Impact of Hand Grip Strength on Length of Hospital Stay After Cardiac Surgery Among Elderly Patients

Kartal Kosuyolu High Speciality Training and Research Hospital240 enrolled

Overview

Hand grip strength has been shown to be a predictor of adverse cardiovascular outcomes in the elderly population. This study aims to investigate whether measurement of hand grip strength could be used as a predictor of prolonged hospital stay after cardiac surgery in elderly patients.

Study Type

OBSERVATIONAL

Enrollment

240

Conditions

Sarcopenia Frailty

Interventions

Hand grip strength measurementDIAGNOSTIC_TEST

Preoperative hand grip strength will be measured in kilograms using a digital hand dynamometer (Baseline Smedley Digital Hand Dynamometer, Model 12-0286, Baseline Evaluation Instruments, China). Participants will be instructed to grip the hand dynamometer for 5 seconds with their dominant hand 3 times. They will be allowed to rest for 20 second between each grip. The highest measurement of 3 attempts will be recorded. Participants will be categorized as "strong grippers" or "weak grippers" according to Fried criteria as previously defined by Linda P. Fried and colleagues. A weak grip will be defined as follows: For men: BMI ≤24: hand grip strength ≤29 kg; BMI =24.1 to 28: hand grip strength ≤30 kg; BMI \>28: hand grip strength ≤32 kg For women: BMI ≤23: hand grip strength ≤17 kg; BMI =23.1 to 26: hand grip strength ≤17.3 kg; BMI =26.1 to 29: hand grip strength ≤18 kg; BMI \>29: hand grip strength ≤21 kg

Eligibility

Sex: ALLMin age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥70 years * Undergoing isolated coronary artery bypass grafting or isolated valve surgery or combined coronary and valve procedures * Being oriented and cooperative enough to understand and comply with the instruction of gripping the hand dynamometer Exclusion Criteria: * Age \<70 years * Emergent status * Hemodynamic instability * Inability to cooperate due to neurocognitive disorder * Loss of upper extremity motor function of any degree (such as due to previous stroke) * History of upper extremity amputation of any level

Locations (1)

Kosuyolu High Specialization Education and Research Hospital

Istanbul, Turkey (Türkiye)

RECRUITING

Outcomes

Primary Outcomes

Prolonged hospital stay

Prolonged hospital stay is defined as postoperative hospital stay for ≥14 days.

Time frame: 14 days

Secondary Outcomes

Prolonged intensive care unit stay

Prolonged intensive care unit stay is defined as postoperative intensive care unit stay for \>48 hours. This includes sum of all time spent in intensive care unit including unplanned returns.

Time frame: 48 hours

Prolonged mechanical ventilation

Prolonged mechanical ventilation is defined as mechanical ventilation of \>12 hours. This includes re-intubations and non-invasive mechanical ventilation.

Time frame: 12 hours

Central Contacts

Ahmet Can Topcu, MD

CONTACT

902165001500 ahmet.topcu@icloud.com

Murat Bulent Rabus, Prof

CONTACT

902165001500 muratbulent.rabus@sbu.edu.tr

Data from ClinicalTrials.gov

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