不同营养评价指标对老年非心脏手术术后谵妄的预测作用

注册号:

Registration number:

ChiCTR2300069912 

最近更新日期:

Date of Last Refreshed on:

2023-05-26 22:55:16 

注册时间:

Date of Registration:

2023-03-29 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

不同营养评价指标对老年非心脏手术术后谵妄的预测作用

Public title:

The predictive effect of different nutritional evaluation indexes on delirium after non-cardiac surgery in the elderly

注册题目简写:

English Acronym:

研究课题的正式科学名称:

不同营养评价指标对老年非心脏手术术后谵妄的预测作用

Scientific title:

The predictive effect of different nutritional evaluation indexes on delirium after non-cardiac surgery in the elderly

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

孟宣 

研究负责人:

王立伟 

Applicant:

Xuan Meng 

Study leader:

Liwei Wang 

申请注册联系人电话:

Applicant telephone:

+86 187 2412 6348

研究负责人电话:

Study leader's
telephone:

+86 189 5217 0255

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

1668684235@qq.com

研究负责人电子邮件:

Study leader's E-mail:

doctorlww@sina.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

江苏省徐州市解放南路199号徐州市中心医院2号楼18楼麻醉科

研究负责人通讯地址:

江苏省徐州市解放南路199号徐州市中心医院2号楼18楼麻醉科

Applicant address:

Anesthesia Department, 18/F, Building 2, Xuzhou Central Hospital, 199 Jiefang Road South, Xuzhou, Jiangsu

Study leader's address:

Anesthesia Department, 18/F, Building 2, Xuzhou Central Hospital, 199 Jiefang Road South, Xuzhou, Jiangsu

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

徐州市中心医院

Applicant's institution:

XuZhou Central Hospital

研究负责人所在单位:

徐州市中心医院

Affiliation of the Leader:

XuZhou Central Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

XZXY-LK-20230227-009

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

徐州市中心医院生物医学研究伦理审查委员会

Name of the ethic committee:

Xuzhou Central Hospital Biomedical Research Ethics Review Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2023-02-27 00:00:00

伦理委员会联系人:

张新新

Contact Name of the ethic committee:

Xinxin Zhang

伦理委员会联系地址:

江苏省徐州市大龙湖街道太行路29号徐州市中心医院新城区分院

Contact Address of the ethic committee:

Xincheng Branch of Xuzhou Central Hospital,29 Taihang Road, Dalonghu Street, Xuzhou, Jiangsu

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 516 83956765

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

徐州市中心医院

Primary sponsor:

XuZhou Central Hospital

研究实施负责(组长)单位地址:

江苏省徐州市解放南路199号

Primary sponsor's address:

199 Jiefang Road South, Xuzhou, Jiangsu

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

江苏省

市(区县):

徐州市

Country:

China

Province:

Jiangsu

City:

Xuzhou

单位(医院):

徐州市中心医院

具体地址:

江苏省徐州市解放南路199号

Institution
hospital:

XuZhou Central Hospital

Address:

199 Jiefang Road South, Xuzhou, Jiangsu

经费或物资来源:

Source(s) of funding:

none

研究疾病:

术后谵妄  

Target disease:

Postoperative delirium

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

本研究旨在使用三种客观营养指标(老年营养风险指数、预后营养指数、营养控制状况评分)评估住院患者的营养状况并比较其对预测谵妄的价值,确定在接受择期非心脏手术的老年患者中预测谵妄的最有价值的指标,以期对易感患者进行风险分层和营养干预,进而减少或避免谵妄的发生。  

Objectives of Study:

The purpose of this study is to use three objective nutritional indicators(GNRI, PNI, CONUT) to evaluate the nutritional status of inpatients and compare their value in predicting delirium, and determine the most valuable indicators for predicting delirium in elderly patients undergoing elective non-cardiac surgery, with a view to risk stratification and nutritional intervention for susceptible patients, so as to reduce or avoid delirium.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.既往有严重的神经系统疾病史
2.无法进行沟通患者
3.有酗酒史、药物依赖史患者
4.术后有严重感染患者
5.术前已存在谵妄患者
6.术前简易精神状态检查量表(MMSE)文盲≤17分,小学程度≤20分,中学或以上程度≤24分患者

Exclusion criteria:

1. Previous history of serious nervous system disease 2. Unable to communicate with patients 3. Patients with a history of alcoholism and drug dependence 4. Patients with severe infection after operation 5. Preoperative delirium patients 6. Patients with preoperative Mini-mental State Examination illiteracy <= 17 points, primary school level <= 20 points, secondary school or above level <= 24 points

研究实施时间:

Study execute time:

From 2023-03-30 00:00:00 To 2023-08-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2023-03-30 00:00:00 To 2023-08-31 00:00:00

干预措施:

Interventions:

组别:

营养不良组

样本量:

50

Group:

Malnutrition group

Sample size:

干预措施:

干预措施代码:

Intervention:

none

Intervention code:

组别:

营养正常组

样本量:

98

Group:

Normal nutrition group

Sample size:

干预措施:

干预措施代码:

Intervention:

none

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江苏省 

市(区县):

徐州市 

Country:

China

Province:

Jiangsu

City:

Xuzhou

单位(医院):

徐州市中心医院 

单位级别:

三级甲等 

Institution
hospital:

XuZhou Central Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

受试者曲线下面积

指标类型:

主要指标

Outcome:

AUC

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

15项恢复质量评分量表(QoR-15)得分

指标类型:

次要指标

Outcome:

Score of the 15 -item quality of recovery scale (QoR-15)

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

视觉模拟评分得分

指标类型:

次要指标

Outcome:

Score of visual analogue scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院时长

指标类型:

次要指标

Outcome:

Length of hospitalization

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

老年营养风险指数

指标类型:

主要指标

Outcome:

Geriatric nutritional risk index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

预后营养指数

指标类型:

主要指标

Outcome:

prognostic nutritional index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

营养控制状况得分

指标类型:

主要指标

Outcome:

Controlling Nutritional Status

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中性粒细胞与淋巴细胞之比

指标类型:

附加指标

Outcome:

neutrophil-to-lymphocyte ratio

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中性粒细胞数/ (白细胞数-中性粒细胞数)

指标类型:

附加指标

Outcome:

Neutrophil count/(leucocyte count - neutrophil count)

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血小板与淋巴细胞之比

指标类型:

附加指标

Outcome:

Platelet to lymphocyte ratio

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血小板与白细胞之比

指标类型:

附加指标

Outcome:

Platelet to leukocyte ratio

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

淋巴细胞单核细胞比值

指标类型:

附加指标

Outcome:

Lymphocyte monocyte ratio

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 65 years
最大 Max age 100 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

none

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

实验完成后6个月公开原始数据,可通过邮箱联系负责人共享原始数据1668684235@qq.com

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

The original data will be published six months after the completion of the experiment, and the person in charge can be contacted through email to share the original data 1668684235@qq.com

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

每日负责采集的研究者将纸质版病例记录表交给临床协调员,由临床协调员将数据录入设有密码的电脑,并且数据不得更改。数据每周一次提交给数据管理委员会,数据管理委员负责监控数据质量。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The researcher who is responsible for collecting the data every day will submit the paper version of the case record form to the clinical coordinator, who will enter the data into the computer with a password, and the data cannot be changed. The data is submitted to the data management committee once a week, and the data management committee is responsible for monitoring the data quality.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2023-03-29 14:32:37