Optimizing the pre-operative risk profile of older adults undergoing elective cardiac surgery: a randomized controlled trial
| dc.contributor.author | Stammers, Andrew | |
| dc.contributor.examiningcommittee | McGavock, Jonathan (Pediatrics and Child Health) Tangri, Navdeep (Community Health Sciences) | en_US |
| dc.contributor.supervisor | Duhamel, Todd (Kinesiology and Recreation Management) Arora, Rakesh (Surgery, Anesthesia and Physiology) | en_US |
| dc.date.accessioned | 2016-09-14T00:48:20Z | |
| dc.date.available | 2016-09-14T00:48:20Z | |
| dc.date.issued | 2016 | |
| dc.degree.discipline | Kinesiology and Recreation Management | en_US |
| dc.degree.level | Master of Science (M.Sc.) | en_US |
| dc.description.abstract | This study determined whether pre-operative exercise and education (PREHAB) improves the frailty status and physical activity behaviour of older adults undergoing elective cardiac surgery, more than standard care (StanC). Using a subset of patients from a multi-centre trial (NCT02219815), twenty-six patients over the age of sixty were randomized to receive StanC (n=12) or PREHAB (n=14). Blinded research assistants collected data at baseline prior to randomization and one week pre-operatively. Changes in frailty were assessed using a 30-item functional frailty index (FFI); whereas, changes in physical activity behaviour were assessed using accelerometers. Baseline data was not different between groups. Frailty status improved by 17%, 5% and 35% amongst StanC, PREHAB “non-completers” and PREHAB “completers”, respectively. No changes in moderate to vigorous physical activity were found pre-operatively. These data suggest that the PREHAB intervention is feasible to implement and may result in improved frailty status amongst frail older adults awaiting elective cardiac surgery. | en_US |
| dc.description.note | October 2016 | en_US |
| dc.identifier.uri | http://hdl.handle.net/1993/31737 | |
| dc.language.iso | eng | en_US |
| dc.rights | open access | en_US |
| dc.subject | Preventative medicine | en_US |
| dc.subject | Cardiac surgery | en_US |
| dc.subject | Cardiovascular disease | en_US |
| dc.subject | Clinical trials | en_US |
| dc.subject | Frailty | en_US |
| dc.title | Optimizing the pre-operative risk profile of older adults undergoing elective cardiac surgery: a randomized controlled trial | en_US |
| dc.type | master thesis | en_US |