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Trial registered on ANZCTR
Registration number
ACTRN12612000688886
Ethics application status
Approved
Date submitted
24/06/2012
Date registered
27/06/2012
Date last updated
17/03/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised trial of quality of recovery in ambulatory surgical patients receiving general anaesthesia versus regional anaesthesia
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Scientific title
A randomised trial of quality of recovery in ambulatory adult surgical patients receiving general anaesthesia versus general anaesthesia supplemented with regional anaesthesia
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Secondary ID [1]
280729
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Quality of recovery in ambulatory adult surgical patients
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Condition category
Condition code
Anaesthesiology
287085
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0
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Anaesthetics
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Ambulatory adult patients undergoing upper limb surgery receives general anaesthesia alone, or general anaesthesia with regional block (brachial plexus block).
The PQRS (Postoperative Quality of Recovery Scale) tool is used for multiple domain characterisation of quality of recovery for both groups. Baseline data is obtained pre-operatively, in the Post-Anaesthesia Care Unit (PACU), and post-discharge
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Intervention code [1]
285153
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Not applicable
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Comparator / control treatment
Baseline PQRS scores from each patient, prior to any anaesthetic intervention, forms the control
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Primary outcome is cognitive recovery based on PQRS criteria, defined as recovery back to baseline or better, expressed as % of baseline categorical values.
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Assessment method [1]
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Timepoint [1]
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Day 3 post-operative
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Secondary outcome [1]
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Secondary outcomes is recovery in Activities of Daily Living (ADLs) domain, expressed as % of baseline value.
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Assessment method [1]
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Timepoint [1]
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Day 3 post-operative
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Secondary outcome [2]
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Secondary outcomes is recovery in physiological domain, expressed as % of baseline value.
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Assessment method [2]
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Timepoint [2]
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Day 3 post-operative
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Secondary outcome [3]
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Secondary outcomes is recovery in nociceptive domain, expressed as % of baseline value.
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Assessment method [3]
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Timepoint [3]
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Day 3 post-operative
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Secondary outcome [4]
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Secondary outcomes is recovery in emotive domain, expressed as % of baseline value.
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Assessment method [4]
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Timepoint [4]
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Day 3 post-operative
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Secondary outcome [5]
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Secondary outcome is recovery in self assessment of function domain, expressed as % of baseline value.
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Assessment method [5]
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Timepoint [5]
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Day 3 post-operative
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Eligibility
Key inclusion criteria
adult ambulatory upper limb surgery lasting 1-3hours duration
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
unable to provide informed written consent.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2013
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Actual
1/04/2014
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Date of last participant enrolment
Anticipated
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Actual
1/09/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
62
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Accrual to date
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Final
62
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Hospital
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Name
Liverpool Hospital - South West Sydney Local Health District
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Address
Elizabeth St
Liverpool
NSW 2150
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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South West Sydney HREC
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Ethics committee address [1]
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Level 1 Department of Anaesthesia Liverpool Hospital Elizabeth St Liverpool NSW 2170
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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01/08/2012
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Approval date [1]
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17/09/2012
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Ethics approval number [1]
287528
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Summary
Brief summary
Ambulatory surgery is performed as an outpatient day-only procedure, and is considered minor surgery. Anaesthesia for this type of surgery can be with general anaesthesia (GA) only, or GA in combination with regional anaesthesia (RA). However, while it is assumed that outpatient surgery constitutes minor surgical stress, there are sufficient case series observing severe cognitive dysfunction and poorer than expected functional recovery even after brief surgery. Anaesthetists have used RA techniques on the assumption that an effective nerve block allows a reduction in GA doses, better and prolonged analgesia, and a positive influence on post-operative recovery. This study will help anaesthetists determine if anaesthetic choices will lead to better outcomes for their patients undergoing minor ambulatory surgery. The primary endpoint of this study is the incidence of cognitive recovery at day 3 between groups. Secondary endpoints will be recovery in other domains, over time.
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Trial website
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Trial related presentations / publications
submitted to journal for peer review
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Public notes
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Contacts
Principal investigator
Name
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Dr Alwin Chuan
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Address
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Department of Anaesthesia
Level 1
New Clinical Building
Liverpool Hospital
Elizabeth Street
Liverpool NSW 2170
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Country
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Australia
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Phone
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+61 407 743 668
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Alwin Chuan
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Address
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Department of Anaesthesia
Level 1
New Clinical Building
Liverpool Hospital
Elizabeth Street
Liverpool NSW 2170
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Country
17606
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Australia
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Phone
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+61407743668
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Alwin Chuan
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Address
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Department of Anaesthesia
Level 1
New Clinical Building
Liverpool Hospital
Elizabeth Street
Liverpool NSW 2170
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Country
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Australia
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Phone
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+61407743668
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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