CARE Qualitative Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Cardiac Surgery. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United Kingdom
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Cardiac Surgery Aftercare and Recovery Evaluation (CARE) - Understanding Patients' and Carers' Views About the Care Received After Leaving Hospital Following Cardiac Surgery: a Qualitative Study
Overview
Over 30,000 people have heart surgery in the UK every year. Heart surgery is safe, but around 1 in 5 people having heart surgery will be readmitted to hospital in the year after their operation. There is no research that explains why they come back into hospital. It may be because they have a complication from the heart surgery, such as an irregular heart rhythm. Or it may be because they have other health problems which the heart surgery has made worse. Researchers want to find out what care is provided to people after heart surgery and what participants and healthcare staff think should be offered to prevent people coming back to hospital. The overall aim of this Programme Development Grant is to undertake preparatory work that will allow researchers to identify the best approach to improve care after hospital discharge for people having heart surgery.
Primary outcome measures
- What aftercare do patients undergoing cardiac surgery currently receive after discharge from hospital and what kind of aftercare do they want? [Time frame: Through study completion, an average on 1 month]
Eligibility criteria
Inclusion criteria
- Patients who have had elective or urgent cardiac surgery such as coronary artery bypass graft (CABG) surgery, heart valve surgery, aortic surgery (thoracic aorta) within the last 12 months
- Family members/carers of patients who have had cardiac surgery in the last 12 months.
- Patients who are no longer undergoing inpatient or outpatient follow-up by their cardiac surgeon
Exclusion criteria
- Patients who have had cardiac transplantation
- Patients who are still undergoing follow-up by their cardiac surgery team
- People who are unable to provide informed consent
- Prisoners
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Other
Study locations
United Kingdom · 1 center
- University Hospitals Bristol and Weston NHS Foundation Trust — Bristol
Publications
- Royal College of Surgeons: EDI Toolkit for Cardiovascular Research: https://leicesterbrc.nihr.ac.uk/cadio-ppi-event/
- Sahota O, Pulikottil-Jacob R, Marshall F, Montgomery A, Tan W, Sach T, Logan P, Kendrick D, Watson A, Walker M, Waring J. Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic randomised controlled tria PMID 26937535
- Mottram A. 'They are marvellous with you whilst you are in but the aftercare is rubbish': a grounded theory study of patients' and their carers' experiences after discharge following day surgery. J Clin Nurs. 2011 Nov;20(21-22):3143-51. doi: 10.1111/j.1365-2702.2011.03763.x. Epub 2011 Jul 18. PMID 21762418
- Ritchie J, Spencer L: Qualitative data analysis for applied policy research., Analysing qualitative data, Routledge, 1994 - 2004
- Ogawa M, Satomi-Kobayashi S, Yoshida N, Tsuboi Y, Komaki K, Wakida K, Gotake Y, Izawa KP, Sakai Y, Okada K. Effects of acute-phase multidisciplinary rehabilitation on unplanned readmissions after cardiac surgery. J Thorac Cardiovasc Surg. 2021 May;161(5):1853-1860.e2. doi: 10.1016/j.jtcvs.2019.11.069. Epub 2019 Dec 9. PMID 31955934
- Sanders J, Wynne R, Martorella G, Fredericks S: An International Focus on Cardiac Surgery Nursing: Patient Experience. British Journal of Cardiac Nursing 2020; 15: 1-4
- Helder MRK, Schaff HV, Hanson KT, Thiels CA, Dearani JA, Daly RC, Maltais S, Habermann EB. Patient Experience After Cardiac Surgery: Identifying Areas for Improvement. Ann Thorac Surg. 2019 Mar;107(3):780-786. doi: 10.1016/j.athoracsur.2018.09.049. Epub 2018 Nov 8. PMID 30414830
- Sampson F, O'Cathain A, Goodacre S. Feeling fixed and its contribution to patient satisfaction with primary angioplasty: a qualitative study. Eur J Cardiovasc Nurs. 2009 Jun;8(2):85-90. doi: 10.1016/j.ejcnurse.2008.07.003. Epub 2008 Aug 9. PMID 18694657
Identifiers
NCT: NCT07611045 · CS/2025/7856 · NIHR209618