Titre du document / Document title

The Women's Recovery from Sternotomy (WREST) Study : Design of a randomized trial of a novel undergarment for early use after sternotomy

Auteur(s) / Author(s)

KING Kathryn M. ^{(1 2)} ; TSUYUKI Ross ⁽³⁾ ; FARIS Peter ⁽⁴⁾ ; CURRIE Gillian ^{(2 5)} ; MAITLAND Andrew ^{(6 7)} ; COLLINS-NAKAI Ruth ⁽⁸⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Faculty of Nursing, University of Calgary, Calgary, Alberta, CANADA
⁽²⁾ Department of Community Health Sciences, University of Calgary, Calgary, Alberta, CANADA
⁽³⁾ EPICORE Centre, Division of Cardiology, University of Alberta, CANADA
⁽⁴⁾ Centre for Advancement of Health, Calgary Health Region, Calgary Alberta, CANADA
⁽⁵⁾ Department of Economics, University of Calgary, Calgary, Alberta, CANADA
⁽⁶⁾ Department of Surgery, University of Calgary, Calgary, Alberta, CANADA
⁽⁷⁾ Department of Cardiothoracic Surgery, Health Region, Calgary, Alberta, CANADA
⁽⁸⁾ University of Alberta Hospital, Capital Health Region, Edmonton, Alberta, CANADA

Résumé / Abstract

Background Clinicians who work with women poststernotomy often suggest that they wear a supportive brassiere to ameliorate pain, discomfort, and potential wound complications. There is no empirical evidence that supports this practice. Methods Despite methodological challenges, a clinical trial is currently underway to investigate the efficacy of early use of a novel undergarment after sternotomy. Women (N = 430) having first time sternotomy in 9 Canadian centers will be randomized to receive either the usual care of the institution or early use of a novel undergarment. Follow-up is planned over 12 postoperative weeks. Coprimary outcomes are pain, discomfort, and return to function. Wound healing is a secondary outcome. An economic evaluation substudy is also underway. Conclusions The WREST Study is a unique ongoing trial examining the efficacy of a novel undergarment in reducing women's pain and enhancing their comfort and return to function. The findings of the trial and its economic substudy will enable health care providers to make rational evidence-based clinical decisions regarding women's early care after sternotomy.

Revue / Journal Title

The American heart journal   ISSN 0002-8703   CODEN AHJOA2 

Source / Source

2005, vol. 149, n^o5, pp. 761-767 [7 page(s) (article)] (42 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1925) (Revue)

Mots-clés anglais / English Keywords

Surgery ; Treatment ; Phlebology ; Cardiology ; Circulatory system ; Use ; Early ; Design ; Randomization ; Clinical trial ; Sternotomy ; Recovery ; Woman ; Human ;

Mots-clés français / French Keywords

Chirurgie ; Traitement ; Phlébologie ; Cardiologie ; Appareil circulatoire ; Utilisation ; Précoce ; Conception ; Randomisation ; Essai clinique ; Sternotomie ; Récupération ; Femme ; Homme ;

Mots-clés espagnols / Spanish Keywords

Cirugía ; Tratamiento ; Flebología ; Cardiología ; Aparato circulatorio ; Uso ; Precoz ; Diseño ; Aleatorización ; Ensayo clínico ; Esternotomía ; Recuperación ; Mujer ; Hombre ;

Localisation / Location

INIST-CNRS, Cote INIST : 2057, 35400012494077.0030