Functional Recovery After Cardiac Surgery : Does Delirium and Calorie Intake Matter?
研究概览
地位
详细说明
In Taiwan, 54.2% of cardiac surgical procedures in 2010 were performed on older patients (≧65 years) with higher rates of surgical complications, functional decline, and even death reported. Despite the large number of older patients undergoing cardiac surgery with the goal of improving functional capacity, the literature in this area is limited. Specifically, there is little information about the functional outcomes 1 year after cardiac surgery for older patients.
A prospective, longitudinal cohort study will be conducted to assess and follow patients aged 65 years and older who undergoing elective or non-elective cardiac surgery for one year after surgery. All patients on the cardio-surgical wards of 5A, 5B, and 5CVI at National Taiwan University Hospital will be screened for eligibility. Every patient ≧65 years admitted for cardiac surgery will be approached and invited to participate. This cohort study aims to 1)describe the rates of 30-day surgical complication, functional decline, frailty, and one-year mortality for older patients underwent cardiac surgery; 2) delineate the rajectory of functional capacity 1 year after surgery for these patients; 3) test whether the trajectory of functional capacity varied significantly according to delirium status and its type over the one-year follow-up period; 4)examine patients' postsurgical actual caloric/protein/fluid intake in relation to the functional capacity within 3 months after surgery; and 5) evaluate hether activity levels, dietary diversity, and depressive symptoms at 3, 6, and 12 months affect patient outcomes. Estimated 236 participants will be enrolled to ensure the power of study.
Data will be analyzed using the SAS package. The Generalized Estimating Equation (GEE) will be performed to identify the risk factors and to delineate the trajectory of functional capacity 1 year after cardiac surgery for older patients. The findings will add to the development of nursing intervention program to promote functional recovery for older patients after cardiac surgery
研究类型
注册 (预期的)
联系人和位置
学习地点
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Taipei、台湾
- 招聘中
- National Taiwan University Hospital
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接触:
- Cheryl Chia-Hui Chen, RN, PHD
- 电话号码:88438 8862-23123456
- 邮箱:cherylchen@ntu.edu.tw
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- patients over 20 years old
- admitted for elective or non-elective cardiac surgery
Exclusion Criteria:
- incapable of verbal communication
- sensory impairment
- intubation or respiratory isolation
- patients with critical condition or coma
学习计划
研究是如何设计的?
设计细节
- 观测模型:队列
- 时间观点:预期
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
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physical activity function
大体时间:admission and 1 year after surgery
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admission and 1 year after surgery
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次要结果测量
结果测量 |
大体时间 |
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mortality
大体时间:1 year after surgery
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1 year after surgery
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其他结果措施
结果测量 |
大体时间 |
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30 days surgical complication
大体时间:30 days after surgery
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30 days after surgery
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合作者和调查者
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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