Patient-centred measurement of recovery from day-case surgery using wrist worn accelerometers: a pilot and feasibility study.

Abstract:

:This pilot and feasibility study evaluated wrist-worn accelerometers to measure recovery from day-case surgery in comparison with daily quality of recovery-15 scores. The protocol was designed with extensive patient and public involvement and engagement, and delivered by a research network of anaesthesia trainees. Forty-eight patients recruited through pre-operative assessment clinics wore wrist accelerometers for 7 days before (pre-operative) and immediately after elective surgery (early postoperative), and again at 3 months (late postoperative). Validated activity and quality of recovery questionnaires were administered. Raw accelerometry data were archived and analysed using open source software. The mean (SD) number of valid days of accelerometer wear per participant in the pre-operative, early and late postoperative periods were 5.4 (1.7), 6.6 (1.1) and 6.6 (1.0) days, respectively. On the day after surgery, Euclidian norm minus one (a summary measure of raw accelerations), step count, light physical activity and moderate/vigorous physical activity decreased to 57%, 47%, 59% and 35% of baseline values, respectively. Activity increased progressively on a daily basis but had not returned to baseline values by 7 days. Patient questionnaires suggested subjective recovery by postoperative day 3 to 4; however, accelerometry data showed that activity levels had not returned to baseline at this point. All activity measures had returned to baseline by 3 months. Wrist-worn accelerometery is acceptable to patients and feasible as a surrogate measure for monitoring postoperative recovery from day-case surgery. Our results suggest that patients may overestimate their rate of recovery from day-case surgery, which has important implications for future research.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Ratcliffe AM,Zhai B,Guan Y,Jackson DG,South West Anaesthesia Research Matrix (SWARM).,Sneyd JR

doi

10.1111/anae.15267

subject

Has Abstract

pub_date

2020-10-05 00:00:00

eissn

0003-2409

issn

1365-2044

pub_type

杂志文章
  • Echocardiographic assessment of the haemodynamic effects of propofol: a comparison with etomidate and thiopentone.

    abstract::The haemodynamic effects of propofol (2 mg/kg), etomidate (0.2 mg/kg) and thiopentone (4 mg/kg) were studied in 30 ASA 1 and 2 patients in whom anaesthesia had been induced with midazolam 0.1 mg/kg, fentanyl 5 micrograms/kg, vecuronium 0.1 mg/kg and atropine 10 micrograms/kg, and maintained with nitrous oxide in oxyge...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09349.x

    authors: Gauss A,Heinrich H,Wilder-Smith OH

    更新日期:1991-02-01 00:00:00

  • Tracheal dilatation complicating prolonged tracheal intubation.

    abstract::A patient with severe acute respiratory distress syndrome requiring prolonged tracheal intubation and mechanical ventilation is described. Tracheal dilation was noted to have occurred following an elective surgical tracheostomy. Eventually, the patient was successfully weaned from mechanical ventilation and the trache...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.t01-3-010-az010.x

    authors: Rhodes A,Lamb FJ,Grounds RM,Bennett ED

    更新日期:1997-01-01 00:00:00

  • Plasma concentrations of lignocaine after thoracic paravertebral blockade in infants and children.

    abstract::Plasma concentrations of lignocaine were determined in six ASA 1 children treated with thoracic paravertebral blockade. Peak concentrations ranged between 1.7 and 3.0 micrograms.ml-1 after a bolus injection of lignocaine 0.5 ml.kg-1 (lignocaine 10 mg.ml-1 with adrenaline 5 micrograms.ml-1) and peak plasma concentratio...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb07473.x

    authors: Lönnqvist PA

    更新日期:1993-11-01 00:00:00

  • Assessment of a hygroscopic heat and moisture exchanger for paediatric use.

    abstract::A laboratory study of a widely available heat and moisture exchanger marketed for paediatric use was undertaken. The deadspace, measured by volume displacement, was 12 ml, similar to that of a standard catheter mount for paediatric use. Pressure drop across the device was measured at several different flows in five sa...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb11502.x

    authors: Wilkinson KA,Cranston A,Hatch DJ,Fletcher ME

    更新日期:1991-04-01 00:00:00

  • A randomised placebo-controlled trial of the effects of midazolam premedication on children's postoperative cognition.

