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Trial registered on ANZCTR
Registration number
ACTRN12621001748808
Ethics application status
Approved
Date submitted
26/11/2021
Date registered
21/12/2021
Date last updated
21/12/2021
Date data sharing statement initially provided
21/12/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
The day surgery sleep study
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Scientific title
The Day Surgery Sleep Survey (DURESS) project: the effect of day surgery on sleep quantity and quality.
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Secondary ID [1]
305898
0
Nil known
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Universal Trial Number (UTN)
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Trial acronym
DURESS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Sleep disturbance
324455
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Condition category
Condition code
Anaesthesiology
321943
321943
0
0
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Anaesthetics
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Mental Health
322130
322130
0
0
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Other mental health disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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
Brief name: a text message-based survey to follow-up post-operative sleep disruption.
Patients >18 years old undergoing non-cardiac day surgery at Wellington Hospital or Kenepuru Hospital who consent to participate in the study will have their cellphone number recorded for the text-based survey link. The first survey will be sent to each participant, 24 hours post-discharge, by text (or by email if there is no cellphone number) to their smartphone. If the patient responds to the first survey request, they will receive two further surveys, one on day 3 postoperatively, and one on day 7 postoperatively.
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Intervention code [1]
322291
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
329698
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Sleep quantity – self reported, measured in hours. Assessed using a study-specific survey sent via text message.
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Assessment method [1]
329698
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Timepoint [1]
329698
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On average in the month prior to the operation and on day 1, 3 and 7 postoperatively.
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Primary outcome [2]
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Sleep quality – self reported, measured on an eleven-point numeric rating scale from 0 (worst) to 10 (best). Assessed using a study-specific survey sent via text message.
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Assessment method [2]
329699
0
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Timepoint [2]
329699
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On average in the month prior to the operation and on day 1, 3 and 7 postoperatively.
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Secondary outcome [1]
403501
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Surgery type by specialty
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Assessment method [1]
403501
0
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Timepoint [1]
403501
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Data collected at time of consent using daily hospital theatre lists
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Secondary outcome [2]
403502
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Time of induction of anaesthesia
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Assessment method [2]
403502
0
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Timepoint [2]
403502
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On day of surgery - data collected using the SaferSleep platform after patient's participation in the survey.
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Secondary outcome [3]
403503
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Duration of anaesthesia
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Assessment method [3]
403503
0
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Timepoint [3]
403503
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On day of surgery - data collected using the SaferSleep platform after patient's participation in the survey.
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Secondary outcome [4]
403504
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Type of anaesthesia – general, general and regional, regional and sedation, regional alone, sedation alone, other.
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Assessment method [4]
403504
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Timepoint [4]
403504
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On day of surgery - data collected using the SaferSleep platform after patient's participation in the survey.
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Secondary outcome [5]
403505
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Specific medicines used intra-operatively (dose in mg) – benzodiazepines, dexmedetomidine, dexamethasone, opioids (morphine equivalents).
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Assessment method [5]
403505
0
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Timepoint [5]
403505
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On day of surgery - data collected using the SaferSleep platform after patient's participation in the survey.
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Secondary outcome [6]
403507
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Postoperative pain – visual analogue scale from 0 (no pain) to 10 (extreme pain). Assessed using a study-specific survey sent via text message.
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Assessment method [6]
403507
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Timepoint [6]
403507
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On day 1, 3 and 7 postoperatively.
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Eligibility
Key inclusion criteria
Patients aged 18 years and older scheduled for elective day surgery under Capital Coast District Health Board (CCDHB).
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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
Any patients who are not discharged home on the same day as their surgery, if they have a known history of alcohol or drug abuse, diminished understanding or comprehension, poor English understanding, or were aged less than 18 years old on the day of surgery.
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Study design
Purpose
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Duration
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
As there is currently no known level of sleep disruption deemed to be clinically significant no formal hypothesis test will be undertaken. Rather, differences in mean (or median if data is non-parametric) sleep quantity and quality will be assessed independently between pre-operative values and values obtained on post-operative days 1, 3, and 7 with a point estimate and attendant 95% confidence interval. An interval that crosses the null value (a difference of 0 hours in the case of sleep quantity, and a difference of 0cm in the case of sleep quality) would be deemed insufficient evidence to conclude there is a difference in that outcome on that post-operative night compared to pre-operative values.
Two separate multivariate linear models will be used to investigate the association between the other variables collected and sleep quality and quantity.
