Is Six Weeks Too Long for First Outpatient Review After Cardiac Surgery?

NCT02832427 | Completed

• 1 other identifier: 203366
• Study Type: observational
• Target: 85
• Locations: 1 country
• Sites: 1

Brief Summary

Although the first outpatient review following cardiac surgery is conventionally scheduled for six weeks after hospital discharge, there is no evidence to support this practice. Thirty-day mortality and morbidity rates, which are now widely used as indicators of the quality of surgical care, reveal rates that are higher than corresponding in-hospital rates. Secondly, the rates for mortality and morbidity occurring up to 6 weeks after surgery are not known. The objectives of our study are to determine the postoperative mortality and morbidity rates in the 6-week interval between hospital discharge and the first planned specialist review after cardiac surgery, and to assess the level of patient satisfaction with current practice. The study will enrol eligible patients who are undergoing elective and urgent coronary artery bypass and/or valve surgery at our institution over a 6-month period and provide them with study information. Prior to discharge after surgery, prospective participants will be consented and given a questionnaire to take home, complete and bring along to the outpatient appointment. The investigators will analyse the data to determine the rates and timing of the complications, and the impact on postoperative recovery. The investigators will also assess the level of patient satisfaction with the current practice. Appropriate conclusions either in support of current practice or, a change in practice would be drawn..

Conditions

Postoperative; Dysfunction Following Cardiac Surgery

Keywords

Coronary artery bypass grafting; Heart valve surgery; Postoperative morbidity; Operative mortality

Outcome Measures

Primary Outcomes (1)

• The proportion of participants with postoperative mortality, or complications who require further interventions and hospital readmission .

  Patients who require further interventions and hospital readmission.

  6 weeks

Secondary Outcomes (1)

• The timing of postoperative mortality

  6 weeks

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients undergoing coronary artery bypass grafting and/or valve surgery

You may qualify if:

• Adult patients undergoing coronary artery bypass and/or valve surgery.
• Patients who can read and write in English

You may not qualify if:

• Postoperative stroke with neurologic deficit

Sponsors & Collaborators

• Hull University Teaching Hospitals NHS Trust: lead

Study Sites (1)

Castle Hill Hospital

Hull, East Yorkshire, HU16 5JQ, United Kingdom

Location

Related Publications (16)

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Related Links

• Publication Link

Study Officials

• Dumbor Ngaage, MS, FRCS

  Castle Hill Hospital, Kingston-Upon-Hull, HU16 5JQ, UK

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 26, 2016
• First Posted: July 14, 2016
• Study Start: June 1, 2016
• Primary Completion: May 1, 2017
• Study Completion: May 1, 2017
• Last Updated: July 12, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)