Estudo Randomizado de Cluster Escalonado Para Avaliar o Impacto de Uma Plataforma tecnológica Baseada no ERAS (Enhanced Recovery After Surgery) no Tempo de permanência após Cirurgia de revascularização miocárdica: Projeto Tempos Certos - REPLICCAR III

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Cardiovascular diseases continue to be the leading cause of death worldwide. Among them, coronary artery disease has the greatest impact, being characterized as one of the main causes of death in Brazil over the last decade. One of the well-established treatments is coronary artery bypass grafting, which is the most performed among cardiac surgeries and, in our scenario, is primarily funded by the Unified Health System (SUS). The information obtained from the Paulista Registry of Cardiovascular Surgeries (REPLICCAR), in partnership with FAPESP, has been important for implementing improvements in the landscape of cardiac surgeries in the state of São Paulo. Although outcomes in cardiac surgery have improved due to the structuring and organization of quality programs, this is still not a reality at the national level. In a situation where data collection and quality initiatives play a central role in continuous improvement, generating value becomes essential for the sustainability of cardiac surgery programs. In this sense, the concept of Enhanced Recovery After Surgery (ERAS) has gained increasing traction. This concept is based on multidisciplinary protocols and scientific evidence, which help prepare patients for rapid recovery, resulting in reduced complications, shorter hospital stays, and, primarily, lower hospital costs. On the other hand, the increase in surgical waiting lists has also led to a rise in home mortality due to cardiac causes. Thus, among the various challenges imposed by the current scenario, the investigators believe that preparing patients for rapid recovery after coronary artery bypass grafting presents an opportunity for the sustainability of the healthcare system. Therefore, the aim of this project is to evaluate the impact of a technology platform based on ERAS on the postoperative recovery time of patients undergoing coronary artery bypass grafting in reference centers in the state of São Paulo, Timely Project - REPLICCAR III.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Adults over 18 years old

• Indication for primary isolated CABG (elective or urgent status)

• Own a personal cell phone

• Have internet access

• Knowledgeable in using the device

• Full understanding and agreement regarding the informed consent form (ICF)

Locations
Other Locations
Brazil
InCor - Instituto do Coração do Hospital das Clínicas da FMUSP
RECRUITING
São Paulo
InCor - Instituto do Coração do Hospital das Clínicas da FMUSP
NOT_YET_RECRUITING
São Paulo
Contact Information
Primary
Omar A V Mejia, MD, PhD
omarvmejia@incor.usp.br
+551126615014
Backup
Pedro H Reis, MD
pedro.reis@fm.usp.br
+551126615014
Time Frame
Start Date: 2025-03-10
Estimated Completion Date: 2026-09-01
Participants
Target number of participants: 480
Treatments
No_intervention: Standard care for CABG
Patients will be treated with CABG following the standard of care for each participant institution.
Experimental: ERACS with Digital Platform
Patient will be treated by the participant institution following a modified protocol based in the ERACS with the aid of a digital platform.
Sponsors
Leads: University of Sao Paulo General Hospital
Collaborators: Hospital Beneficence Portuguese of São Paulo, Instituto Dante Pazzanese de Cardiologia, Irmandade da Santa Casa de Misericordia de Sao Paulo, Instituto do Coração da Universidade de São Paulo, Brazil, Faculdade de Medicina do ABC, Irmandade Santa Casa Misericórdia Marília

This content was sourced from clinicaltrials.gov