Functional Recovery and Caregiver Burden Following Surgery in the Elderly (FOCUS)
2013年12月17日 更新者：Ottawa Hospital Research Institute
The purpose of this study is to assess the functional recovery of older ambulatory surgical patients and the impact of the current model of care on the caregivers of these patients. This study will provide unique insight into the challenges patients and their families face following surgery.
The primary objective of this study is to:
Assess the impact of ambulatory surgery on functional capacity as assessed by the Système de Mesure de l'Autonomie Fonctionnelle (SMAF) one week and one month following surgery in a population of surgical patients 65 years of age and older.
Secondary objectives are to determine if:
- Changes in the patient's functional capacity result in increased burden of care as assessed by the Zarit Burden Interview (ZBI) in the patient's primary caregiver.
- Changes in functional capacity are correlated with decrements in quality of life as assessed by the Short Form 12 (SF12).
- Changes in functional capacity are correlated with inadequate postoperative analgesia as assessed by the Brief Pain Inventory (BPI).
研究概览
研究类型
观察性的
注册 (实际的)
123
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Ontario
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Ottawa、Ontario、加拿大、K1Y 4E9
- The Ottawa Hospital
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
65年 及以上 (年长者)
接受健康志愿者
不
有资格学习的性别
全部
取样方法
概率样本
研究人群
Patients undergoing ambulatory surgery and their primary caregivers
描述
Inclusion Criteria:
Patients
- aged 65 years and older
- elective surgery with a planned discharge to the community on the day of the surgical procedure.
- Eligible surgical procedures include: inguinal herniorrhaphy, ventral herniorrhaphy, laparoscopic cholecystectomy,laparoscopic salpingoophorectomy, urethropexy, cystocoele/rectocoele repair, vaginal hysterectomy, arthroscopic debridement (knee, hip, shoulder), arthroscopic repair (knee, hip, shoulder), removal of hardware from lower extremity, foot surgery, and lumbar discectomy.
Caregiver
- spouses, family members, or friends identified as the patient's primary source of support in the community.
Exclusion Criteria:
Patients
- Reside in a nursing home providing professional support services;
- Are unable to complete the study instruments due to cognitive (MMSE <24) or physical impairment;
- Are unable to speak English or French
Caregiver
- Professional caregivers (nurse, personal care assistant, etc) hired to care for the patient;
- Unable to complete the study instruments due to physical impairment;
- Unable to Speak English or French
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
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Patient
Patients undergoing ambulatory surgery
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Caregiver
Spouse, family members, or friends identified as the patient's primary source of support in the community.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Functional Autonomy Measurement System (SMAF)
大体时间：Baseline, one week, and one month following surgery
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29-item scale, each item graded on a four-point scale.
0= independent, 1= needs supervision,2 = needs help, 3 = dependent.
Total score ranges from 0 to 87 with higher scores indicating increased disability
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Baseline, one week, and one month following surgery
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Zarit Burden Interview (ZBI)
大体时间：Baseline, one week, and one month following surgery
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A 22-item questionnaire in which subjects rate how often they experience negative feelings associated with caregiving.
Each item rated on a 5 point scale anchored at 0 for "never" and 4 for "nearly always."
Scores range from 0-88 with higher scores indicating increased burden of care.
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Baseline, one week, and one month following surgery
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Short Form 12
大体时间：Baseline, one week, and one month following surgery
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A validated measure of health related quality of life comprised of 12 questions regarding participant experience over the preceding week.
Generate Physical And Mental Component scores ranging from 0-100 with higher scores indicating better quality of life.
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Baseline, one week, and one month following surgery
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Brief Pain Inventory (BPI) Functional Interference Score.
大体时间：Baseline, one week, and one month following surgery
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Comprised of seven questions in which the subject is asked to describe the extent to which pain interferes with activity.
Scores are anchored at 0 for "does not interfere" and 10 for "completely interferes."
The seven resulting scores are averaged and reported as a single value (0 - 10) with higher scores indicating greater interference with function.
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Baseline, one week, and one month following surgery
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Gregory L Bryson, FRCPC、Department of Anesthesiology, The Ottawa Hospital
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- Bryson GL, Clavel NA, Moga R, Power B, Taljaard M, Nathan HJ. Patient function and caregiver burden after ambulatory surgery: a cohort study of patients older than 65. Can J Anaesth. 2013 Sep;60(9):864-73. doi: 10.1007/s12630-013-9982-y. Epub 2013 Jun 15.
- Bryson GL, Mercer C, Varpio L. Patient and caregiver experience following ambulatory surgery: qualitative analysis in a cohort of patients 65 yr and older. Can J Anaesth. 2014 Nov;61(11):986-94. doi: 10.1007/s12630-014-0229-3. Epub 2014 Sep 9.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2010年7月1日
初级完成 (实际的)
2012年1月1日
研究完成 (实际的)
2012年1月1日
研究注册日期
首次提交
2011年6月23日
首先提交符合 QC 标准的
2011年6月23日
首次发布 (估计)
2011年6月27日
研究记录更新
最后更新发布 (估计)
2014年1月20日
上次提交的符合 QC 标准的更新
2013年12月17日
最后验证
2013年12月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.