    abstract::This randomised, placebo-controlled study assessed the effects of midazolam premedication on children's postoperative cognition and physical morbidity. In all, 179 children aged 5-10 years were randomly assigned to receive buccal midazolam (0.2 mg x kg(-1)) or placebo before sevoflurane-nitrous oxide anaesthesia for m...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05148.x

    authors: Millar K,Asbury AJ,Bowman AW,Hosey MT,Martin K,Musiello T,Welbury RR

    更新日期:2007-09-01 00:00:00

  • The effect of a heat and moisture exchanger on gas flow in a Mapleson F breathing system during inhalational induction.

    abstract::Heat and moisture exchangers (HMEs) humidify, warm and filter inspired gas, protecting patients and apparatus during anaesthesia. Their incorporation into paediatric anaesthetic breathing systems is recommended. We experienced delays in inhalational induction whilst using a Mapleson F breathing system with an HME. We ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2000.01521.x

    authors: Da Fonseca JM,Wheeler DW,Pook JA

    更新日期:2000-06-01 00:00:00

  • Medical emergencies: pulmonary embolism and acute severe asthma.

    abstract::In this, the second of two articles covering specific medical emergencies, we discuss the definitions, epidemiology, pathophysiology, acute and chronic management of pulmonary embolus and acute severe asthma. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.12051

    authors: Somasundaram K,Ball J

    更新日期:2013-01-01 00:00:00

  • 0.125% bupivacaine for obstetric analgesia?

    abstract::A prospective trial was designed to assess the effectiveness of three different concentrations of bupivacaine (Marcain) for use in obstetric epidural analgesia. The purpose of the study was to see if reduction of the concentration of bupivacaine to 0.125% would reduce the total dose of the drug given without reducing ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1978.tb08269.x

    authors: Stainthorp SF,Bradshaw EG,Challen PD,Tobias MA

    更新日期:1978-01-01 00:00:00

  • A comparison of thiopentone and propofol with respect to the incidence of postoperative shivering.

    abstract::One hundred patients (69 female) undergoing surgical excision of three or more wisdom teeth were randomly allocated to receive either thiopentone or propofol for induction of anaesthesia. Other than the induction agent, the anaesthetic regimen was standardised for all cases. All patients were observed for 15 min after...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb04322.x

    authors: Singh P,Harwood R,Cartwright DP,Crossley AW

    更新日期:1994-11-01 00:00:00

  • Comparison of forced-air warming and electric heating pad for maintenance of body temperature during total knee replacement.

    abstract::We conducted a randomised controlled trial to compare the efficacy of forced-air warming (Bair Hugger(trade mark), Augustine Medical model 500/OR, Prairie, MN) with that of an electric heating pad (Operatherm 202, KanMed, Sweden) for maintenance of intra-operative body temperature in 60 patients undergoing total knee ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2006.04816.x

    authors: Ng V,Lai A,Ho V

    更新日期:2006-11-01 00:00:00

  • Brachial plexus palsy after anaesthesia in the sitting position.

    abstract::Unusual case of brachial plexus palsy developed in a patient following general anaesthesia in the sitting position. Congenital skeletal anomalies together with severe bony degenerative changes surrounding the nerve roots probably precipitated the palsy. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb08723.x

    authors: Saady A

    更新日期:1981-02-01 00:00:00

  • Definitions in obstetric anaesthesia: how should we measure anaesthetic workload and what is 'epidural rate'?

    abstract::Crude delivery rate is used to calculate requirements for consultant anaesthetic sessions in the UK, but this calculation is arbitrary and ignores differences in case-mix between units. The term 'epidural rate' is commonly used to indicate regional anaesthetic activity but has never been defined. We challenge both the...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1999.01064.x

    authors: Yentis SM,Robinson PN

    更新日期:1999-10-01 00:00:00

  • Fatal paradoxical thrombo-embolism during anaesthesia.

    abstract::Deep venous thrombosis is a recognised complication of trauma to the leg and may lead to pulmonary thrombo-embolism, but paradoxical thrombo-embolism is rare. A case of fatal paradoxical thrombo-embolism which followed a leg injury in a previously fit 36-year-old male is presented and contributory factors are reviewed...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05544.x

    authors: Coleman SA,Wilson-MacDonald J

    更新日期:1988-03-01 00:00:00

  • Intracranial hypotension headache after uncomplicated caudal epidural injection.

