cardiac surgery cardiovascular surgery
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age >= 18 years - Accepted for elective coronary bypass surgery, degenerative valve disease or aortic surgery (or combined) under general anesthesia
Exclusion criteria
Exclusion criteria: • Patients accepted for transcatheter aortic valve implantation (TAVI) • Admitted to the department of congenital heart surgery • Aortic descendens or dissections • Elite athletes • Co-morbidities that prevent participation in one or more program elements (e.g. disorders to the nervous or musculoskeletal system that limits exercise capacity, severe COPD (GOLD class 3-4), addiction to alcohol or drugs/ serious psychiatric illness) or when it is undesirable to exercise (e.g. cardiomyopathie/morrow). • Other treatment planned that possibly will interrupt the cardiac rehabilitation program (for example on a waiting list for a organ transplantation, preoperative endocarditis or planned chemotherapy for cancer etc.) • Unable to read and write Dutch
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is a composite weighted endpoint of postoperative surgical complications, re-admissions to hospital, major adverse cardiac events and health related quality of life (two domains: physical functioning and physical problem), at three months and one year after surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary, this study is designed to evaluate the effect of the cardiac rehabilitation programs on: - Prolonged stay at the intensive care, the occurrence arrhythmias and rethoracotomies (Complications and events) - Cardiorespiratory fitness, muscle strength and functional status (Physical health) - Feelings of anxiety, depression and quality of life (Psychological health) - Work participation - Economic evaluation: health care costs, work-related costs and quality adjusted life years (QALYs) - Physical activity and smoking consumption (Lifestyle risk factors) - self-efficacy, illness representations (Potential mediators) | — |
Countries
Netherlands