- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07690046
Cardiovascular Rehabilitation After Infrarenal Aortic Aneurysm Repair (REHAB-AAA)
Cardiovascular Rehabilitation After Infrarenal Aortic Aneurysm Repair-REHAB-AAA, a Randomised Controlled Pilot Study
Evidence about the benefit of cardiovascular rehabilitation (CR) after open or endovascular repair of an infrarenal aortic aneurysm is lacking. The positive effect of CR on the cardiovascular fitness, quality of life and mortality is well established in other cardiovascular fields like cardiac surgery.
The aim of this study is to determine whether participation in a structured CR, compared with standard postoperative care (SC), results in greater improvements in cardiorespiratory fitness in patients following abdominal aortic aneurysm repair.
The study will also evaluate whether CR, compared with SC, improves health-related quality of life, reduces cardiovascular risk-factors and adverse cardiovascular events and preserves of cognitive function over the follow-up period. Furthermore, the number of complications and reoperations will be evaluated.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Michaela Enzmann, MD
- Telefonnummer: +43 50504 22587
- E-mail: michaela.enzmann@i-med.ac.at
Undersøgelse Kontakt Backup
- Navn: Angelika Gratl
- Telefonnummer: +43 50504 22587
- E-mail: angelika.gratl@i-med.ac.at
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Patients with an abdominal aortic aneurysm (AAA) and an indication for repair, ability to understand and willingness to sign a written informed consent document.
Exclusion Criteria:
- Acute AAA repair
- AAA size ≥7cm
- Para/suprarenal AAA
- AAA due to a connective tissue disorder
- Impaired mobility
- Life expectancy <12 months
- Severe co-morbidities influencing or preventing CR (e.g. ≥COPD II, PAD ≥ Rutherford 3, dialysis)
- Participation in another interventional study that may confound the study endpoints
- Patients <18 years old
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Cardiovascular rehabilitation
This group receives a three-week inpatient cardiovascular rehabilitation program three months after the procedure.
|
Participants after open or endovascular abdominal aortic aneurysm repair will receive a three-week inpatient structured cardiovascular rehabilitation program three months after the procedure.
Andre navne:
|
|
Ingen indgriben: Standard care
Participants assigned to standard care will be advised to optimize their cardiovascular risk factors and to engage in regular moderate-intensity cardiovascular exercise; however, no supervised cardiovascular rehabilitation or structured exercise program will be prescribed.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change of VO2max
Tidsramme: Before the procedure and 1 year after aortic repair
|
Maximal oxygen uptake
|
Before the procedure and 1 year after aortic repair
|
|
6-minute walking distance (6MWD)
Tidsramme: Before the procedure and 1 year after aortic repair
|
Walking distance after 6 minutes
|
Before the procedure and 1 year after aortic repair
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change of the results of the The Short Form (36) Health Survey (SF-36) questionnaire
Tidsramme: Before surgery and 1 year after aortic repair
|
Quality of life questionnaire evaluating 36 items on a scale of 0-100.
A score of 0 is equivalent to maximum disability and a score of 100 is equivalent to no disability
|
Before surgery and 1 year after aortic repair
|
|
Surgery related complications and reoperations
Tidsramme: After 30 days and after 1 year after aortic repair.
|
Number of surgically related complications and reoperations
|
After 30 days and after 1 year after aortic repair.
|
|
Change of blood pressure
Tidsramme: Blood pressure and serum lipid profile preoperative and 1 year after aortic repair.
|
Blood pressure and serum lipid profile preoperative and 1 year after aortic repair.
|
|
|
Mini-mental state examination
Tidsramme: Preoperative and 1 year after aortic repair.
|
Change of the mini-mental-score (0-30 points).
Any score of 24 or more indicates a normal cognition.
Below this, scores can indicate severe (≤9 points), moderate (10-18 points) or mild (19-23 points) cognitive impairment.
|
Preoperative and 1 year after aortic repair.
|
|
Major adverse cardiovascular events (MACE)
Tidsramme: 30 days and 1 year after aortic repair.
|
Number of composite adverse cardiovascular events: non-fatal myocardial infarction, stroke, coronary and peripheral arterial disease revascularization, non-traumatic amputation
|
30 days and 1 year after aortic repair.
|
|
Serum lipid profile
Tidsramme: Blood pressure and serum lipid profile preoperative and 1 year after aortic repair.
|
Blood pressure and serum lipid profile preoperative and 1 year after aortic repair.