    abstract::A caudal epidural injection was performed on a middle-aged woman for pain in her right foot. Although the procedure was uncomplicated and a good epidurogram was obtained, the patient went on to develop an orthostatic headache with generalised weakness and syncopal episodes that were treated successfully by epidural bl...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06980.x

    authors: Thomas R,Thanthulage S

    更新日期:2012-04-01 00:00:00

  • Ventricular fibrillation after accidental injection of bupivacaine into the pericardium.

    abstract::A postoperative cardiac surgical patient developed ventricular fibrillation immediately after accidental pericardial injection of bupivacaine at room temperature. The possible causes, which include systemic toxicity, local vasoconstriction with myocardial ischaemia, local toxic effect of bupivacaine or local hypotherm...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb04202.x

    authors: Even BJ,De Jongh RF,De Hert SG

    更新日期:1992-12-01 00:00:00

  • Effects of the cervical collar on cerebrospinal fluid pressure.

    abstract::We investigated the hypothesis that cervical collars might compress the internal jugular veins and raise intracranial pressure in head-injured patients. In a randomised, single-blind, crossover study of nine patients scheduled for elective spinal anaesthesia the cerebrospinal fluid pressure in the lumbar subarachnoid ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb03482.x

    authors: Raphael JH,Chotai R

    更新日期:1994-05-01 00:00:00

  • Caesarean section following the Fontan procedure: two different deliveries and different anaesthetic choices in the same patient.

    abstract::The Fontan procedure is performed for patients with a hypoplastic right ventricle, and pregnancies following this palliative surgery are likely to increase. We present a parturient with the Fontan physiology who successfully underwent two consecutive caesarean deliveries; the first under general anaesthesia for emerge...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2005.04334.x

    authors: Eid L,Ginosar Y,Elchalal U,Pollak A,Weiniger CF

    更新日期:2005-11-01 00:00:00

  • Changes in cerebral tissue oxygen saturation during anaesthetic-induced hypotension: an interpretation based on neurovascular coupling and cerebral autoregulation.

    abstract::There is currently no consensus regarding how to intervene in anaesthetic-induced hypotension. Whether or not the balance between cerebral oxygen supply and demand is maintained lacks adequate elucidation. It is thus intriguing to explore how cerebral tissue oxygen saturation is affected by anaesthetic-induced hypoten...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12254

    authors: Meng L,Gelb AW,McDonagh DL

    更新日期:2013-07-01 00:00:00

  • Impact of right-handedness on anaesthetic sensitivity, intra-operative awareness and postoperative mortality.

    abstract::Anatomical, neurological and behavioural research has suggested differences between the brains of right- and non-right-handed individuals, including differences in brain structure, electroencephalogram patterns, explicit memory and sleep architecture. Some studies have also found decreased longevity in left-handed ind...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12676

    authors: Rao S,Huverserian AR,Ben Abdallah A,Lees K,Willingham MD,Burnside BA,Villafranca AJ,Glick DB,Jacobsohn E,Avidan MS

    更新日期:2014-08-01 00:00:00

  • Antireflux valves in patient-controlled analgesia.

    abstract::Antireflux valves are widely used in conjunction with patient-controlled analgesia devices. It is important to appreciate the limitations and dangers of these systems. They can achieve a potential 'stored volume' if occluded and they may, as part of the administration set, retard fluid administration. Seven antireflux...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14889.x

    authors: Kluger MT,Owen H

    更新日期:1990-12-01 00:00:00

  • Evaluation of the Lamtec anaesthetic agent monitor.

    abstract::The Lamtec agent monitor is a compact anaesthetic analyser designed to measure halothane, isoflurane and enflurane. It shows good linearity and stability. The faster model can be used for end-tidal measurements up to 25 breaths per minute. Calibration using a standard of the gas to be measured is recommended. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb11690.x

    authors: Humphrey SJ,Luff NP,White DC

    更新日期:1991-06-01 00:00:00

  • Infusions of propofol to supplement nitrous oxide-oxygen for the maintenance of anaesthesia. A comparison with halothane.

