Thoracic Surgery
Conditions
Brief summary
Lung cancer is the leading cause of death in men and the second in women with a 5 year survival in Europe of less than 15%. One of the methods most used for its treatment is pulmonary resection. The objective of this study is to analyze the clinical profile presented to patients after pulmonary resection.
Detailed description
One of the most widely used methods for the treatment of lung cancer is pulmonary resection. The morbidity and mortality of pulmonary resection surgery is conditioned by both the type of intervention and the patient's condition. Functional deterioration is a risk associated with hospitalization in the elderly, with a high prevalence (35-70%) and serious consequences, since in the majority it can lead to the appearance of complications not related to the reason for admission or the specific treatment. It is very important to evaluate the clinical profile of patients after pulmonary resection in order to stablish a more specific repercussion.
Interventions
None listed
Sponsors
Universidad de Granada
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient admitted for lung resection and who sign the informed consent
Exclusion criteria
* Patients who did not agree to sign informed consent and those who presented other types of problems to be able to adequately carry out the assessment, such as not handling the language.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Strength in upper and lower limbs | Baseline, up to 1 month | Changes from baseline to postintervention during hospital stay in lower and upper limbs strength. The quadriceps and the hand-grip strength is assessed using a portable dynamometer with a standard protocol allowing three attempts on each side. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Exercise capacity | Baseline, up to 1 month | Five times sit to stand test (5STS) will be used to assess exercise capacity. 5STS is a simple assessment tool that is feasible in all healthcare settings and involves asking the patient to stand up 5 times for the shortest possible time without arm support.. Saturation and heart rate will be monitored as well as levels of dyspnea and fatigue of the patient. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Changes in quality of sleep | Baseline, up to 1 month | changes in quality of sleep from baseline to postintervention. For this purpose, the participants are going to complete the Pittsburgh Quality of Sleep Index. This is a self-rating questionnaire with seven subscores that result in a global score between 0 and 21. |
| Comorbidities | Baseline | Charlson Comorbidity Index will be used to assess the comorbidities of the patients, it is a simple and valid method of estimating risk of death from comorbid disease. It contains 19 categories of comorbidity and predicts the ten-year mortality for a patient who may have a range of co-morbid conditions. Each condition is assigned with a score of 1, 2, 3 or 6 depending on the risk of dying associated with this condition. |
| Nutritional status | Baseline, up to 1 month | Nutritional status was evaluated with Mini nutritional assessment (MNA) test, that is validated to provide a single, rapid assessment of nutritional status in elderly patients in outpatient clinics, hospitals, and nursing homes. The MNA test is composed of simple measurements and brief questions that can be completed in about 10 min. |
| Mood | Baseline, up to 1 month | Mood in these patients will be measured by the Hospital Anxiety and Depression Scale. |
| Dependence | Baseline, up to 1 month | The Barthel Index determines the degree of dependence of the patient for performing the basic activities of daily living. It is a questionnaire that consists of 10 items, and at lower score, more dependency; and higher score, more independence. |
| Pain | Baseline, up to 1 month | Pain will be assessed by using the Visual Analogue Scale |
| Cough | Baseline, up to 1 month | The cough will be assessed with the Leicester cough questionnaire that objectively assesses chronic cough and its effect on quality of life. It is structured in three domains: physical, psychological and social. |
| Dyspnoea | PBaseline, up to 1 month | Changes from baseline to postintervention in dyspnoea measured with Borg Scale |
| Fatigue | Baseline, up to 1 month | Fatigue will be assessed with the Fatigue Severity Scale (FSS). The FSS is a nine-item instrument designed to assess fatigue as a symptom of a variety of different chronic conditions and disorders. The scale addresses fatigue's effects on daily functioning, and its relation to motivation, physical activity, work, family, and social life, and the answers to the problem with which they are fatigued and the degree to which the problem poses a problem for them . |
Countries
Spain
Contacts
Primary ContactMarie Carmen Valenza, PhD
Outcome results
None listed