[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100624107":3},{"organization":4,"armGroups":7,"interventions":25,"overallOfficials":30,"centralContacts":39,"locations":45,"responsibleParty":93,"collaborators":30,"id":97,"slug":98,"hasResults":99,"nctId":100,"briefTitle":101,"officialTitle":102,"acronym":103,"eligibilityCriteria":104,"healthyVolunteers":99,"sex":105,"minAge":106,"maxAge":107,"enrollmentInfo":108,"targetDuration":30,"studyType":111,"phases":112,"briefSummary":114,"conditions":115,"keywords":119,"overallStatus":48,"whyStopped":30,"lastUpdateSubmitDate":125,"lastUpdatePostDateStruct":126,"startDateStruct":129,"completionDateStruct":131,"leadSponsor":133,"locationsCount":134},{"fullName":5,"class":6},"University of Baghdad","OTHER",[8,14,19],{"label":9,"type":10,"description":11,"interventionNames":12},"Coughing Exercises","EXPERIMENTAL","participants in this arm will receive structured postoperative coughing exercises under professional supervision. The exercises include deep breathing followed by effective coughing techniques to enhance airway clearance, promote lung expansion, and prevent postoperative pulmonary complications. The intervention will be performed every 3 hours for three days after cardiac surgery in addition to standard postoperative care.",[13],"Behavioral: Coughing Exercises",{"label":15,"type":10,"description":16,"interventionNames":17},"Incentive Spirometry (IS)","Participants in this arm will receive postoperative incentive spirometry under professional supervision. Children will be instructed to perform slow, deep inhalations using an incentive spirometer to promote lung expansion, improve ventilation. The intervention will be performed 15 times every 3 hours for three days after cardiac surgery in addition to standard postoperative care.",[18],"Device: Incentive Spirometry",{"label":20,"type":21,"description":22,"interventionNames":23},"Standard Postoperative Care","ACTIVE_COMPARATOR","Participants in this arm will receive standard postoperative care following cardiac surgery without additional structured respiratory physiotherapy interventions. Standard care includes routine medical and nursing management according to hospital protocols, such as oxygen therapy, pain management, monitoring of vital signs, and general postoperative mobilization as tolerated.",[24],"Other: Standard Postoperative Care",[26,31,36],{"type":27,"name":9,"description":28,"armGroupLabels":29,"otherNames":30},"BEHAVIORAL","participants will receive structured postoperative coughing exercises supervised by trained healthcare professionals. The intervention includes instruction on effective deep breathing followed by directed coughing to enhance airway clearance and prevent secretion retention. Exercises will be performed every 3 hours for three consecutive days after cardiac surgery, in addition to standard postoperative care.",[9],null,{"type":32,"name":33,"description":34,"armGroupLabels":35,"otherNames":30},"DEVICE","Incentive Spirometry","participants will perform postoperative incentive spirometry using a standard incentive spirometer under professional supervision. Children will be instructed to perform slow, deep inspirations with visual feedback to promote lung expansion and alveolar recruitment. The intervention will be conducted 15 times every 3 hours for three days after surgery, alongside standard postoperative care.",[15],{"type":6,"name":20,"description":37,"armGroupLabels":38,"otherNames":30},"Participants will receive routine postoperative care according to institutional protocols following cardiac surgery. This includes standard medical and nursing management such as oxygen therapy, pain control, monitoring of vital signs, and mobilization as tolerated, without additional structured respiratory physiotherapy interventions.",[20],[40],{"name":41,"role":42,"phone":43,"phoneExt":30,"email":44},"rusul khalid khadim, MSc","CONTACT","96407702612183","rusal.khaled1606a@conursing.uobaghdad.edu.iq",[46,65,73,81],{"facility":47,"status":48,"city":49,"state":50,"zip":30,"country":51,"countryCode":52,"cosmosGeoPoint":53,"geoPoint":58,"contacts":59},"Ibn