Life
Conditions
Keywords
Cardiopulmonary outcomes, Corrective cardiac surgeries, Preoperative Exercise therapy
Brief summary
To determine the effects of preoperative exercise therapy on postoperative cardiopulmonary outcomes and quality of life in children with corrective cardiac surgeries.Within literature there is limited evidence on preoperative exercise therapy in the pediatric population, positive results of the study can introduce a new tradition of preoperative exercise therapy and significantly reduce post-operative complications. Secondary complications would also be addressed in the study, a positive result can reduce the total costs by reducing hospital stays and improving the quality of life of child.
Detailed description
Cardiac surgeries are often associated with some post-operative cardiopulmonary complications most often cardiac arrhythmias, pulmonary atelectasis, and hospital induced pneumonia and reduced inspiratory capacities which can be reduced by exercise therapy this study is therefore significant not only for the determination of the effects of preoperative exercise therapy, it will also provide a path toward pre-habilitation followed by effective postoperative cardiac rehabilitation which is mostly lacking in many setups.
Interventions
OTHERINTERVENTION GROUP
Preoperative Protocol: DAY 1: Incentive spirometry 1 set of 2 repetitions(each repetition includes 05 deep inhalations) 3 times a day. Active ROMS (3 sets of 5 repetitions of both upper and lower limb thrice a day) Walk, Static marching to 10 steps thrice a day. DAY 2: Incentive spirometry 1 set of 3 repetitions (each repetition includes 08-10 deep inhalation) 3 times a day. Active ROMS, 3 sets of 5 repetitions of both upper and lower limb thrice a day) Walk, Static marching to 15 steps thrice a day. DAY 3: Incentive spirometry,1 set of 3 repetitions(each repetition includes 10 deep inhalation) 3 times a day Active ROMS 3 sets of 5 repetitions of both upper and lower limbs thrice a day. Walk, Static marching to 20 steps thrice a day. Postoperative Protocol: Conventional protocol of respective cardiac setup
OTHERCONTROL GROUP
Preoperative: Patients' parents will be educated about the disease process, surgery, it's possible complications, and precautions. Postoperative: Conventional protocol of respective cardiac setup
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed with congenital heart disease * Undergoing elective corrective cardiac surgery * Vitally stable
Exclusion criteria
* Having acquired heart disease or undergoing emergency cardiac surgeries * Patients undergoing valvular repairing surgeries * Functional status is limited due to conditions other than CHD or having any contraindications * Inability to adhere to study protocols * Participants who refused or withdrew from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Health related Quality of life | 4 weeks | Changes from pre-operative to 15 days after discharge from the hospital, measured through a Pediatric quality of life questionnaire consisting of 23 questions that are categorized into 4 major components namely, Physical functioning (8 items), Emotional functioning (5 items), Social functioning (5 items), School functioning (5 items). The scoring of the scale is based on the frequency of performance of particular activity ranging from 0 (mean never performed) to 5(mean always functioning). |
| Post-operative Pulmonary complications | 4 weeks | Changes from pre-operative to post-operative, discharge day and 15 days after discharge from the hospital, measured through chest x-ray including Consolidation, Atelectasis, Pneumonitis, Pleural Effusion. |
| Abnormal heart rhythms | 7 days | pre-operative to post-operative and discharge day observed through Electrocardiography (ECG) on cardiac monitor. |
| Forced Expiratory Volume in 1 second (FEV1) | 4 weeks | Changes from pre-operative to post-operative, discharge day, and 15 days after discharge measured through the digital spirometer in Liters |
| Forced vital capacity | 4 Weeks | Changes from pre-operative to post-operative, discharge day, and 15 days after discharge measured through the digital spirometer in Liters. |
Countries
Pakistan
Outcome results
None listed