Pre-surgery Optimization of Patients’ Expectations to Improve Outcome in Heart Surgery: Study Protocol of the Randomized Controlled Multicenter PSY-HEART-II Trial

S. Salzmann,J. Laferton,M. Shedden-Mora, N. Horn, L. Gärtner, L. Schröder, J. Rau,C. Schade-Brittinger, K. Murmann, A. Rastan,T. Andrási,A. Böning, M. Salzmann-Djufri, B. Löwe, J. Brickwedel, C. Albus, T. Wahlers, A. Hamm, L. Hilker, W. Albert, T. Zimmermann, I. Ismail, B. Strauß,T. Doenst, M. Schedlowski, R. Moosdorf, W. Rief

The Thoracic and Cardiovascular Surgeon52nd Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery (DGTHG)（2023）

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Abstract

Background: Preoperative psychological preparation is gaining importance for cardiac surgery. The PSY-HEART-I trial indicated that a brief psychological intervention optimizing patients' expectations before heart surgery improves disability and quality of life 6 months after coronary artery bypass graft surgery (CABG). However, to investigate the clinical utility of such an intervention, a large multi-center trial is needed to generalize the results and their implications for the health care system. The PSY-HEART-II study aims to examine whether a preoperative psychological intervention targeting patients' expectations (EXPECT) can improve outcomes 6 months after CABG (with or without heart valve replacement).

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