Study to Evaluate the Impact of the Recovery Pathway on Postoperative Leght of Stay in Coronary Artery Bypass Surgery

Launched by UNIVERSITY OF SAO PAULO GENERAL HOSPITAL · Nov 26, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a new way to help patients recover faster after heart surgery, specifically coronary artery bypass grafting (CABG). Researchers want to see if using a special recovery plan can help patients spend less time in the hospital compared to the usual care. The trial will involve two groups of patients: one group will follow this rapid recovery protocol, while the other will receive standard care. The goal is to find out if the rapid recovery plan makes a difference in how long patients stay in the hospital, as well as their overall health, satisfaction, and costs associated with their care.

To participate in this trial, you need to be an adult (over 18 years old) and scheduled for elective or urgent CABG surgery. However, patients with certain serious health issues, like severe heart or kidney problems, or those needing emergency surgery, won't be eligible. If you join the study, you can expect close monitoring and support as you recover, and your experience will help improve care for future patients. This trial is important because it aims to enhance recovery after surgery within Brazil's public healthcare system, ultimately benefiting many patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adult patients (\>18 years old)
• • Undergoing isolated coronary artery bypass grafting (CABG) with elective or urgent status
• • Signed informed consent form (ICF)
• Exclusion Criteria:
• • Emergency patients
• • Severe ventricular dysfunction (ejection fraction \<30%)
• • Renal impairment (creatinine clearance \<30 mL/min)
• • Atrial fibrillation or need for oral anticoagulation
• • Moderate-to-severe anemia (hematocrit \<32%)
• • STS risk score \>4%
• • Patient and/or family disagreement with the protocol
• • Failure to sign the informed consent form