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The objective of this clinical trial is to develop a novel rehabilitation model that, through the PRECICA program, will help to reduce perioperative and postoperative complications in the care process prior to planned cardiac surgery. This will be achieved by reducing the total postoperative hospital stay and the physical and psychological complications resulting from surgery. The target population for this trial is patients undergoing planned cardiac surgery due to chronic coronary artery disease, valvular pathology, chronic thromboembolic pulmonary hypertension and/or aortic injury. Consequently, the quality of life of these patients could be enhanced.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prehabilitation | Experimental |
| |
| Standard care | Other | The standard of care is defined as a health education program and education in respiratory physiotherapy techniques. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical exercise | Other | A program designed to enhance muscular strength through a structured exercise program. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Six minute walk test | A functional capacity test (six-minute walk test) will be conducted to assess the subject's cardiovascular capacity. | This variable will be measured at four different time points; in the inclusion of the patient in the study, on the day of admission prior to surgery, one week after hospital discharge, and 2 months after surgery. |
| Quality of life (EQ-5D-5L) | The standard of health experienced | This variable will be measured at four different time points; in the inclusion of the patient in the study, on the day of admission prior to surgery, one week after hospital discharge, and 2 months after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Period of hospitalization | The number of days spent in the hospital under surgical observation. | Through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
- Cognitive impairment that prevents understanding the study procedures or completing the intervention.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Universitario 12 de Octubre | Madrid | Madrid | 28041 | Spain | ||
| Universidad Complutense de Madrid |
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| ID | Term |
|---|---|
| D003324 | Coronary Artery Disease |
| D006349 | Heart Valve Diseases |
| D001018 | Aortic Diseases |
| ID | Term |
|---|---|
| D003327 | Coronary Disease |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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Prehabilitation in Cardiac Surgery, which will consist of a health education program, respiratory physiotherapy techniques, a health education program, and a peripheral muscle strength program.
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| Educational program and respiration physiotherapy | Other | The program will include a health education component and respiratory physiotherapy techniques. |
|
| Madrid |
| Madrid |
| Spain |
| D001161 |
| Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |