CABG
Conditions
Keywords
ICU Delirium, Video-Based Education, Preoperative Education, Early Ambulation, Length of Stay
Brief summary
The goal of this clinical trial is to evaluate the effect of a preoperative video-based educational program on postoperative outcomes in adult patients undergoing coronary artery bypass graft (CABG) surgery. The main questions it aims to answer are: Does the video-based educational program reduce the incidence of ICU delirium after CABG surgery? Does the program improve recovery outcomes, including length of ICU stay, hospital stay, and time to early ambulation? Researchers will compare patients receiving the video-based educational program (intervention group) with those receiving standard care (control group) to determine whether the intervention improves postoperative outcomes. Participants will: Be randomly assigned to either the intervention or control group Receive either a structured preoperative video-based education program or standard verbal education Be assessed for ICU delirium using the CAM-ICU tool during ICU stay Have their length of ICU stay and hospital stay recorded from medical records Be monitored for early ambulation within the first 72 hours after surgery
Detailed description
This randomized controlled trial evaluates the effect of a structured preoperative video-based educational program on postoperative recovery outcomes in adult patients undergoing elective coronary artery bypass graft (CABG) surgery. Postoperative delirium remains a common complication after cardiac surgery and is associated with prolonged intensive care unit (ICU) and hospital stays, delayed recovery, and increased healthcare burden. In addition, delayed mobilization after surgery can further contribute to adverse outcomes. Traditional preoperative education, typically delivered verbally or through written materials, may be insufficient for patients experiencing stress and anxiety prior to major surgery, leading to poor information retention. Video-based education offers a standardized, accessible, and engaging approach that may enhance patient understanding, improve adherence to recovery protocols, and support better clinical outcomes. In this study, participants will be randomly assigned to receive either a brief preoperative video-based educational intervention or standard care. The intervention is designed to prepare patients for the postoperative period by providing clear, structured information on recovery expectations, delirium prevention strategies, and the importance of early mobilization. The primary outcome of interest is the incidence of ICU delirium during the postoperative period. Secondary outcomes include length of ICU stay, length of hospital stay, and timing of early ambulation following surgery. These outcomes will be assessed using standardized clinical measures and hospital records. By evaluating the effectiveness of a digital educational intervention in a cardiac surgery population, this study aims to contribute evidence on practical, scalable strategies to improve postoperative recovery and reduce complications in patients undergoing CABG surgery.
Interventions
BEHAVIORALVideo-Based Educational Program
The video includes: Overview of CABG surgery and ICU environment Education on ICU delirium (definition, signs, and prevention) Explanation of the ABCDE delirium prevention bundle Instructions on early ambulation and breathing exercises Postoperative recovery expectations
Sponsors
University of Jordan
Jordanian Royal Medical Services
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
This study is conducted as an open-label randomized controlled trial; therefore, participants and care providers are not blinded due to the nature of the intervention (video-based education). However, to reduce bias: Outcome assessors (ICU nurses) responsible for evaluating delirium using the CAM-ICU will be blinded to group allocation whenever feasible.
Intervention model description
This study is a two-arm, parallel-group randomized controlled trial. Eligible participants will be randomly assigned in a 1:1 ratio to either the experimental group (video-based educational program) or the control group (standard care). Randomization will be conducted using a computer-generated block randomization method with variable block sizes to ensure balanced group allocation. Allocation concealment will be maintained using sequentially numbered, opaque, sealed envelopes prepared by an independent statistician. Participants in the experimental group will receive a structured preoperative video-based educational intervention in addition to standard care, while participants in the control group will receive standard care only. Outcomes will be assessed postoperatively, with the incidence of ICU delirium as the primary outcome, and early ambulation, ICU length of stay, and hospital length of stay as secondary outcomes.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants must meet all of the following criteria: 1. Adult patients aged 18 years or older 2. Scheduled for first-time, elective Coronary Artery Bypass Graft (CABG) surgery 3. Able to read and understand Arabic 4. Admitted preoperatively with sufficient time to receive the intervention (at least 24 hours before surgery)
Exclusion criteria
Participants will be excluded if they meet any of the following criteria: 1. Undergoing emergency or urgent CABG surgery 2. Previous CABG (redo surgery) 3. Cognitive impairment (e.g., diagnosed dementia, severe cognitive deficits, or Alzheimer's disease) 4. Severe communication barriers (e.g., inability to understand Arabic, or severe hearing/visual impairment preventing comprehension of the educational video) 5. Critical preoperative condition that prevents participation in the intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of ICU Delirium | Assessed twice daily (6 AM and 6 PM) during ICU stay, up to discharge from ICU. for three months | Occurrence of postoperative delirium among patients admitted to the ICU following CABG surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of ICU Stay | From ICU admission post-surgery until transfer to ward. for three months | Duration of time spent in the ICU after surgery. |
| Length of Hospital Stay (LOS) | From date of surgery until hospital discharge, expected average up to 30 days. | Hospital length of stay will be calculated from the date and hour of the index CABG surgery until the date and hour of hospital discharge, expressed in days to one decimal place. |
| Time to First Postoperative Ambulation Within 72 Hours After ICU Admission | From ICU admission (postoperative day 0) through 72 hours after surgery. | Time to first walk will be measured in hours from ICU admission after CABG surgery (T0) until the start of the first qualifying walking episode. Transfers from bed to chair will not be counted as ambulation. If no walking occurs within 72 hours, it will be recorded as "72+" with the clinical reason documented. |
Countries
Jordan
Contacts
STUDY_DIRECTORJafar A AL-SHRAIDEH, PROFESSOR
The University of Jordan
Outcome results
None listed