- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07611045
CARE Qualitative Study (CARE)
June 3, 2026 updated by: University Hospitals Bristol and Weston NHS Foundation Trust
Cardiac Surgery Aftercare and Recovery Evaluation (CARE) - Understanding Patients' and Carers' Views About the Care Received After Leaving Hospital Following Cardiac Surgery: a Qualitative Study
Over 30,000 people have heart surgery in the UK every year.
Heart surgery is safe, but around 1 in 5 people having heart surgery will be readmitted to hospital in the year after their operation.
There is no research that explains why they come back into hospital.
It may be because they have a complication from the heart surgery, such as an irregular heart rhythm.
Or it may be because they have other health problems which the heart surgery has made worse.
Researchers want to find out what care is provided to people after heart surgery and what participants and healthcare staff think should be offered to prevent people coming back to hospital.
The overall aim of this Programme Development Grant is to undertake preparatory work that will allow researchers to identify the best approach to improve care after hospital discharge for people having heart surgery.
Study Overview
Status
Recruiting
Conditions
Study Type
Observational
Enrollment (Estimated)
24
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Elizabeth Lumley
- Phone Number: 07955404384
- Email: e.lumley@sheffield.ac.uk
Study Contact Backup
- Name: Georgia Parker
- Phone Number: 01173425097
- Email: georgia.parker@uhbw.nhs.uk
Study Locations
-
-
Bristol
-
Bristol, Bristol, United Kingdom, BS13NU
- Recruiting
- University Hospitals Bristol and Weston NHS Foundation Trust
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Any eligible participant/family/carer being seen as an outpatient at the study sites
Description
Inclusion Criteria:
- Patients who have had elective or urgent cardiac surgery such as coronary artery bypass graft (CABG) surgery, heart valve surgery, aortic surgery (thoracic aorta) within the last 12 months
- Family members/carers of patients who have had cardiac surgery in the last 12 months.
- Patients who are no longer undergoing inpatient or outpatient follow-up by their cardiac surgeon
Exclusion Criteria:
- Patients who have had cardiac transplantation
- Patients who are still undergoing follow-up by their cardiac surgery team
- People who are unable to provide informed consent
- Prisoners
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
What aftercare do patients undergoing cardiac surgery currently receive after discharge from hospital and what kind of aftercare do they want?
Time Frame: Through study completion, an average on 1 month
|
The aim of this study is to identify via questionnaire what aftercare patients, families/carers, want after cardiac surgery and what the barriers are to accessing it.
|
Through study completion, an average on 1 month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Iribarne A, Chang H, Alexander JH, Gillinov AM, Moquete E, Puskas JD, Bagiella E, Acker MA, Mayer ML, Ferguson TB, Burks S, Perrault LP, Welsh S, Johnston KC, Murphy M, DeRose JJ, Neill A, Dobrev E, Baio KT, Taddei-Peters W, Moskowitz AJ, O'Gara PT. Readmissions after cardiac surgery: experience of the National Institutes of Health/Canadian Institutes of Health research cardiothoracic surgical trials network. Ann Thorac Surg. 2014 Oct;98(4):1274-80. doi: 10.1016/j.athoracsur.2014.06.059. Epub 2014 Aug 28.
- Shawon MSR, Odutola M, Falster MO, Jorm LR. Patient and hospital factors associated with 30-day readmissions after coronary artery bypass graft (CABG) surgery: a systematic review and meta-analysis. J Cardiothorac Surg. 2021 Jun 10;16(1):172. doi: 10.1186/s13019-021-01556-1.
- Royal College of Surgeons: EDI Toolkit for Cardiovascular Research: https://leicesterbrc.nihr.ac.uk/cadio-ppi-event/
- Sahota O, Pulikottil-Jacob R, Marshall F, Montgomery A, Tan W, Sach T, Logan P, Kendrick D, Watson A, Walker M, Waring J. Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled trial with microcost and qualitative analysis - the Community In-reach Rehabilitation And Care Transition (CIRACT) study. Southampton (UK): NIHR Journals Library; 2016 Feb. Available from http://www.ncbi.nlm.nih.gov/books/NBK344359/
- Mottram A. 'They are marvellous with you whilst you are in but the aftercare is rubbish': a grounded theory study of patients' and their carers' experiences after discharge following day surgery. J Clin Nurs. 2011 Nov;20(21-22):3143-51. doi: 10.1111/j.1365-2702.2011.03763.x. Epub 2011 Jul 18.
- Ritchie J, Spencer L: Qualitative data analysis for applied policy research., Analysing qualitative data, Routledge, 1994 - 2004
- Ogawa M, Satomi-Kobayashi S, Yoshida N, Tsuboi Y, Komaki K, Wakida K, Gotake Y, Izawa KP, Sakai Y, Okada K. Effects of acute-phase multidisciplinary rehabilitation on unplanned readmissions after cardiac surgery. J Thorac Cardiovasc Surg. 2021 May;161(5):1853-1860.e2. doi: 10.1016/j.jtcvs.2019.11.069. Epub 2019 Dec 9.
