TRANslating Sleep Health Into QUaLity of Recovery (TRANQUiL) Study

Last updated: April 22, 2024
Sponsor: Women's College Hospital
Overall Status: Active - Recruiting

Phase

N/A

Condition

Insomnia

Narcolepsy

Sleep Disorders

Treatment

N/A

Clinical Study ID

NCT04398082
2019-0044-B
  • Ages > 18
  • All Genders

Study Summary

This is a novel observational study with the overarching aim of evaluating the association between poor sleep health and poor quality of recovery in a surgical setting. It hopes to assess and optimize the perioperative sleep health of patients so significant improvements in their quality of recovery and health outcomes may be achieved.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Adult patients (>18 years).
  2. ASA physical status I - IV.
  3. Undergoing elective primary or revision lower limb joint replacement surgeries (suchas total or partial hip or knee replacement).

Exclusion

Exclusion Criteria:

  1. Patients undergoing emergency surgeries; cardiac, trauma, organ transplantation ororgan retrieval, obstetric or intracranial neurosurgeries.
  2. Pregnant or lactating patients.
  3. Inability to wear study-related monitoring devices per instruction or provide informedconsent limiting adherence to protocol.

Study Design

Total Participants: 260
Study Start date:
March 10, 2021
Estimated Completion Date:
July 31, 2025

Study Description

Surgery and pain may cause sleep disturbances that affect both physical and mental well-being of patients. Sleep disturbance can cause an increased risk of confusion after surgery, increased pain needing some or more medication, untoward events (heart and breathing problems), delayed recovery and increased lengths of hospital stay.

Hospitalization interferes with sleep patterns, causing poor quality sleep due to noise, light, pain, medication administration and nursing checks. The circadian rhythm, which is the "body clock" is a 24-hour cycle that tells our bodies when to sleep and rise. This in turn helps in regulating many physiological processes in the body. Sleep disruption affects the body clock, thereby changing hormone levels that may be responsible for poor wound healing. This study aims to evaluate sleep problems before disruption post-operatively and also evaluate the relation between poor sleep health and quality of recovery utilizing sleep health measurements such as sleep quality, sleep timing, and sleep efficiency.

Objectives of the study:

  1. To examine the associations between specific pre-operative sleep-health parameters, predicting poor sleep health, and patient-centered outcomes such as pain control, delirium, sleep-related quality of life, and quality of recovery scores in the peri-operative period.

  2. To estimate the association between presence of intrinsic sleep disorders and patient centric outcomes such as pain control, delirium, sleep-related quality of life and quality of recovery scores in the post-operative period.

  3. To validate a set of subjective and objective measures of various sleep health domains in the post-operative period.

Connect with a study center

  • Toronto Western Hospital (University Health Network)

    Toronto, Ontario M5T 2S8
    Canada

    Active - Recruiting

  • Women's College Hospital

    Toronto, Ontario M5S 1B2
    Canada

    Active - Recruiting

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