{"id":2879,"date":"2018-04-10T12:08:01","date_gmt":"2018-04-10T18:08:01","guid":{"rendered":"https:\/\/www.epicore.ualberta.ca\/home\/\/?p=2879"},"modified":"2020-05-27T11:13:38","modified_gmt":"2020-05-27T17:13:38","slug":"wrest","status":"publish","type":"post","link":"https:\/\/www.epicore.ualberta.ca\/home\/wrest\/","title":{"rendered":"The Women\u2019s Recovery from Sternotomy (WREST) Study"},"content":{"rendered":"<p>A randomized trial of a novel undergarment for women\u2019s use following sternotomy<\/p>\n<p><strong>Background<\/strong><\/p>\n<ul>\n<li>splinting is a common strategy used to assist post-op patients move<\/li>\n<li>clinicians often suggest that women use a supportive and comfortable brassiere post-operatively to reduce tension on incision\u2014thereby reducing pain and discomfort a foundation for this practice<\/li>\n<li> recommendation is based largely on clinical experience<\/li>\n<li>empirical\u2014clinical trial\u2014evidence had not been offered as a foundation for this practice<\/li>\n<\/ul>\n<p><strong>Primary Objective<\/strong><br \/>\nTo examine the effect of wearing a novel undergarment during the early post-sternotomyperiod on incision and breast pain and discomfort, as well as return to function<\/p>\n<p><strong>Secondary Objective<\/strong><br \/>\nTo monitor the safety of using the undergarment in the early post-sternotomy period.<\/p>\n<p><strong>Investigators<\/strong><br \/>\nPeter Faris, Kathryn King, Ross Tsuyuki, Gillian Currie, Andrew Maitland, Ruth Collins-Nakai<\/p>\n<p><strong>Methods<\/strong><\/p>\n<ul>\n<li>Intervention\n<ul>\n<li>measured by site RAs pre-operatively for size<\/li>\n<li>donned as soon as clinically stable<\/li>\n<li>asked to wear undergarment as much as comfortable to do so<\/li>\n<\/ul>\n<\/li>\n<li>Usual Care\n<ul>\n<li>no \u2018standard\u2019<\/li>\n<li>women are often encouraged to bring own brassiere post-op; (donned approximately 2-3 daysused as desired)<\/li>\n<li>no binding of breasts was permitted<\/li>\n<\/ul>\n<\/li>\n<li>Outcomes (over 12-weeks post-sternotomy)\n<ul>\n<li>incision pain and discomfort* (numeric rating scales)<\/li>\n<li>breast pain and discomfort* (numeric rating scales)<\/li>\n<li>analgesic use<\/li>\n<li>functional status (Health Assessment Questionnaire)<\/li>\n<li>sternalwound healing<\/li>\n<li>antibiotic use<\/li>\n<li>analgesic use<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Publications:<\/strong><br \/>\nKing, K.M., et al. (2006). A randomized controlled trial of women\u2019s early use of a novel undergarment following sternotomy: The Women\u2019s Recovery from Sternotomy Trial (WREST). Am Heart J, 152, 1187-93. (<a href=\"https:\/\/www.epicore.ualberta.ca\/Documents\/King%20WREST%20AmHJ2006.pdf\" rel=\"noopener\" target=\"_blank\">link<\/a>)<\/p>\n<p>King, K.M., et al. (2008). A descriptive examination of the impact of sternal scar formation in women. European Journal of Cardiovascular Nursing. (<a href=\"https:\/\/www.epicore.ualberta.ca\/Documents\/King%20WREST%20sternal%20scar%20Eur%20J%20CV%20Nurs%202008.pdf\" rel=\"noopener\" target=\"_blank\">link<\/a>)<\/p>\n<p>King, K.M., et al. (2008). Women\u2019s Recovery from Sternotomy-Extension (WREST-E) study: examining long-term pain and discomfort following sternotomy and their predictors. Am Heart J, 94, 493-497. (<a href=\"https:\/\/www.epicore.ualberta.ca\/Documents\/King%20WREST-E%20Heart%202008.pdf\" rel=\"noopener\" target=\"_blank\">link<\/a>)<\/p>\n<p>King, K.M., et al. (2009). A descriptive examination of the impact of sternal scar formation in women. European Journal of Cardiovascular Nursing, 8, 112\u2013118. (<a href=\"https:\/\/www.epicore.ualberta.ca\/Documents\/King%20WREST%20Scar%20qual%20Eur%20J%20CV%20Nurs%202009.pdf\" rel=\"noopener\" target=\"_blank\">link<\/a>)<\/p>\n<p>Findings and Summary: (<a href=\"https:\/\/www.epicore.ualberta.ca\/Documents\/WRESTsummary.pdf\" rel=\"noopener\" target=\"_blank\">pdf<\/a>)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A randomized trial of a novel undergarment for women\u2019s use following sternotomy Background splinting is a common strategy used to assist post-op patients move clinicians often suggest that women use a supportive and comfortable brassiere post-operatively to reduce tension on incision\u2014thereby reducing pain and discomfort a foundation for this practice recommendation is based largely on [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[31],"tags":[],"_links":{"self":[{"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/posts\/2879"}],"collection":[{"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/comments?post=2879"}],"version-history":[{"count":7,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/posts\/2879\/revisions"}],"predecessor-version":[{"id":2900,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/posts\/2879\/revisions\/2900"}],"wp:attachment":[{"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/media?parent=2879"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/categories?post=2879"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/tags?post=2879"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}