    abstract::The peri-operative and postoperative effects of propofol given by infusion were compared with halothane as a supplement to nitrous oxide-oxygen anaesthesia for body surface surgery in patients who breathed spontaneously. Anaesthesia was induced after opioid premedication, with either propofol 2.5 mg/kg or thiopentone ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb09062.x

    authors: Sear JW,Shaw I,Wolf A,Kay NH

    更新日期:1988-03-01 00:00:00

  • Amniotic fluid embolism.

    abstract::The statement that amniotic fluid embolism is the most dangerous and untreatable condition in obstetrics appears to be true. It must be suspected in any patient who collapses or bleeds excessively during labour or the immediate post-partum period. Attempts should be made to secure a definitive diagnosis in life by exa...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1979.tb04862.x

    authors: Morgan M

    更新日期:1979-01-01 00:00:00

  • Fluidic technology. A discussion and a description of a fluidic controlled ventilator for use with high flow oxygen techniques.

    abstract::The principles of fluidic technology are outlined and applied in the description of a fluidic controlled ventilator. The device is compact, easy to operate and practically fail-safe since it has no moving parts. There is a sensor which prevents any increase in airway pressure above the preset level. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1976.tb11865.x

    authors: Klain M,Smith RB

    更新日期:1976-07-01 00:00:00

  • A comparison of percutaneous and perconjunctival routes of administration of peri-ocular anaesthesia for day case cataract surgery.

    abstract::This study of 100 day case patients having cataract surgery under local anaesthesia compared patient acceptance of two peri-ocular techniques; a transcutaneous method and a transconjunctival method. A significant difference was found in relation to the pain felt on injection such that all peri-ocular blocks at our uni...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06958.x

    authors: Sweeney EJ,Barber K,Prosser JA

    更新日期:1993-04-01 00:00:00

  • Patient blood management during the COVID-19 pandemic: a narrative review.

    abstract::As COVID-19 disease escalates globally, optimising patient outcome during this catastrophic healthcare crisis is the number one priority. The principles of patient blood management are fundamental strategies to improve patient outcomes and should be given high priority in this crisis situation. The aim of this expert ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.15095

    authors: Baron DM,Franchini M,Goobie SM,Javidroozi M,Klein AA,Lasocki S,Liumbruno GM,Muñoz M,Shander A,Spahn DR,Zacharowski K,Meybohm P

    更新日期:2020-08-01 00:00:00

  • Epidural anaesthesia and analgesia for liver resection.

    abstract::Although epidural analgesia is routinely used in many institutions for patients undergoing hepatic resection, there are unresolved issues regarding its safety and efficacy in this setting. We performed a review of papers published in the area of anaesthesia and analgesia for liver resection surgery and selected four a...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.12191

    authors: Tzimas P,Prout J,Papadopoulos G,Mallett SV

    更新日期:2013-06-01 00:00:00

  • Nathan Keep--William Morton's Salieri?

    abstract::Dr Nathan Cooley Keep (1800-1875) was a Boston dentist and doctor who carried our pioneering work in both dentistry and anaesthesia. He worked with William Morton before the first public demonstration of ether anaesthesia, formed the world's first anaesthetic partnership with Morton but parted company with him and lat...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1365-2044.1995.tb04563.x

    authors: Keep P

    更新日期:1995-03-01 00:00:00

  • A new colorimetric breath indicator (Colibri). A comparison of the performance of two carbon dioxide indicators.

    abstract::Colorimetric carbon dioxide indicators are designed for the verification of satisfactory tracheal tube placement. However, widespread use of the device in this and other applications is hampered by limitations in its performance characteristics. A new colorimetric breath indicator (Colibri) has been developed that ove...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Gedeon A,Krill P,Mebius C

    更新日期:1994-09-01 00:00:00

  • Acupuncture and transcutaneous stimulation analgesia in comparison with moderate-dose fentanyl anaesthesia in major surgery. Clinical efficacy and influence on recovery and morbidity.

    abstract::The efficacy of acupuncture and transcutaneous stimulation analgesia, supplemented by small doses of fentanyl (mean 1.2 micrograms/kg, SD 1.7) was compared with moderate-dose fentanyl anaesthesia (mean 22.9 micrograms/kg, SD 2.8) in 29 patients who underwent surgery for retroperitoneal lymph node dissection. The prese...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09359.x

    authors: Kho HG,Eijk RJ,Kapteijns WM,van Egmond J

    更新日期:1991-02-01 00:00:00