ERAS Compliance and Nutritional Outcomes After Open Heart Surgery

Sponsor
Bursa City Hospital
Study ID
NCT07783204
Status
Recruiting
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Conditions

  • Cardiac Surgery
  • Frailty
  • Nutritional Risk

Eligibility Criteria

Sex
ALL
Age
18 Years - 85 Years
Healthy Volunteers
Not accepted

Interventions

  • ERAS Protocol Compliance Assessment — OTHER
    Compliance with applicable preoperative, intraoperative, and postoperative ERAS components will be recorded without altering routine clinical care. Each implemented component will be scored as 1 and each non-implemented component as 0. Overall compliance will be calculated as the percentage of applicable components implemented. No study-specific therapeutic intervention will be assigned.

Study Details

This prospective observational cohort study will evaluate the association between compliance with an Enhanced Recovery After Surgery (ERAS) protocol and postoperative nutritional and clinical outcomes in adult patients undergoing elective open heart surgery through median sternotomy. No research-specific treatment or intervention will be assigned. Compliance with preoperative, intraoperative, and postoperative ERAS components will be recorded for each participant. An overall ERAS compliance percentage will be calculated, and participants will be classified as having high (≥80%), moderate (60-79%), or low (\<60%) compliance. Nutritional status will be assessed using the Nutritional Risk Screening 2002 (NRS-2002) score and the Prognostic Nutritional Index (PNI) before surgery and 48 hours after surgery. Frailty will be assessed preoperatively using the Clinical Frailty Scale, and surgical risk will be estimated using EuroSCORE II. Postoperative complications, intensive care unit and hospital length of stay, and readmission within 30 days will also be recorded.

Key Dates

First listed
Aug 24, 2026
Start date
Jun 1, 2026
Status verified
Aug 2026
Primary completion
Sep 2, 2026
Completion
Sep 30, 2026

Study Design

Enrollment
120 participants (estimated)

Arms

  • Arm: High ERAS Compliance
    Participants with an overall ERAS protocol compliance rate of 80% or higher. Group classification will be based on the observed proportion of applicable preoperative, intraoperative, and postoperative ERAS components implemented during routine clinical care.
  • Arm: Moderate ERAS Compliance
    Participants with an overall ERAS protocol compliance rate between 60% and 79%. Group classification will be based on the observed proportion of applicable preoperative, intraoperative, and postoperative ERAS components implemented during routine clinical care.
  • Arm: Low ERAS Compliance
    Participants with an overall ERAS protocol compliance rate below 60%. Group classification will be based on the observed proportion of applicable preoperative, intraoperative, and postoperative ERAS components implemented during routine clinical care.

Primary Outcome Measure

Change in Nutritional Risk Screening 2002 Score [ Time Frame: From the preoperative assessment to 48 hours after surgery ]

Central Contacts

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