UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053254
Receipt number R000060774
Scientific Title Prevention of postoperative skin disorders and pressure injuries in the neurosurgical park bench position surgery: a prospective cohort study
Date of disclosure of the study information 2024/01/01
Last modified on 2024/01/01 01:37:35

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Basic information

Public title

Prevention of postoperative skin disorders and pressure injuries in the neurosurgical park bench position surgery: a prospective cohort study

Acronym

Prevention of postoperative skin disorders and pressure injuries in the neurosurgical park bench position surgery: a prospective cohort study

Scientific Title

Prevention of postoperative skin disorders and pressure injuries in the neurosurgical park bench position surgery: a prospective cohort study

Scientific Title:Acronym

Prevention of postoperative skin disorders and pressure injuries in the neurosurgical park bench position surgery: a prospective cohort study

Region

Japan


Condition

Condition

Neurosurgical park bench position surgery

Classification by specialty

Neurosurgery Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To scrutinize the ramifications of implementing preventative measures against perioperative pressure injuries in the context of neurosurgical park bench positioning. Within the park bench orientation, wherein the cranium and a segment of the upper torso extend beyond the surgical table, the contact surface is notably restricted as compared to the conventional lateral position, consequently increasing the risk of pressure injuries.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary endpoint was the number of post-operative pressure injuries. The secondary endpoints were the number of postoperative skin disorders and the number of postoperative neurological disorders.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

This study was conducted at a medical center between January 2017 and March 2023. All participants were 20 years of age or older at the time of neurosurgery park bench position surgery under general anesthesia.

Key exclusion criteria

The exclusion criteria were children, emergency surgery, and patients with a history or family history of malignant hyperthermia.

Target sample size

56


Research contact person

Name of lead principal investigator

1st name Kentaro
Middle name
Last name Hara

Organization

National Hospital Organization Nagasaki Medical Center

Division name

Operation Center

Zip code

856-8562

Address

Kubara 2-1001-1, Omura, Nagasaki 856-8562, Japan

TEL

+81957523121

Email

haraken1124@gmail.com


Public contact

Name of contact person

1st name Kentaro
Middle name
Last name Hara

Organization

National Hospital Organization Nagasaki Medical Center

Division name

Operation Center

Zip code

8568562

Address

Kubara 2-1001-1, Omura, Nagasaki 856-8562, Japan

TEL

+81957523121

Homepage URL


Email

haraken1124@gmail.com


Sponsor or person

Institute

National Hospital Organization Nagasaki Medical Center

Institute

Department

Personal name



Funding Source

Organization

National Hospital Organization Nagasaki Medical Center

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Hospital Organization Nagasaki Medical Center Ethics Review Committee

Address

Kubara 2-1001-1, Omura, Nagasaki 856-8562, Japan

Tel

+81957523121

Email

haraken1124@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 01 Month 01 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

56

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2017 Year 04 Month 01 Day

Date of IRB

2017 Year 04 Month 01 Day

Anticipated trial start date

2017 Year 04 Month 04 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The primary endpoint was the number of postoperative pressure ulcers. Secondary endpoints were the number of postoperative skin lesions and postoperative neuropathy. Decubitus ulcers were determined according to the National Pressure Ulcer Advisory Panel (NPUAP) classification19) . Preoperative clinical findings (age, gender, height, weight, BMI, ASA classification), preoperative physical findings (nutritional status, paralysis, edema), intraoperative factors (operation time, anesthesia time, blood loss, fluid volume, urine output, mean intraoperative pressure in the axilla and greater trochanter, mean central temperature), postoperative factors (postoperative pressure ulcer and skin lesions in the axilla and greater trochanter, occurrence of pressure ulcer and skin lesions in the axilla and greater trochanter), and the number of patients who underwent surgery. postoperative pressure ulcers and skin lesions in the axilla and greater trochanter, postoperative pressure ulcers and skin lesions outside the axilla and greater trochanter, and postoperative neurological damage) were collected. Postoperative reactive hyperemia was counted if it persisted for more than 15 minutes, taking into account the time between the end of surgery and leaving the operating room.


Management information

Registered date

2024 Year 01 Month 01 Day

Last modified on

2024 Year 01 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060774


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name