Long Term Cardiovascular Disease Event Risk for Patients Undergoing Major Non-Cardiac Surgery
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Healthy lifestyle behaviors around the time of surgery.
- Кому может быть актуально
- Состояния в реестре: Cardiovascular Diseases, Risk Reduction Behavior. Базовые параметры: 45 лет — 75 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Канада
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Long Term Cardiovascular Disease Event Risk for Patients Undergoing Major Non-Cardiac
Обзор
The goal of this observational study is to learn whether the healthy lifestyle choices made around surgery can influence an individual's long term risk of developing cardiovascular disease. Patients will be observed 1-month prior to and 3-months following surgery to assess their risk of developing cardiovascular disease.
Подробное описание
Patients who experience a medical event are often motivated to improve their health by engaging in healthy lifestyle behaviors, such as improving their diet and beginning to exercise. For example, patients who are considered smokers prior to surgery may sometimes stop smoking following surgery. However, we are unsure of other changes following surgery. For example, we are unsure if surgery can initiate any changes in exercise and diet, and we are unsure if these changes can influence the risk of developing cardiovascular disease. Consistent and positive lifestyle changes will likely reduce an individual's risk of developing cardiovascular disease in the long term.
Вмешательства
- Поведенческое Healthy lifestyle behaviors around the time of surgery
Healthy lifestyle choices, such as improving diet and beginning to exercise around the time of surgery and it's influence on an individual's long term risk of developing cardiovascular disease.
Первичные конечные точки
- Baseline assessment for calculating the pre-operative 10-year CVD event risk [Срок оценки: 1 month before surgery]
- Follow-up assessment for calculating the post-operative 10-year CVD event risk [Срок оценки: 3 months after surgery]
Вторичные конечные точки (1)
- Occurrence of Cardiovascular or Non-Cardiovascular event [Срок оценки: 30 days after surgery]
Критерии участия
Критерии включения
- Age 45 - 75 years
- Scheduled for intermediate- to high risk non-cardiac surgery (intra-thoracic or intra-abdominal surgery, all vascular surgery, intra-cranial neurosurgery, spine surgery)
- Expected post-operative length of stay of at least two days, according to the surgeon's expectation
- At least two of the following CVD risk factors:
History of: Hypertension, Diabetes, Coronary artery disease, Chronic heart failure, Chronic kidney disease, Cerebrovascular disease, Peripheral vascular disease.
Obesity (BMI >25 kg/m2), Current smoking, Poor exercise capacity (<4 METS)
Критерии исключения
- Currently participating in a CVD risk reduction program
- Patient is scheduled to undergo transplant or has undergone emergency surgery
- Life expectancy <1 year (palliative surgery)
- Recent (<6 months) myocardial infarction or stroke
- Surgery scheduled <1 month
- Inability to effectively communicate
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Канада · 1 центр
- Toronto General Hospital — Toronto
Идентификаторы
NCT: NCT05732714 · 22-5869