Coronary Artery Bypass Graft (CABG)ERASNCT07138534
Investigation of the Effect of Prehabilitation Practice on Patient Outcomes in Frail Patients Planned for Elective Coronary Artery Bypass Graft
A study testing prehabilitation in people with Coronary Artery Bypass Graft (CABG), run by Bahçeşehir University at 1 site in Turkey (Türkiye).
Trial summary
The basic concept of prehabilitation is to increase the functional capacity of the individual to withstand an expected injury. It embodies the idea of being proactive against the common reactive approach of rehabilitation. Read more about this study
- Who is it for?
- Ages 60 years and older
- Conditions the study is for
- Coronary Artery Bypass Graft (CABG)
- What is being tested?
- prehabilitation
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Sep 2025to 30 Dec 2025
- Phase
- Interventional
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 60 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- frail patient
Who cannot join
- frail patient
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Mehmet akif ersoy kalp damar hastanesi
Istanbul
About this study
The basic concept of prehabilitation is to increase the functional capacity of the individual to withstand an expected injury. It embodies the idea of being proactive against the common reactive approach of rehabilitation. While the initial prehabilitation model was limited to physical training, it has now evolved into a multimodal entity that includes nutritional optimisation, psychosocial preparation and smoking cessation in addition to exercise programmes. In the last decade, there has been an increasing effort to coincide prehabilitation with surgery, as surgery is rightly perceived as a stressor for human structural and physiological functions.
Read the detailed description
Frailty is an increasingly recognised risk factor for surgery. The degree of frailty and how this may affect postoperative recovery profiles is unclear. Preoperative frailty may predispose patients to worse outcomes in cardiac surgery; however, there is limited data on how preoperative frailty affects patient outcomes through prehabilitation practices.
- Conditions
- Coronary Artery Bypass Graft (CABG)
- Being tested
- prehabilitation
- Keywords
- frail patients, coronary artery bypass
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
prehabilitationBehavioural
In addition to exercise programmes, it includes nutritional optimisation, psychosocial preparation and smoking cessation.
| Study group | Role | What they receive |
|---|---|---|
| routine procedure | No intervention | control |
| prehabilitation | Experimental | In addition to exercise programmes, it includes nutritional optimisation, psychosocial preparation and smoking cessation. Receives: Behavioral: prehabilitation |
What is being measured
The primary outcome is the main question the study is designed to answer.
patients' activities of daily living
Patients' daily living activities will be assessed according to the Katz Daily Living Activities Scale. Those with high scores will be shown to have better daily living activities. scale name: Katz activities of daily living. 6 is the highest score and 0 is the lowest. A score of 6 means completely independent.
Measured: It will be measured one month after the surgery. The date may vary depending on the patient.
functional capacity
Patients' functional capacities will be assessed using the Duke Activity Scale. Those with high scores will be confirmed to have better physical and functional capacities. scale name: Duke Activity Status Index. The lowest score is 0 and the highest score is 58.2. A score of 58.2 indicates the highest functional capacity.
Measured: It will be evaluated one month after surgery. The date may vary depending on the patient.
Nutritional Status
Patients' nutrition will be assessed using a mini nutritional test. Those who score high will be assumed to be in good nutritional condition. scale name: Mini nutritional test. The highest score is 14 and the lowest is 0. The highest score indicates the absence of malnutrition.
Measured: It will be evaluated one month after surgery. The date may vary depending on the patient.
Post-operative recovery status
The patient's physical, psychological, bowel activity and general condition will be assessed using a post-operative recovery index. Those with high scores will be considered to have recovered better. The scale name is the postoperative recovery index. The index consists of 5 sub-dimensions and 25 items. The sub-dimensions are psychological symptoms, physical activities, and general symptoms. The ASII total and sub-dimension scores are bowel symptoms and desire-urge symptoms. When determining the subscale score, the scores of the relevant items are summed and the arithmetic mean is calculated. For the total score, all items are summed and the arithmetic mean is calculated. High scores on the index indicate greater difficulty in post-operative recovery, while low scores indicate that post-operative recovery is easier. The ASII is a reliable and valid tool for assessing
Measured: It will be measured one month after the surgery.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Aug 2025
- Study start1 Sep 2025
- Primary completion30 Dec 2025
- Study completion30 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Coronary Artery Bypass Graft (CABG)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bahçeşehir University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gamze ataman YILDIZ, Bahçeşehir University
- Investigators
- FATMA ETİ ASLAN, Proffesor, Study director, Bahcesehir Universty
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07138534
- Sponsor's protocol ID
- 20250715
- Acronym
- ERAS
- Status last verified
- Sep 2026
- First submitted
- 5 Aug 2025
- Last updated
- 24 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The study has not yet begun, so we do not know at this point whether there will be any objections to sharing the data once it has been collected. Therefore, we can say that it will not be shared at this time.
Publications
Steinmetz C, Bjarnason-Wehrens B, Walther T, Schaffland TF, Walther C. Efficacy of Prehabilitation Before Cardiac Surgery: A Systematic Review and Meta-analysis. Am J Phys Med Rehabil. 2023 Apr 1;102(4):323-330. doi: 10.1097/PHM.0000000000002097. Epub 2022 Sep 23.
PubMed 36149383