ArticleTrials2022
Interdisciplinary and cross-sectoral perioperative care model in cardiac surgery: implementation in the setting of minimally invasive heart valve surgery (INCREASE)-study protocol for a randomized controlled trial.
Article in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04977362 (Interdisciplinary and Cross-sectoral Perioperative Care Model in the Cardiac Surgery), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Interdisciplinary and Cross-sectoral Perioperative Care Model in the Cardiac Surgery: Implementation in the Setting of Minimally-invasive Heart Valve Surgery (INCREASE)
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Enhanced Recovery After Cardiac Surgery for Minimally Invasive Valve Surgery: A Systematic Review of Key Elements and Advancements.Medicina (Kaunas, Lithuania) · 2025Pooled it
- Fast track hip and knee arthroplasty: impact of different hospital care levels.Open medicine (Warsaw, Poland) · 2026Article
- Development of a core outcome set of quality indicators for enhanced recovery after surgery in minimally invasive cardiac heart valve surgery by interprofessional Delphi consensus.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Patient perspectives on health care models in cardiac surgery: a qualitative evaluation.BMC health services research · 2024Article
- An implementation manual for an interprofessional enhanced recovery after surgery protocol in cardiac surgery following international established frameworks.Frontiers in cardiovascular medicine · 2024Article
- Different approach, similar outcomes: the impact of surgical access routes in minimally invasive cardiac surgery on enhanced recovery after surgery.Frontiers in cardiovascular medicine · 2024Article
- Patient-centered evaluation of an expectation-focused intervention for patients undergoing heart valve surgery: a qualitative study.Frontiers in cardiovascular medicine · 2024Article
- Implementation of an innovative ERAS protocol in cardiac surgery: A qualitative evaluation from patients' perspective.PloS one · 2024Article
- Early outcome of endoscopic mitral valve surgery in elderly patients: a high-volume single center experience.Frontiers in cardiovascular medicine · 2023Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
14 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundValvular heart diseases are frequent and increasing in prevalence. Minimally invasive heart valve surgery embedded in an interdisciplinary enhanced recovery after surgery (ERAS) program may have potential benefits with regard to reduced length of stay and improved patient reported outcomes. However, no prospective randomized data exist regarding the superiority of ERAS program for the patients' outcome.
methodsWe aim to randomize (1:1) a total of 186 eligible patients with minimally invasive heart valve surgery to an ERAS program vs. standard treatment at two centers including the University Medical Center Hamburg-Eppendorf, Germany, and the University Hospital Augsburg, Germany. The intervention is composed out of pre-, peri-, and postoperative components. The preoperative protocol aims at better preparation for the operation with regard to physical activity, nutrition, and psychological preparedness. Intraoperative anesthesiologic and surgical management are trimmed to enable an early extubation. Patients will be transferred to a specialized postoperative anesthesia care unit, where first mobilization occurs 3 h after surgery. Transfer to low care ward will be at the next day and discharge at the fifth day. Participants in the control group will receive treatment as usual. Primary endpoints include functional discharge at discharge and duration of in-hospital care during the first 12 months after index surgery. Secondary outcomes include health-related quality of life, health literacy, and level of physical activity. DISCUSSION: This is the first randomized controlled trial evaluating the effectiveness of an ERAS process after minimally invasive heart valve surgery. Interprofessional approach is the key factor of the ERAS process and includes in particular surgical, anesthesiological, physiotherapeutic, advanced nursing, and psychosocial components. A clinical implication guideline will be developed facilitating the adoption of ERAS model in other heart teams.
trial registrationThe study has been registered in ClinicalTrials.gov ( NCT04977362 assigned July 27, 2021).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.