Exploring outcomes in adults after major abdominal surgery - a mixed methods study.
Curtin UniversityDataset description
There is limited research on the medium-term recovery and outcomes of patients three months following major upper abdominal surgery. The aim of this study was to explore the functional outcomes and lived experiences in adults three months after major upper abdominal surgery at Royal Perth Hospital in Perth, Western Australia. Data collected from the participants prior to their surgery was compared with data collected from them three months after the procedure. The measures included clinical frailty and functional independence. At three months post-surgery, information regarding abdominal pain, post-surgical fatigue, and cognition were also gathered in order to explore the association between these variables and the participants level of functional recovery three months following the surgery. Qualitative interviews were also conducted at this time to explore the participants lived experiences and those of their primary carer.Date Information
Identifiers
Source Study
Purpose:
Phase:
Trial acronym
Not available
Trial ID
ACTRN12622000540718
Funding
University, Curtin University, School of Allied Health
Scientific enquiries
Dr Meg Harrold
Brief Summary
There is limited research on the medium-term recovery and outcomes of patients three months following major upper abdominal surgery. The aim of this study was to explore the functional outcomes and lived experiences in adults three months after major upper abdominal surgery at Royal Perth Hospital in Perth, Western Australia. Data collected from the participants prior to their surgery was compared with data collected from them three months after the procedure.. The measures included clinical fra .... Read more
Key Inclusion Criteria
Participants inclusion criteria: 1) 18 years of age or older. 2) Fluent in written and spoken English. 3) Attending RPH for MUAS, defined as an incision 5cm or longer that extends above the umbilicus and the requirement for general anaesthesia for greater than or equal to 1 hour 4) Anticipated post-operative hospital length of stay of greater than or equal to 24 hours. 5) The medical team deem the patient to be suitable to provide consent Caregiver inclusion criteria: 1) 18 years of age or older .... Read more
Key Exclusion Criteria
Participant inclusion criteria 1) Documented evidence of a cognitive impairment. 2) Scheduled for an isolated hernia repair. 3) From supported residential care or high-level care. 4) Prior to surgery, inability to ambulate without physical assistance. 5) Unable to be contacted by telephone following hospital discharge Caregiver exclusion criteria 1) Is being formally paid to care for the participant
Can healthy volunteers participate?
Yes
Population
Sample Size 35
Min. age 18 Years
Max. age No limit
Sex Both males and females
Condition category Major upper abdominal surgery patients
Condition code Surgery , Physical Medicine / Rehabilitation
Intervention
Intervention code Not applicable
Major Upper Abdominal Surgery (MUAS): Upper abdominal surgery (UAS) is defined as any surgical procedure performed to the abdomen through an incision that is superior to or extends superior to the level of the umbilicus. Upper abdominal surgery involves opening the abdomen in order for a surgeon to examine the contents and, where possible, remedy any pathology. Major upper abdominal surgery (MUAS) is defined as an upper abdominal procedure requiring general anaesthetic for more than one hour and .... Read more
Comparison
Control group Uncontrolled
No control group.
Outcomes
Outcome: Level of functional independence with instrumental activities of daily living (IADL's): This was measured using the Lawton`s IADL scale. The Lawton`s IADL scale is a reliable and validated self-rating instrument that assesses independent living skills such as food preparation, house-keeping, and the ability to handle finances, medications, and laundry. The scale is a useful tool to measure deterioration/improvement in function over timeTimepoint: This was collected .... Read more
Outcome: Clinical frailty: Clinical frailty was measured using the clinical frailty scale (CFS), a validated scale used to assess frailty and fitness in individuals. It is a 9-point scale, where a score is derived based on clinical judgement, with 1 being very fit, and 9 being terminally ill. A person with a score of 5 or above is considered frailTimepoint: This was collected at the time of consent/recruitment and at the three month follow-up appointment post-surgery.
Will the study consider sharing individual participant data?
Yes
Who can request access to individual participant data?
Researchers involved in the study (two Curtin university honours students, the two study principal investigators, the senior physiotherapist at Royal Perth Hospital, and two Royal Perth Hospital recruiting physiotherapists) will have access to the study data. All other access requests will be assessed by the principle investigators.
Are there any conditions for requesting access to individual participant data?
-
What individual participant data might be shared?
Individual participant data not covered above
De-identified data for the primary and secondary outcomes will be available.
What types of analyses could be done with individual participant data?
Data analysis was based on achieving the aims in the approved proposal. Data was made available for meta-analysis on request to the principle investigators
Are there extra considerations when requesting access to individual participant data?
No
When can requests for individual data be made (start and end dates)?
From: Data will be available following publication. All data will be kept securely for up to 7 years at Royal Perth Hospital before being destroyed.
To: -