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Heart rate variability reflects the autonomic nervous system on the intrinsic activity of sinus node cells. Sympathetic hyperactivity is an adaptation to stress, while parasympathetic hyperactivity is present at rest. Thus, any variability in the heart frequency rate reflects variations in sympathetic and parasympathetic components in the autonomic nervous system. Failure to return to normal or a reduction in the variability of the heart rate in the postoperative period is correlated with complications in colorectal surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients undergoing colorectal surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Heart Rate Variability | Diagnostic Test | Heart rate and RR interval Post-anonymized analysis of heart rate variability using the KUBIOS software |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of variability of the heart rate between Day-1 to Day 7 | Measured by power spectral density; ratio of the high to low frequencies | Day 7 |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7and anastomotic fistula diagnosed according to Center for Diseases Control criteria after scheduled colorectal surgery | Abdominal-pelvic imagery | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and peri-anastomotic fluid collections after scheduled colorectal surgery | Abdominal-pelvic imagery | Hospital discharge (maximum Day 7) |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of intra abdominal abscess | diagnosed on CT-scan | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of gut wall abscess |
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Inclusion Criteria:
Exclusion Criteria:
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All patients undergoing scheduled colorectal resection or operated on in the digestive surgery department of the CHU Nîmes
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Martin Bertrand | Contact | 04.66.68.68.09 | martin.bertrand@chu-nimes.fr |
| Name | Affiliation | Role |
|---|---|---|
| Martin Bertrand | CHU Nimes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nimes | Recruiting | Nîmes | France |
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| Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of pneumonia | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of urinary tract infection | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of central venous catheter infection | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of intra abdominal hematoma | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of hemorrhagic shock | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and death rate | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of deep vein thrombosis | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of pulmonary embolism | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of acute pulmonary edema | Hospital discharge (maximum Day 7) |
| Correlation between the rate of variability of the heart rate between Day-1 to Day 7 and presence of heart disease | Hospital discharge (maximum Day 7) |