Health Condition 1: C00-C14- Malignant neoplasms of lip, oral cavity and pharynx
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients having head and neck cancer undergoing elective tumor resection surgery
Exclusion criteria
Exclusion criteria: 1.Less than 18 years age. 2. patients apart from head and neck cancers. 3. Patient with pre-existing (before diagnosis of cancer) history of sleep disturbance or hereditary sleep disturbance. 4. Patient with advance cardio-pulmonary compromise (NYHA class 4). 5. Patients with history of psychiatric illness mainly Schizophrenia or other psychosis or neurosis. 6. Patient unable to communicate or understand the assessment tools. 7. BMI more than 30. 8. Diabetic patients and Hypertensive patients. 9. Patients receiving exogenous thyroid supplements or antithyroid medications. 10. ASA grade IlI and IV. 11. Major blood loss during surgery. 12. Missing data on study variables 13. Patients refusing informed consent 14. Patients receiving medications known to interfere with hormonal response to stress (e.g. Beta blockers, steroids etc)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. IVCCI as a determinant of intravascular volume status.(average of 3 readings) 2. Sleep score as determined by the wrist sleep tracking device (average reading of 3 preoperative days). 3. Serum cortisol and CRP levels (taken 8PM previous day, 8AM in the morning, 2 hours after induction of anaesthesia and 24 hours after surgery).Timepoint: serum stress biomarkers taken 8PM previous day, 8AM in the morning, 2 hours after surgery and 24 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Relation between sleep score (as measured by wrist sleep tracking device) and stress markers (Cortisol). Relation between in hospital sleep score and the PSQI score (sleep quality over previous one month)Timepoint: 4 weeks | — |
Countries
India
Contacts
AIIMS, Bhopal