基于EHR构建脊柱手术后亚谵妄发生风险预测模型的研究

注册号:

Registration number:

ChiCTR2500097980 

最近更新日期:

Date of Last Refreshed on:

2025-02-28 09:07:12 

注册时间:

Date of Registration:

2025-02-28 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于EHR构建脊柱手术后亚谵妄发生风险预测模型的研究

Public title:

Research on the Construction of a Risk Prediction Model for Subsyndromal Delirium after Spinal Surgery Based on EHR

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于EHR构建脊柱手术后亚谵妄发生风险预测模型的研究

Scientific title:

Research on the Construction of a Risk Prediction Model for Subsyndromal Delirium after Spinal Surgery Based on EHR

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:

沈莺 

研究负责人:

沈莺 

Applicant:

Shen Ying 

Study leader:

Shen Ying 

申请注册联系人电话:

Applicant telephone:

+86 136 6149 6374

研究负责人电话:

Study leader's
telephone:

+86 136 6149 6374

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:

andreaweng@163.com

研究负责人电子邮件:

Study leader's E-mail:

andreaweng@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:

上海市黄浦区普安路185号曙光医院住院部5楼手术室

研究负责人通讯地址:

上海市黄浦区普安路185号曙光医院住院部5楼手术室

Applicant address:

Operating Room, 5th Floor, Inpatient Department, Shuguang Hospital, No. 185, Pu'an Road, Huangpu District, Shanghai

Study leader's address:

Operating Room, 5th Floor, Inpatient Department, Shuguang Hospital, No. 185, Pu'an Road, Huangpu District, Shanghai

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:

上海中医药大学附属曙光医院

Applicant's institution:

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

研究负责人所在单位:

上海中医药大学附属曙光医院

Affiliation of the Leader:

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

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:

2025-1671-011-01

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:

上海中医药大学附属曙光医院伦理委员会

Name of the ethic committee:

EC of Shuguang Hospital affiliated to Shanghai University of TCM

伦理委员会批准日期:

Date of approved by ethic committee:

2025-01-22 00:00:00

伦理委员会联系人:

耿希

Contact Name of the ethic committee:

Geng Xi

伦理委员会联系地址:

上海市张衡路528号

Contact Address of the ethic committee:

No. 528, Zhangheng Road, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 2025 6070

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:

上海中医药大学附属曙光医院

Primary sponsor:

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

上海中医药大学附属曙光医院

Primary sponsor's address:

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海市

市(区县):

Country:

China

Province:

Shanghai

City:

单位(医院):

上海中医药大学附属曙光医院

具体地址:

上海市黄浦区普安路185号

Institution
hospital:

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Address:

Shuguang Hospital, No. 185, Pu'an Road, Huangpu District, Shanghai

经费或物资来源:

上海中医药大学附属曙光医院

Source(s) of funding:

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

研究疾病:

亚谵妄  

Target disease:

Subsyndromal 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:

其它 

Study phase:

N/A

研究设计:

连续入组 

Study design:

Sequential 

研究目的:

了解脊柱手术患者发生亚谵妄的现况并探讨危险因素,构建脊柱手术后亚谵妄风险预测模型并验证预测效能。  

Objectives of Study:

This study aims to 1) determine the incidence of subsyndromal delirium in spinal surgical patients, 2) identify independent risk factors, and 3) develop/validate a risk prediction model for postoperative subsyndromal delirium following spinal procedures.

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.日间手术患者; 2.术前发生谵妄或亚谵妄; 3.微创手术(单个手术切口长度<=4cm); 4.无法进行亚谵妄的评估(如在医院期间持续昏迷); 5.患者取消手术; 6.病历资料不全; 7.在院期间死亡; 8.有严重视听障碍无法交流。

Exclusion criteria:

1. Day surgery patients; 2. Preoperative delirium or sub-delirium; 3. Minimally invasive surgery (single surgical incision length <=4cm); 4. Inability to perform assessment of subdelirium (e.g., persistent coma while in hospital); 5. The patient cancels the operation; 6. Incomplete medical records; 7. Death while in the hospital; 8. Have severe audio-visual impairment and are unable to communicate.

研究实施时间:

Study execute time:

From 2025-03-01 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-03-01 00:00:00 To 2025-12-31 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

577

Group:

Observation 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):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai City

City:

单位(医院):

上海中医药大学附属曙光医院 

单位级别:

三甲 

Institution
hospital:

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

中文版3分钟谵妄诊断量表

指标类型:

主要指标

Outcome:

3D-CAM

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

疼痛数字评分法

指标类型:

主要指标

Outcome:

NRS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

匹兹堡睡眠质量指数

指标类型:

主要指标

Outcome:

PSQI

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

日常生活能力的评估工具

指标类型:

主要指标

Outcome:

Barthel 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:

营养风险筛查2002

指标类型:

主要指标

Outcome:

NRS2002

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

年龄调整的合并症指数

指标类型:

主要指标

Outcome:

ACCI

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

患者健康问卷抑郁量表

指标类型:

主要指标

Outcome:

PHQ-9

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

手术恐惧问卷

指标类型:

主要指标

Outcome:

SFQ

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

焦虑视觉模拟量表

指标类型:

主要指标

Outcome:

VAS-A

Type:

Primary 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 18 years
最大 Max age 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:

公开/Public

盲法:

Blinding:

None

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

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):

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

None

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:

病例记录表

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

Case Record Form

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-02-28 09:07:05