- Sanders J, Wynne R, Martorella G, Fredericks S: An International Focus on Cardiac Surgery Nursing: Patient Experience. British Journal of Cardiac Nursing 2020; 15: 1-4
- Helder MRK, Schaff HV, Hanson KT, Thiels CA, Dearani JA, Daly RC, Maltais S, Habermann EB. Patient Experience After Cardiac Surgery: Identifying Areas for Improvement. Ann Thorac Surg. 2019 Mar;107(3):780-786. doi: 10.1016/j.athoracsur.2018.09.049. Epub 2018 Nov 8.
- Sampson F, O'Cathain A, Goodacre S. Feeling fixed and its contribution to patient satisfaction with primary angioplasty: a qualitative study. Eur J Cardiovasc Nurs. 2009 Jun;8(2):85-90. doi: 10.1016/j.ejcnurse.2008.07.003. Epub 2008 Aug 9.
- Makino A, Nakata S, Yoshida T. Experiences and care needs of post-discharge patients who underwent cardiac surgery: A qualitative study. Jpn J Nurs Sci. 2024 Jan;21(1):e12561. doi: 10.1111/jjns.12561. Epub 2023 Sep 19.
- National Audit of Cardiac Rehabilitation 2022. NHS Digital. Available from: http://www.cardiacrehabilitation.org.uk/docs/2022%20Quality%20and%20Outcomes%20Report% 202022%20Final.pdf.
- Chan J, Narayan P, Dong T, Fudulu DP, Angelini GD; CVD-COVID-UK/COVID-IMPACT Consortium. Hospital readmission after heart valve surgery in the United Kingdom. JTCVS Open. 2025 Feb 10;24:239-255. doi: 10.1016/j.xjon.2025.02.001. eCollection 2025 Apr.
- O'Brien B, Campbell NG, Allen E, Jamal Z, Sturgess J, Sanders J, Opondo C, Roberts N, Aron J, Maccaroni MR, Gould R, Kirmani BH, Gibbison B, Kunst G, Zarbock A, Kleine-Bruggeney M, Stoppe C, Pearce K, Hughes M, Van Dyck L, Evans R, Montgomery HE, Elbourne D; TIGHT K investigators. Potassium Supplementation and Prevention of Atrial Fibrillation After Cardiac Surgery: The TIGHT K Randomized Clinical Trial. JAMA. 2024 Sep 24;332(12):979-988. doi: 10.1001/jama.2024.17888.
- Khoury H, Sanaiha Y, Rudasill SE, Mardock AL, Sareh S, Benharash P. Readmissions Following Isolated Coronary Artery Bypass Graft Surgery in the United States (from the Nationwide Readmissions Database 2010 to 2014). Am J Cardiol. 2019 Jul 15;124(2):205-210. doi: 10.1016/j.amjcard.2019.04.018. Epub 2019 Apr 23.
- Hirji SA, Percy ED, Zogg CK, Vaduganathan M, Kiehm S, Pelletier M, Kaneko T. Thirty-Day Nonindex Readmissions and Clinical Outcomes After Cardiac Surgery. Ann Thorac Surg. 2020 Aug;110(2):484-491. doi: 10.1016/j.athoracsur.2019.11.042. Epub 2020 Jan 21.
- Shawon MSR, Lujic S, Joshi Y, Jorm L. Readmission destination following cardiac surgery and its association with mortality outcomes: a population-based retrospective study. Lancet Reg Health West Pac. 2024 Sep 4;51:101189. doi: 10.1016/j.lanwpc.2024.101189. eCollection 2024 Oct.
- Lai FY, Gibbison B, O'Cathain A, Akowuah E, Cleland JG, Angelini GD, King C, Murphy GJ, Pufulete M. Inequalities in access to and outcomes of cardiac surgery in England: retrospective analysis of Hospital Episode Statistics (2010-2019). Heart. 2024 Oct 10;110(21):1262-1269. doi: 10.1136/heartjnl-2024-324292.
- Lai FY, Abbasciano RG, Tabberer B, Kumar T, Murphy GJ; Steering Group of the James Lind Alliance Heart Surgery Priority Setting Partnership. Identifying research priorities in cardiac surgery: a report from the James Lind Alliance Priority Setting Partnership in adult heart surgery. BMJ Open. 2020 Sep 3;10(9):e038001. doi: 10.1136/bmjopen-2020-038001.
- NHS England: National Adult Cardiac Surgery Audit, 2024 https://www.nicor.org.uk/interactive-reports/national-adult-cardiac-surgery-audit-nacsa
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 27, 2026
Primary Completion (Estimated)
March 31, 2027
Study Completion (Estimated)
March 31, 2027
Study Registration Dates
First Submitted
April 22, 2026
First Submitted That Met QC Criteria
May 20, 2026
First Posted (Actual)
May 28, 2026
Study Record Updates
Last Update Posted (Actual)
June 5, 2026
Last Update Submitted That Met QC Criteria
June 3, 2026
Last Verified
May 1, 2026
More Information
Terms related to this study
Other Study ID Numbers
- CS/2025/7856
- NIHR209618 (Other Grant/Funding Number: NIHR)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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