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Trial registered on ANZCTR
Registration number
ACTRN12619001351101
Ethics application status
Approved
Date submitted
21/08/2019
Date registered
1/10/2019
Date last updated
25/11/2021
Date data sharing statement initially provided
1/10/2019
Date results provided
19/02/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
The relationship between cardiorespiratory parameters during physical activity following cardiac surgery
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Scientific title
The relationship between cardiorespiratory parameters of heart rate, oxygen saturations and respiratory during physical activity following cardiac surgery
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Secondary ID [1]
299086
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Coronary artery bypass graft
314125
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Cardiac valve replacement
314126
0
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Cardiac valve repair
314442
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Condition category
Condition code
Cardiovascular
312502
312502
0
0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The participants will undertake a test of their physical function and exercise (mobilisation). Although the exercise is considered usual physiotherapy care after cardiac surgery, completing the test of physical function is not part of usual care.
The test of physical function will be the short physical performance battery and will include a measure of walking speed, lower limb strength assessment during a sit-to-stand activity and a measure of balance.
The exercise undertaken will be walking performed on the ward, the distance and intensity determined by the physiotherapist. The exercise prescription and completion of the short physical performance battery will be administered by the participant's treating physiotherapist.
The exercise and test of physical activity will take approximately 20 minutes maximum to complete and will be undertaken at Day 3 post cardiac surgery, on the ward.
During the exercise and test of physical function, cardiorespiratory parameters (heart rate, respiratory rate and oxygen saturation) will be measured and the levels of perceived exertion and dyspnoea will be recorded.
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Intervention code [1]
315357
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Diagnosis / Prognosis
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Cardiorespiratory parameter of heart rate. This will be recorded using the IntelliVue telemetry system to which the participant is connected while an inpatient on the ward.
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Assessment method [1]
321135
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Timepoint [1]
321135
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Day 3 post cardiac surgery
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Primary outcome [2]
321400
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Cardiorespiratory parameter of oxygen saturation. This will be recorded using the IntelliVue telemetry system to which the participant is connected while an inpatient on the ward.
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Assessment method [2]
321400
0
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Timepoint [2]
321400
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Day 3 post cardiac surgery
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Primary outcome [3]
321401
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Cardiorespiratory parameter of respiratory rate. This will be recorded using the IntelliVue telemetry system to which the participant is connected while an inpatient on the ward.
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Assessment method [3]
321401
0
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Timepoint [3]
321401
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Day 3 post cardiac surgery
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Secondary outcome [1]
374102
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Measure of dyspnoea during exercise. This will be measured using the modified Borg dyspnoea scale by the participant's treating physiotherapist.
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Assessment method [1]
374102
0
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Timepoint [1]
374102
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Day 3 post cardiac surgery
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Secondary outcome [2]
374877
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Results of the Short Physical Performance Battery test. This will be measured by the participants' treating physiotherapist and will include measures of walking speed over 4 metres, standing balance and lower limb strength tested by repetitive sit-to-stand activities
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Assessment method [2]
374877
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Timepoint [2]
374877
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Day 3 post cardiac surgery
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Secondary outcome [3]
375144
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Measure of perceived exertion during exercise. This will be measured using the Borg rating of perceived exertion by the participant's treating physiotherapist.
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Assessment method [3]
375144
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Timepoint [3]
375144
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Day 3 post cardiac surgery
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Eligibility
Key inclusion criteria
Elective coronary artery bypass grafting or valve replacement or repair
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Minimum age
30
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients who have undergone elective or emergent cardiac surgery and who have an implanted pacemaker, chronic disturbances in heart rhythm prior to surgery, prolonged ICU stay for haemodynamic or respiratory instability or the inability to undertake exercise safety.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Data will be described using mean±SD or median±interquartile range depending on the data distribution. Relationship between cardiorespiratory parameters and exercise intensity and cardiorespiratory parameters and the SPPB total score will be analysed by Spearman’s rho or Pearson’s correlation coefficient, with alpha set at 0.05
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2019
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Actual
14/10/2019
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Date of last participant enrolment
Anticipated
24/08/2020
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Actual
14/04/2020
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Date of last data collection
Anticipated
31/08/2020
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Actual
15/04/2020
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Sample size
Target
47
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Accrual to date
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Final
47
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
14607
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Cabrini Hospital - Malvern - Malvern
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Recruitment postcode(s) [1]
27628
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3144 - Malvern
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Funding & Sponsors
Funding source category [1]
303624
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Charities/Societies/Foundations
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Name [1]
303624
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Cabrini Foundation
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Address [1]
303624
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154 Wattletree Road
Malvern, 3144, Victoria
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Country [1]
303624
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Australia
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Primary sponsor type
Individual
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Name
Annemarie Lee
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Address
Cabrini Health
154 Wattletree Road,
Malvern, 3144, Victoria
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Country
Australia
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Secondary sponsor category [1]
303714
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None
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Name [1]
303714
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Address [1]
303714
0
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Country [1]
303714
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
304150
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Cabrini Human Research Ethics Committee
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Ethics committee address [1]
304150
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Cabrini Health 154 Wattletree Road Malvern, 3144, Victoria
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Ethics committee country [1]
304150
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Australia
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Date submitted for ethics approval [1]
304150
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31/07/2019
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Approval date [1]
304150
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17/09/2019
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Ethics approval number [1]
304150
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Summary
Brief summary
Exercise is undertaken as part of usual physiotherapy care following heart surgery. While it is considered safe, the exact effects of exercise which is commony prescribed following heart surgery by physiotherapists on heart function, breathing rates and oxygen levels are unknown. Establishing this information will further inform exercise prescription guidelines for physiotherapists who care for people following heart surgery. The aim of this study is to determine the relationship between heart rate, respiratory rate and oxygen saturation and measures of physical function and exercise intensity following heart surgery. People who have undergone heart surgery and require physiotherapy following surgery will be recruited for this study. During the usual physiotherapy tasks which involves exercise, and tests of balance and leg strength, measurements of heart function, breathing rate and oxygen levels will be extracted from the continuous monitoring system of which all people following cardiac surgery are connected to. Participants will be asked to rate their level of breathlessness and exertion following exercise. The relationship between exercise intensity and measures of heart function, breathing rate and oxygen saturations will be assessed.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
95970
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Dr Annemarie Lee
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Address
95970
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Cabrini Health
154 Wattletree Road
Malvern 3144, Victoria
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Country
95970
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Australia
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Phone
95970
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+61 03 9508 3423
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Fax
95970
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Email
95970
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[email protected]
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Contact person for public queries
Name
95971
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Annemarie Lee
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Address
95971
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Cabrini Health
154 Wattletree Road
Malvern 3144, Victoria
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Country
95971
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Australia
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Phone
95971
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+61 03 9508 3423
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Fax
95971
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Email
95971
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[email protected]
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Contact person for scientific queries
Name
95972
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Annemarie Lee
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Address
95972
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Cabrini Health
154 Wattletree Road
Malvern 3144, Victoria
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Country
95972
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Australia
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Phone
95972
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+61 03 9508 3423
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Fax
95972
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Email
95972
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The relationship between cardiorespiratory parameters, mobilisation and physical function following cardiac surgery.
2022
https://dx.doi.org/10.1080/21679169.2021.1942195
N.B. These documents automatically identified may not have been verified by the study sponsor.
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