Structured Inpatient Physiotherapy in High-Risk Coronary Artery Bypass Grafting Patients

Condition(s) studied

Investigational drug(s) / intervention(s)

Preoperative and Postoperative Structured Inpatient Physiotherapy: Participants will receive a structured inpatient physiotherapy program initiated at least two days before CABG surgery and continued throughout postoperative hospitalization. The program includes breathing exercises, incentive spirometry, bronchial hygiene techniques, progressive early mobilization, and postural exercises. Before surgery, one supervised session will be provided daily, and participants will be instructed to repeat the program independently twice daily.

Postoperative Structured Inpatient Physiotherapy: Participants will receive the same structured inpatient physiotherapy program only during the postoperative hospitalization. The program includes breathing exercises, incentive spirometry, bronchial hygiene techniques, progressive early mobilization, and postural exercises.

Study summary

Coronary artery bypass grafting (CABG) may be associated with prolonged recovery, particularly in high-risk patients. Although preoperative rehabilitation has shown promising results, evidence remains limited because of heterogeneous intervention protocols and variations in postoperative care. This study aims to investigate the effects of a structured inpatient physiotherapy program initiated at least two days before surgery and continued postoperatively, compared with the same structured physiotherapy program provided only during the postoperative period, in high-risk CABG patients. The primary outcome is hospital length of stay. Secondary outcomes include intensive care unit length of stay, C-reactive protein, neutrophil-to-lymphocyte ratio, hemoglobin, dyspnea, and fatigue.

Eligibility

Primary outcome measure(s)

• Hospital Length of Stay — From surgery until hospital discharge (approximately 7-14 days)
  Postoperative hospital length of stay, defined as the number of days from surgery until hospital discharge.

Trial sites (1)

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