No correction will be made for multiple testing as the aim of this study is hypothesis generation; conclusions should therefore be treated as such.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
2/12/2021
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Date of last participant enrolment
Anticipated
25/02/2022
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Actual
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Date of last data collection
Anticipated
4/03/2022
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Actual
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Sample size
Target
400
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Accrual to date
88
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Final
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Recruitment outside Australia
Country [1]
24351
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New Zealand
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State/province [1]
24351
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Wellington Region
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Funding & Sponsors
Funding source category [1]
310245
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Charities/Societies/Foundations
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Name [1]
310245
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Campbell Barrett Trust
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Address [1]
310245
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Care of: Wellington Hospital, 49 Riddiford Street, Newtown, Wellington, 6021
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Country [1]
310245
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New Zealand
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Funding source category [2]
310246
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Hospital
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Name [2]
310246
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Department of Anaesthesia and Pain Medicine, Wellington Hospital
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Address [2]
310246
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49 Riddiford Street, Newtown, Wellington, 6021
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Country [2]
310246
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New Zealand
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Funding source category [3]
310248
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University
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Name [3]
310248
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Eru Pomare Maori Health Research Centre, University of Otago, Wellington
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Address [3]
310248
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Department of Public Health
University of Otago, Wellington
PO Box 7343
Wellington South 6242
New Zealand
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Country [3]
310248
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New Zealand
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Primary sponsor type
Individual
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Name
Dr Daniel Ramsay
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Address
Department of Anaesthesia and Pain Medicine, Wellington Hospital, 49 Riddiford Street, Newtown, Wellington 6021
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Country
New Zealand
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Secondary sponsor category [1]
311348
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Individual
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Name [1]
311348
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Dr Phillip Quinn
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Address [1]
311348
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Department of Anaesthesia and Pain Medicine, Wellington Hospital, 49 Riddiford Street, Newtown, Wellington 6021
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Country [1]
311348
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
309924
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
309924
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Ministry of Health, 133 Molesworth Street PO Box 5013 Wellington, 6011
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Ethics committee country [1]
309924
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New Zealand
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Date submitted for ethics approval [1]
309924
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04/10/2021
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Approval date [1]
309924
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30/11/2021
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Ethics approval number [1]
309924
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Summary
Brief summary
Sleep disturbance appears to be nearly universal post-operatively, and has been associated with increased rates of delirium, pain, cardiovascular events, and longer recovery times. In spite of current research there remains uncertainty as to the degree and duration of sleep disruption postoperatively. In addition, the role, if any, that pharmacological agents commonly used in anaesthesia have on postoperative sleep disturbance is yet to be fully elucidated. This study aims to explore the utility of a text message based survey to study perioperative sleep disruption in day surgery patients. If a text message-based method for following up postoperative sleep disruptions can be shown to be effective, this will allow for larger scale research utilising this approach.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
115854
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Dr Daniel Ramsay
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Address
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Department of Anaesthesia and Pain Medicine, Wellington Hospital, 49 Riddiford Street, Newtown, Wellington 6021
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Country
115854
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New Zealand
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Phone
115854
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+64 27 536 2649
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Fax
115854
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Email
115854
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[email protected]
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Contact person for public queries
Name
115855
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Daniel Ramsay
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Address
115855
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Department of Anaesthesia and Pain Medicine, Wellington Hospital, 49 Riddiford Street, Newtown, Wellington 6021
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Country
115855
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New Zealand
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Phone
115855
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+64 27 536 2649
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Fax
115855
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Email
115855
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[email protected]
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Contact person for scientific queries
Name
115856
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Daniel Ramsay
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Address
115856
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Department of Anaesthesia and Pain Medicine, Wellington Hospital, 49 Riddiford Street, Newtown, Wellington 6021
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Country
115856
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New Zealand
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Phone
115856
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+64 27 536 2649
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Fax
115856
0
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Email
115856
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All unidentified patient data
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When will data be available (start and end dates)?
Following publication, no end date
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Available to whom?
Researchers undertaking further studies in the field (e.g. meta-analyses)
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Available for what types of analyses?
Meta-analyses
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How or where can data be obtained?
Access subject to approval by the Principal Investigator (Dr Daniel Ramsay, 027 536 2649,
[email protected]
)
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
14230
Study protocol
383199-(Uploaded-26-11-2021-08-38-46)-Study-related document.docx
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.
Download to PDF