Al-Bitar Specialized Hospital for Cardiac Surgery","RECRUITING","Baghdad","Baghdad Governorate","Iraq","IQ",{"type":54,"coordinates":55},"Point",[56,57],44.40088,33.34058,{"lat":57,"lon":56},[60,63],{"name":61,"role":42,"phone":43,"phoneExt":30,"email":62},"rusul khalid khadim","asokhalid1234@gmail.com",{"name":64,"role":42,"phone":30,"phoneExt":30,"email":62},"rusul",{"facility":66,"status":48,"city":49,"state":50,"zip":30,"country":51,"countryCode":52,"cosmosGeoPoint":67,"geoPoint":69,"contacts":70},"Ibn Al-Nafis Hospital for Cardiac, Thoracic and Vascular Surgery",{"type":54,"coordinates":68},[56,57],{"lat":57,"lon":56},[71,72],{"name":61,"role":42,"phone":43,"phoneExt":30,"email":62},{"name":64,"role":42,"phone":30,"phoneExt":30,"email":62},{"facility":74,"status":48,"city":49,"state":50,"zip":30,"country":51,"countryCode":52,"cosmosGeoPoint":75,"geoPoint":77,"contacts":78},"Iraqi Center for Heart Diseases",{"type":54,"coordinates":76},[56,57],{"lat":57,"lon":56},[79,80],{"name":61,"role":42,"phone":43,"phoneExt":30,"email":62},{"name":64,"role":42,"phone":30,"phoneExt":30,"email":62},{"facility":82,"status":48,"city":83,"state":84,"zip":30,"country":51,"countryCode":52,"cosmosGeoPoint":85,"geoPoint":89,"contacts":90},"Imam Al-Hassan Al-Mujtaba Hospital","Karbala","Karbala Governorate",{"type":54,"coordinates":86},[87,88],44.02488,32.61603,{"lat":88,"lon":87},[91,92],{"name":61,"role":42,"phone":43,"phoneExt":30,"email":62},{"name":64,"role":42,"phone":30,"phoneExt":30,"email":62},{"type":94,"investigatorFullName":95,"investigatorTitle":96,"investigatorAffiliation":5,"oldNameTitle":30,"oldOrganization":30},"PRINCIPAL_INVESTIGATOR","Rusul Khalid Kadim","Graduate Student \u002F Principal Investigator","100624107","effect-of-coughing-exercises-versus-incentive-spirometry-on-respiratory-function-and-recovery-in-children-after-cardiac-surgery-100624107",false,"NCT07405333","Effect of Coughing Exercises Versus Incentive Spirometry on Respiratory Function and Recovery in Children After Cardiac Surgery.","Effect of Coughing Exercises Versus Incentive Spirometry on Respiratory Outcomes and Postoperative Recovery Among Children Undergoing Cardiac Surgery.","CEXIS","Inclusion Crit\n\n* Children aged 6 to 18 years scheduled for elective cardiac surgery.\n* Postoperative extubation within 24 hours and judged clinically stable to begin respiratory therapy.\n* Hemodynamically stable.\n\nExclusion Criteria:\n\n* Pre-existing moderate-to-severe chronic lung disease requiring baseline oxygen therapy.\n* Neuromuscular disorders significantly impairing cough\u002Finspiratory effort.\n* Emergency surgery, ongoing major bleeding.\n* Prolonged mechanical ventilation \\>72 hours or tracheostomy on admission.","ALL","6 Years","18 Years",{"count":109,"type":110},99,"ESTIMATED","INTERVENTIONAL",[113],"NA","This study examines the effects of coughing exercises and incentive spirometry (IS) on lung function and recovery in children who undergo heart surgery. The main goals are to see:\n\nHow coughing exercises and IS affect breathing and lung function after surgery? How these exercises influence overall recovery after surgery? Children who participate will be randomly assigned to one of three groups: coughing exercises, IS, or standard care. Those in the exercise groups will perform their assigned breathing exercises every 3 hours for the first 3 days after surgery. Daily check-ups will be conducted to monitor their progress, lung function, and oxygen levels.\n\nThe study will measure breathing ability, oxygen levels, and recovery milestones to find out which method is most effective in preventing lung complications and helping children recover faster.",[116,117,118],"Congenital Heart Disease (CHD)","Postoperative Respiratory Dysfunction","Postoperative Recovery After Cardiac Surgery",[9,33,120,121,122,123,124],"Congenital Heart Disease","Respiratory Function","Recovery","cardiac surgery","pediatric","2026-05-07",{"date":127,"type":128},"2026-05-12","ACTUAL",{"date":130,"type":128},"2025-12-07",{"date":132,"type":110},"2026-10-07",{"name":5,"class":6},4]