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RecruitingNCT05546671Updated Mar 15, 2024

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

An observational study in Sarcopenia and Frailty, sponsored by Kartal Kosuyolu High Speciality Training and Research Hospital. Recruiting at 1 site in Turkey. Open to participants aged 70 Years and older. Per ClinicalTrials.gov, last updated 2024-03-15.

Sponsored by Kartal Kosuyolu High Speciality Training and Research Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Oct 2024, 1 year 11 months ago, but the record still lists the study as recruiting.
  • Started Nov 2022; still recruiting 3 years 11 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
240
Ages
70 Years and older
Sex
All
01

Study summary

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.

02

Conditions studied

  • Sarcopenia
  • Frailty
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In context

Sarcopenia

1,208 studies on the registry are indexed under Sarcopenia; 402 are open to participants now.

This study's planned enrollment of 240 is above the median of 120 across 419 observational studies indexed under Sarcopenia.

Browse Sarcopenia studies →

Lead sponsor

Kartal Kosuyolu High Speciality Training and Research Hospital is the lead sponsor of 4 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
70 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Study population will be comprised of all consecutive patients ≥70 years of age undergoing elective coronary artery bypass and/or valve surgery at the Department of Cardiovascular Surgery at Kosuyolu Training and Research Hospital.

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

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
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
240 participants (estimated)
Patient registry
No

Groups and cohorts

  • Strong grippers

    Diagnostic Test: Hand grip strength measurement

  • Weak grippers

    Diagnostic Test: Hand grip strength measurement

Interventions

  • Diagnostic testHand grip strength measurement

    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

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What researchers measure

Primary outcomes

  1. Prolonged hospital stay

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

    Time frame: 14 days

Secondary outcomes

  1. 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

  2. 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

07

Study locations

1 of 1 sites recruiting
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References and documents

Publications

  • Perry IS, Pinto LC, da Silva TK, Vieira SRR, Souza GC. Handgrip Strength in Preoperative Elective Cardiac Surgery Patients and Association With Body Composition and Surgical Risk. Nutr Clin Pract. 2019 Oct;34(5):760-766. doi: 10.1002/ncp.10267. Epub 2019 Mar 13. PubMed 30864228 ↗
  • Fu L, Zhang Y, Shao B, Liu X, Yuan B, Wang Z, Chen T, Liu Z, Liu X, Guo Q. Perioperative poor grip strength recovery is associated with 30-day complication rate after cardiac surgery discharge in middle-aged and older adults - a prospective observational study. BMC Cardiovasc Disord. 2019 Nov 27;19(1):266. doi: 10.1186/s12872-019-1241-x. PubMed 31775633 ↗
  • Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. doi: 10.1093/gerona/56.3.m146. PubMed 11253156 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05546671
Lead sponsor
Kartal Kosuyolu High Speciality Training and Research Hospital
Responsible party
Ahmet Can Topcu (Cardiovascular Surgery Specialist, Kartal Kosuyolu High Speciality Training and Research Hospital) — Principal investigator
First posted
Sep 21, 2022
Start date
Nov 1, 2022
Primary completion
Oct 31, 2024 (estimated)
Completion
Nov 30, 2024 (estimated)
Last update
Mar 15, 2024

Study contacts

Ahmet Can Topcu, MD
Contact
ahmet.topcu@icloud.com
902165001500
Murat Bulent Rabus, Prof
Contact
muratbulent.rabus@sbu.edu.tr
902165001500

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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