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The recovery of patients after general anaesthesia is usually estimated by using clinical signs and scores. Since there is a lack of the agreed objective methods for assessing cognitive and psychomotor recovery after general anaesthesia in ambulatory settings, the aim of this study was to evaluate three psychological tests for this purpose. Patients, who were scheduled for ambulatory gynaecological surgery, underwent 3 standard psychological tests before (T1), 15 minutes after the surgery (T2) and on discharge from the recovery room (T3). The tests used were Wechsler memory scale (test 1, working memory capacity), d2 - test (test 2, concentration endurance) and computer-based 4-choice-reaction time (4CRT, test 3, reaction time) as well as Postanesthesia Discharge Scoring System (PADSS). The same test battery was used in healthy female volunteers, all test results were compared at the different time points.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients | Patients scheduled for elective ambulatory gynaecological surgery, which was performed under standardised general anaesthesia |
| |
| healthy volunteers | Female healthy volunteers matched to the patient group regarding the age |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| General anaesthesia | Procedure | Standard general anaesthesia for gynecologic surgery in patient group |
|
| Measure | Description | Time Frame |
|---|---|---|
| 4CRT_15_min | Change of four choice reaction time (4CRT) at 15 minutes after surgery from baseline | 15 minutes after the end of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| PADSS (Patient Discharge Scoring System) | Post Anaesthetic Discharge Scoring System (PADSS) is a clinically-based, objective scoring system used to measure the home readiness of patients following day surgery. PADSS consists of six criteria: ambulation, circulation (blood pressure monitoring), nausea/vomiting, pain and surgical bleeding bleeding. Each criterion is given a score ranging from 0 to 2, maximal score is 10. Only patients who achieve a score of 9 or more are considered ready for discharge. |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive patients scheduled for ambulatory gynaecologic surgery were asked to participate in the study during the routine informed consent process for anaesthesia. The inclusion criteria are listed in previous Section. A group of healthy female volunteers, meeting the eligibility criteria, completed the same study procedure without a surgery at three matched time points; none of them was taking any medication at the time of the study. Written informed consent was obtained from all individuals.
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Hesse, MD | University Medicine of Greifswald | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Medicine of Greifswald | Greifswald | Germany |
We will send the IPD on request via email.
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| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000768 | Anesthesia, General |
| ID | Term |
|---|---|
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| Measured 60 minutes after the end of surgery |