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Acupoint Stimulation and Postoperative Sleep in Elderly Patients

Not Applicable
Not yet recruiting
Conditions
Postoperative Sleep
Registration Number
NCT06684236
Lead Sponsor
Air Force Military Medical University, China
Brief Summary

Sleeping model can be affected after surgery. Anesthetics may be involved in the change. The changing of sleeping mode may exert adverse effect on postoperative recovery. Acupuncture and related techniques has been used for treating sleeping disorder. In this study, the effect of transcutaneous electrical acupoint stimulation on sleeping model after general anesthesia will be observed.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
104
Inclusion Criteria
  • Age≥65 years old
  • scheduled for abdominal surgery under general anesthesia
Exclusion Criteria
  • anticipated duration of surgery longer than 5 hours or shorter than 1 hour
  • American society of anesthesiologists status over stage 3
  • Participants with sleep apnea or moderate and severe obstructive sleep apnea syndrome (defined by Apnea Hypopnea Index (AHI))
  • Participants with preoperative sleep disturbances (diagnostic criteria of sleep disturbances according to the International Classification of Sleep Disorders, Third Edition (ICSD-3))
  • Participants with a history of alcohol or drug abuse
  • Participants with severe hepatic or renal insufficiency kidney disease
  • Participants with contraindications to the use of acupoint stimulation (including those with infection or injury of the skin to attach electrodes, and those with implanted electronic devices)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
total sleeping time during the first postoperative nightthe first postoperative night, on an average of 12 hours
Secondary Outcome Measures
NameTimeMethod
Total sleep time during the first 24 hours after surgeryfrom discharge from post-anesthesia care unit to 24 hours later, totally 24 hours
The Epworth Sleepiness Scale (ESS) score at 24 hours after surgery24 hours after surgery
The Athens Insomnia Scale (AIS) score at 24 hours after surgery24 hours after surgery
The Athens Insomnia Scale (AIS) score at 48 hours after surgery48 hours after surgery
The Epworth Sleepiness Scale (ESS) score at 48 hours after surgery48 hours after surgery
The Athens Insomnia Scale (AIS) score at discharge from hospitalthe last day before discharge from hospital, at an average of 12 hours
The Epworth Sleepiness Scale (ESS) score at discharge from hospitalthe last day before discharge from hospital, at an average of 12 hours
sleep efficiency(%) during the first postoperative nightthe first postoperative night, at an average of 12 hours

sleep efficiency is defined as the ratio of total sleep time to time in bed

duration of rapid eye movement sleep during the first postoperative nightthe first postoperative night, at an average of 12 hours

The unit of duration of rapid eye movement sleep is by minutes

number of wake during the first postoperative nightthe first postoperative night, at an average of 12 hours
incidence of delirium during hospitalizationFrom end of surgery to discharge from hospital, assessed up to 7 days
length of postoperative hospital stayFrom end of surgery to discharge from hospital, at an average of 5 days
number of needs for rescue analgesia by 24 hours after surgeryfrom discharge from operation room to 24 hours later, totally 24 hours
Number of participants with major complications during hospitalization, including cardiac failure, cardiac infarction, respiratory failureFrom end of surgery to discharge from hospital, assessed up to 7 days
Scale of quality of recovery at discharge from hospitalthe last day before discharge from hospital, at an average of 12 hours

Scale of quality of recovery is measured by the Quality-of-recovery 15 item scale (QoR-15)

Trial Locations

Locations (1)

Xijing Hospital, Air Force Medical University

🇨🇳

Xi'an, Shaanxi, China

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