选择性心脏手术前老年患者的预康复 (PRECOVERY):多中心随机对照试验的研究协议
Carolin Steinmetz1, Stephanie Heinemann1, Ingo Kutschka2,3
1Department of Geriatrics, University of Goettingen Medical Center, Robert-Koch-Straße 40, 37075, Goettingen, Germany.
Trials
|August 15, 2023
概括
这项研究调查了针对老年心脏病患者的定制预康复计划,旨在改善存活率和生活质量. 该试验还将评估潜在广泛实施的成本效益.
科学领域:
- 老年心脏病学 老年心脏病学
- 心血管外科心血管外科
- 康复医学 康复医学 康复医学
背景情况:
- 心脏康复改善了结果,特别是在老年多病患者中.
- 在心脏手术前的预康复显示出更好的术后结果的前景.
- 德国缺乏针对老年人的结构化,跨部门的心脏预康复计划.
研究的目的:
- 评估针对老年心脏病患者的量身定制的多模式预康复计划.
- 确定该计划对长期生存和生活质量的影响.
- 评估这种新型护理方法的成本效益.
主要方法:
- 一个随机的,受控的,多中心试验 (PRECOVERY) 涉及422名75岁以上的患者,计划进行选择性心脏手术.
- 一个为期2周的多式预康复干预 (运动,职业治疗,认知培训,心理社会支持,教育,营养) 与标准护理相比.
- 共同初级结果:生活质量 (EQ-5D-5L) 和12个月死亡率;二级:成本效益和流程评估.
主要成果:
- 该研究旨在评估预康复治疗在改善长期生存和生活质量的有效性.
- 卫生经济评估将决定干预的成本效益.
- 混合方法的过程评估将分析干预的忠实性,覆盖范围和适应性.
结论:
- 这项试验旨在调查量身定制的预康复计划是否能提高老年心脏病患者的长期存活率,生活质量和功能能力.
- 这项研究旨在提供证据,证明预康复的成本效益.
- 它代表了迄今为止在老年心脏护理中实施预康复的最大试验.
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