麻醉方式对90岁以上老年人下肢手术后结局的影响:一项多中心倾向性匹配研究

注册号:

Registration number:

ChiCTR2400083103 

最近更新日期:

Date of Last Refreshed on:

2024-04-16 10:08:11 

注册时间:

Date of Registration:

2024-04-16 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

麻醉方式对90岁以上老年人下肢手术后结局的影响:一项多中心倾向性匹配研究

Public title:

The impact of anesthesia methods on postoperative outcomes of lower limb surgeries in elderly patients over 90 years old: A multicenter propensity-matched study.

注册题目简写:

English Acronym:

研究课题的正式科学名称:

麻醉方式对90岁以上老年人下肢手术后结局的影响:一项多中心倾向性匹配研究

Scientific title:

The impact of anesthesia methods on postoperative outcomes of lower limb surgeries in elderly patients over 90 years old : A multicenter propensity-matched study.

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:

傅洪 

研究负责人:

傅洪 

Applicant:

Hong Fu 

Study leader:

Hong Fu 

申请注册联系人电话:

Applicant telephone:

+86 13018396185

研究负责人电话:

Study leader's
telephone:

+86 23 63692144

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:

fuhong1974@cqu.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

13018396185@163.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:

重庆市渝中区健康路1号

研究负责人通讯地址:

重庆市渝中区健康路1号

Applicant address:

No.1 Jiankang Road, Yuzhong District, Chongqing

Study leader's address:

No.1 Jiankang Road, Yuzhong District, Chongqing

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:

重庆市急救医疗中心

Applicant's institution:

Chongqing Emergency Medical Center

研究负责人所在单位:

重庆市急救医疗中心

Affiliation of the Leader:

Chongqing Emergency Medical Center

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:

RS202419

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:

重庆市急救医疗中心伦理委员会

Name of the ethic committee:

Ethics Committee of Chongqing Emergency Medical Center

伦理委员会批准日期:

Date of approved by ethic committee:

2024-03-29 00:00:00

伦理委员会联系人:

马良慧

Contact Name of the ethic committee:

Ma Lianghui

伦理委员会联系地址:

重庆市渝中区健康路1号

Contact Address of the ethic committee:

No.1 Jiankang Road, Yuzhong District, Chongqing

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 23 63692094

伦理委员会联系人邮箱:

Contact email of the ethic committee:

470631521@qq.com

研究实施负责(组长)单位:

重庆市急救医疗中心

Primary sponsor:

Chongqing Emergency Medical Center

研究实施负责(组长)单位地址:

重庆市渝中区健康路1号

Primary sponsor's address:

No.1 Jiankang Road, Yuzhong District, Chongqing

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

重庆

市(区县):

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆市急救医疗中心

具体地址:

重庆市渝中区健康路1号

Institution
hospital:

Chongqing Emergency Medical Center

Address:

No.1 Jiankang Road, Yuzhong District, Chongqing

经费或物资来源:

重庆市中青年医学高端人才工作室

Source(s) of funding:

Chongqing Municipal Studios for Young and Middle -aged Top Medical Talents

研究疾病:

术后死亡及重要脏器并发症  

Target disease:

Postoperative death and major organs complications

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:

其它 

Study phase:

N/A

研究设计:

横断面 

Study design:

Cross-sectional 

研究目的:

旨在评估不同麻醉方式对90岁以上老年人下肢手术后不良结局的影响。  

Objectives of Study:

This study aimed to assess the impact of different anesthesia methods on postoperative outcomes of lower limb surgeries in elderly patients over 90 years old.

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.行非下肢手术患者;
2.数据记录不完整>20%;

Exclusion criteria:

1.Patients undergoing non-lower limb surgery;
2.Incomplete data recording >20%;

研究实施时间:

Study execute time:

From 2024-04-18 00:00:00 To 2024-07-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-04-18 00:00:00 To 2024-07-31 00:00:00

干预措施:

Interventions:

组别:

全身麻醉组

样本量:

363

Group:

General anesthesia group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

区域阻滞麻醉组

样本量:

197

Group:

Regional anesthesia 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):

重庆 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆市急救医疗中心 

单位级别:

三级甲等 

Institution
hospital:

Chongqing Emergency Medical Center

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

四川 

市(区县):

 

Country:

China

Province:

Sichuan

City:

单位(医院):

西南医科大学附属医院 

单位级别:

三级甲等 

Institution
hospital:

The affiliated hospital of southwest medical university

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

重庆 

市(区县):

 

Country:

China

Province:

Chongqing

City:

单位(医院):

重庆市人民医院 

单位级别:

三级甲等 

Institution
hospital:

Chongqing General Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

术后重要脏器相关并发症(心、脑、肺、肾)

指标类型:

主要指标

Outcome:

Postoperative complications related to major organs (heart, brain, lung, kidney)

Type:

Primary indicator

测量时间点:

术后

测量方法:

心电图,心脏超声,,胸片 ,CT,血气分析,肾功等

Measure time point of outcome:

postoperation

Measure method:

Electrocardiograph, cardiac uhrasonography,BNP,X-ray,CT,blood gas analysis ,renal function

指标中文名:

术中使用血管活性药物,术中输血情况

指标类型:

次要指标

Outcome:

Intraoperative use of vasoactive drugs and intraoperative blood transfusion

Type:

Secondary indicator

测量时间点:

术中

测量方法:

麻醉记录单

Measure time point of outcome:

intraoperative

Measure method:

anesthetic record

指标中文名:

术后深部器官感染,术后脓毒血症

指标类型:

主要指标

Outcome:

Postoperative deep organ infection, Postoperative sepsis

Type:

Primary indicator

测量时间点:

术后

测量方法:

血常规,炎症标志物,临床表现

Measure time point of outcome:

postoperation

Measure method:

blood routine examination,Inflammatory markers,Clinical features

指标中文名:

术后转入ICU,术后院内死亡率

指标类型:

主要指标

Outcome:

Postoperative transfer to ICU, Postoperative in-hospital mortality

Type:

Primary indicator

测量时间点:

术后

测量方法:

临床诊断

Measure time point of outcome:

postoperation

Measure method:

clinical diagnosis

指标中文名:

住院时间,住院费用

指标类型:

主要指标

Outcome:

Length of stay, hospitalization expenses

Type:

Primary indicator

测量时间点:

术后

测量方法:

住院时间,住院费用

Measure time point of outcome:

postoperation

Measure method:

length of stay ,hospitalization expenses

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

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 90 years
最大 Max age 110 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:

None

是否共享原始数据:

IPD sharing

是Yes

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):

以发表论文形式共享

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

To be shared in the form of publishing papers

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:

通过检索各医学中心电子病历系统及检查检验系统获得数据,整理成Excel表格

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

By retrieving data from the electronic medical record systems and examination systems of various medical centers, the data was organized into an Excel spreadsheet.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2024-04-16 10:08:00