Cargando…

Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery

INTRODUCTION: The ageing population has led to an increasing proportion of surgical patients with greater frailty and comorbidity. Complications and mortality within 30 days of a surgical procedure are often used to evaluate success in the perioperative period however these measures can potentially...

Descripción completa

Detalles Bibliográficos
Autores principales: Ladha, Karim S, Lu, Justin, McIsaac, Daniel I, van Vlymen, Janet M, Lebovic, Gerald, Ehtesham, Sahar, Pazmino-Canizares, Janneth, Clarke, Hance, Parotto, Matteo, Lorello, Gianni R, Wijeysundera, Duminda Nalaka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546154/
https://www.ncbi.nlm.nih.gov/pubmed/37770257
http://dx.doi.org/10.1136/bmjopen-2023-073612
_version_ 1785114813415817216
author Ladha, Karim S
Lu, Justin
McIsaac, Daniel I
van Vlymen, Janet M
Lebovic, Gerald
Ehtesham, Sahar
Pazmino-Canizares, Janneth
Clarke, Hance
Parotto, Matteo
Lorello, Gianni R
Wijeysundera, Duminda Nalaka
author_facet Ladha, Karim S
Lu, Justin
McIsaac, Daniel I
van Vlymen, Janet M
Lebovic, Gerald
Ehtesham, Sahar
Pazmino-Canizares, Janneth
Clarke, Hance
Parotto, Matteo
Lorello, Gianni R
Wijeysundera, Duminda Nalaka
author_sort Ladha, Karim S
collection PubMed
description INTRODUCTION: The ageing population has led to an increasing proportion of surgical patients with greater frailty and comorbidity. Complications and mortality within 30 days of a surgical procedure are often used to evaluate success in the perioperative period however these measures can potentially underestimate a substantial level of morbidity associated with surgery. Personal wearable technologies are now readily available and can offer detailed information on activity intensity, sedentary behaviour and sleeping patterns. These devices may provide important information perioperatively by acting as a non-invasive, and cost-efficient means to risk stratify patients. METHODS AND ANALYSIS: The Peri-Operative Wearables in Elder Recover After Surgery (POWERS) study is a multicentre observational study of 200 older adults (≥65 years) having major elective non-cardiac surgery. The objectives are to characterise the association between preoperative and postoperative activity monitor measurements with postoperative disability and recovery, as well as characterise trajectories of activity and sleep in the perioperative period. Activity will be monitored with the ActiGraph GT3X device and measured for 7-day increments, preoperatively, and at 1 week, 1 month and 3 months postoperatively. Disability will be assessed using the WHO Disability Assessment Schedule 2.0 assessed at 1 week, 1 month and 3 months postoperatively. ETHICS AND DISSEMINATION: The POWERS study received research ethics board approval at all participating sites on 1 August 2019 (REB # 19-121 (CTO 1849)). Renewal was granted on 19 May 2022.
format Online
Article
Text
id pubmed-10546154
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-105461542023-10-04 Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery Ladha, Karim S Lu, Justin McIsaac, Daniel I van Vlymen, Janet M Lebovic, Gerald Ehtesham, Sahar Pazmino-Canizares, Janneth Clarke, Hance Parotto, Matteo Lorello, Gianni R Wijeysundera, Duminda Nalaka BMJ Open Anaesthesia INTRODUCTION: The ageing population has led to an increasing proportion of surgical patients with greater frailty and comorbidity. Complications and mortality within 30 days of a surgical procedure are often used to evaluate success in the perioperative period however these measures can potentially underestimate a substantial level of morbidity associated with surgery. Personal wearable technologies are now readily available and can offer detailed information on activity intensity, sedentary behaviour and sleeping patterns. These devices may provide important information perioperatively by acting as a non-invasive, and cost-efficient means to risk stratify patients. METHODS AND ANALYSIS: The Peri-Operative Wearables in Elder Recover After Surgery (POWERS) study is a multicentre observational study of 200 older adults (≥65 years) having major elective non-cardiac surgery. The objectives are to characterise the association between preoperative and postoperative activity monitor measurements with postoperative disability and recovery, as well as characterise trajectories of activity and sleep in the perioperative period. Activity will be monitored with the ActiGraph GT3X device and measured for 7-day increments, preoperatively, and at 1 week, 1 month and 3 months postoperatively. Disability will be assessed using the WHO Disability Assessment Schedule 2.0 assessed at 1 week, 1 month and 3 months postoperatively. ETHICS AND DISSEMINATION: The POWERS study received research ethics board approval at all participating sites on 1 August 2019 (REB # 19-121 (CTO 1849)). Renewal was granted on 19 May 2022. BMJ Publishing Group 2023-09-28 /pmc/articles/PMC10546154/ /pubmed/37770257 http://dx.doi.org/10.1136/bmjopen-2023-073612 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Anaesthesia
Ladha, Karim S
Lu, Justin
McIsaac, Daniel I
van Vlymen, Janet M
Lebovic, Gerald
Ehtesham, Sahar
Pazmino-Canizares, Janneth
Clarke, Hance
Parotto, Matteo
Lorello, Gianni R
Wijeysundera, Duminda Nalaka
Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery
title Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery
title_full Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery
title_fullStr Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery
title_full_unstemmed Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery
title_short Peri-Operative Wearables in Elder Recover after Surgery (POWERS) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery
title_sort peri-operative wearables in elder recover after surgery (powers) study: a protocol for a multicentre, prospective cohort study to evaluate perioperative activity with postoperative disability in older adults after non-cardiac surgery
topic Anaesthesia
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546154/
https://www.ncbi.nlm.nih.gov/pubmed/37770257
http://dx.doi.org/10.1136/bmjopen-2023-073612
work_keys_str_mv AT ladhakarims perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT lujustin perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT mcisaacdanieli perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT vanvlymenjanetm perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT lebovicgerald perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT ehteshamsahar perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT pazminocanizaresjanneth perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT clarkehance perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT parottomatteo perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT lorellogiannir perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT wijeysunderadumindanalaka perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery
AT perioperativewearablesinelderrecoveraftersurgerypowersstudyaprotocolforamulticentreprospectivecohortstudytoevaluateperioperativeactivitywithpostoperativedisabilityinolderadultsafternoncardiacsurgery