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Michaela Enzmann, MD, Department of Vascular Surgery, Medical University of Innsbruck, Austria
Publikationer og nyttige links
Generelle publikationer
- Barakat HM, Shahin Y, Khan JA, McCollum PT, Chetter IC. Preoperative Supervised Exercise Improves Outcomes After Elective Abdominal Aortic Aneurysm Repair: A Randomized Controlled Trial. Ann Surg. 2016 Jul;264(1):47-53. doi: 10.1097/SLA.0000000000001609.
- Wee IJY, Choong AMTL. A systematic review of the impact of preoperative exercise for patients with abdominal aortic aneurysm. J Vasc Surg. 2020 Jun;71(6):2123-2131.e1. doi: 10.1016/j.jvs.2018.09.039. Epub 2019 Jan 1.
- Aronov D, Bubnova M, Iosseliani D, Orekhov A. Clinical Efficacy of small a, Cyrillic Medical Centre- and Home-based Cardiac Rehabilitation Program for Patients with Coronary Heart Disease After Coronary Bypass Graft Surgery. Arch Med Res. 2019 Apr;50(3):122-132. doi: 10.1016/j.arcmed.2019.07.007. Epub 2019 Aug 7.
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- EK Nr: 1128/2026
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Abdominal aortaaneurisme
-
Jeil Pharmaceutical Co., Ltd.Afsluttet
-
Karolinska University HospitalKarolinska Institutet; Swedish Heart Lung FoundationAktiv, ikke rekrutterendeAortaaneurisme | Aortaaneurisme Abdominal | Abdominal aneurismeSverige
-
Assistance Publique - Hôpitaux de ParisUkendtLille abdominal aortaaneurisme | Abdominal aortaaneurisme,Frankrig
-
University of SaskatchewanRekrutteringVoksen abdominal billeddannelse | Pædiatrisk abdominal billeddannelse | Obstetrisk billeddannelseCanada
-
EndologixAktiv, ikke rekrutterende1 Paravisceral abdominal aortaaneurisme | 2 Juxtarenal abdominal aortaaneurisme | 3 Pararenal abdominal aortaaneurisme | 4 komplekse abdominale aortaaneurismerForenede Stater
-
Washington University School of MedicineAfsluttetAbdominal aortaaneurisme (AAA) | Ingen abdominal aortaaneurisme (ikke-AAA)Forenede Stater
-
Joanne TurnerTrukket tilbageAbdominal kirurgi | Abdominal brok
-
Karolinska University HospitalTilmelding efter invitationAneurisme | Aortaaneurisme | Abdominal aortaaneurisme, bristet | Aneurisme Abdominal | Abdominal aortaaneurisme uden brudSverige
-
Meccellis BiotechAktiv, ikke rekrutterendeAbdominal brok | Abdominal vægdefekt | MavevægsskadeFrankrig
-
Datascope Corp.UkendtAneurysmal sygdom i abdominal aorta | Okklusiv sygdom i abdominal aortaFrankrig
Kliniske forsøg med Structured cardiovascular rehabilitation
-
Chulalongkorn UniversityQueen Sirikit National Institute of Child Health (QSNICH), ThailandAfsluttetSund og rask | Præterm nyfødt | Neonatal intensiv afdelingThailand
-
AUM Cardiovascular, Inc.Trukket tilbageKoronararteriesygdomForenede Stater
-
Memorial University of NewfoundlandAfsluttetRygning | Forhøjet blodtryk | Diabetes mellitus | Fysisk aktivitet | Stress, psykologisk | Dyslipidæmi | Kardiovaskulær risikofaktorCanada
-
University Hospitals of North Midlands NHS TrustPneumacare LtdAfsluttetBronchiolitisDet Forenede Kongerige
-
Dartmouth-Hitchcock Medical CenterTrustees of Dartmouth CollegeAfsluttetBrystkræft kvindeForenede Stater
-
Katherine VickeryNational Institute on Minority Health and Health Disparities (NIMHD); National... og andre samarbejdspartnereAfsluttetHjertesygdomme | Forhøjet blodtryk | Diabetes mellitus, type 2 | Hyperlipidæmi | Præ-diabetesForenede Stater
-
Dana-Farber Cancer InstituteRekrutteringBarnekræft | Overlevende af børnekræftForenede Stater
-
University of California, San FranciscoNational Institute of Mental Health (NIMH)AfsluttetHIV-infektioner | Erhvervet immundefektsyndromForenede Stater
-
University of MalayaAfsluttetTrykskade | Begrænsning, MobilitetMalaysia
-
University of HawaiiNational Institute on Minority Health and Health Disparities (NIMHD)Afsluttet