Trial Outcomes & Findings for Postoperative Activity Restrictions in Children (NCT NCT04145895)

NCT ID: NCT04145895

Last Updated: 2024-01-24

Results Overview

Number of child participants who developed post op complications

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

168 participants

Primary outcome timeframe

six weeks post op

Results posted on

2024-01-24

Participant Flow

Total enrollment numbers represent both children and parents/guardians.

Participant milestones

Participant milestones
Measure
Physician-directed Postoperative Activity Restriction
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Overall Study
STARTED
42
126
Overall Study
COMPLETED
40
124
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Physician-directed Postoperative Activity Restriction
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Overall Study
Physician Decision
2
0
Overall Study
Withdrawal by Subject
0
2

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Physician-directed Postoperative Activity Restriction
n=20 Participants
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
n=62 Participants
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Total
n=82 Participants
Total of all reporting groups
Age, Continuous
8.0 years
STANDARD_DEVIATION 4.4 • n=20 Participants
11.3 years
STANDARD_DEVIATION 3.2 • n=62 Participants
10.5 years
STANDARD_DEVIATION 3.8 • n=82 Participants
Sex: Female, Male
Female
8 Participants
n=20 Participants
25 Participants
n=62 Participants
33 Participants
n=82 Participants
Sex: Female, Male
Male
12 Participants
n=20 Participants
37 Participants
n=62 Participants
49 Participants
n=82 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
20 participants
n=20 Participants
62 participants
n=62 Participants
82 participants
n=82 Participants

PRIMARY outcome

Timeframe: six weeks post op

Population: data analyzed only for child participants

Number of child participants who developed post op complications

Outcome measures

Outcome measures
Measure
Physician-directed Postoperative Activity Restriction
n=20 Participants
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
n=62 Participants
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Post Operative Outcomes - Clinical Complications
2 Participants
5 Participants

PRIMARY outcome

Timeframe: six weeks post op

Population: Both children and parents completed satisfaction surveys. Satisfaction data available only for the n=106 who completed the post-op survey.

Median satisfaction score ranging from 0-12 on a scale where 0=very satisfied, 1= satisfied, 2= neither satisfied nor dissatisfied, 3= dissatisfied, 4= very dissatisfied, and defined as combination of child + parent + discharge guidelines satisfaction ratings. Lower numbers = more satisfaction.

Outcome measures

Outcome measures
Measure
Physician-directed Postoperative Activity Restriction
n=22 Participants
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
n=84 Participants
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Post Operative Outcomes - Patient Satisfaction (Combination of Child, Parent and Satisfaction With Discharge Guidelines)
0 score on a scale
Interval 0.0 to 1.0
0 score on a scale
Interval 0.0 to 5.0

PRIMARY outcome

Timeframe: six weeks post op

Population: Data analyzed for child participants with survey responses.

Mean/Standard deviation (SD) number of days to return to full activity

Outcome measures

Outcome measures
Measure
Physician-directed Postoperative Activity Restriction
n=11 Participants
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
n=41 Participants
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Post Operative Outcomes - Length of Time to Return to Full Activity
11.9 days
Standard Deviation 7.5
8.9 days
Standard Deviation 5.3

SECONDARY outcome

Timeframe: six weeks post op

Population: data analyzed only for parent/guardian participants

Number of parents/guardians who chose self-directed post operative instructions

Outcome measures

Outcome measures
Measure
Physician-directed Postoperative Activity Restriction
n=20 Participants
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
n=62 Participants
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Number of Parents/Guardians Choosing Self-directed Post Operative Instructions
0 Participants
62 Participants

SECONDARY outcome

Timeframe: six weeks post op

Population: data analyzed only for parent/guardian participants

Number of parent/guardian who chose physician-directed post operative instructions

Outcome measures

Outcome measures
Measure
Physician-directed Postoperative Activity Restriction
n=20 Participants
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
n=62 Participants
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Number of Parent/Guardians Choosing Physician-directed Post Operative Instructions
20 Participants
0 Participants

SECONDARY outcome

Timeframe: six weeks post op

Population: data analyzed for parents who reported taking time off in survey

Mean/SD number of days parents took off work during the post operative period

Outcome measures

Outcome measures
Measure
Physician-directed Postoperative Activity Restriction
n=10 Participants
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
n=36 Participants
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Number of Parental Days Off Work Taken in the Self-directed Post Operative Course Group Versus Physician-directed Course Group
2.1 days
Standard Deviation 4.3
1.4 days
Standard Deviation 2.7

Adverse Events

Physician-directed Postoperative Activity Restriction

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Self-directed Postoperative Activity Restriction

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Physician-directed Postoperative Activity Restriction
n=20 participants at risk
Postoperative activity restrictions prescribed by physician. Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Self-directed Postoperative Activity Restriction
n=62 participants at risk
Postoperative activity restrictions self-determined (parent/guardian and/or patient). Postoperative activity restrictions: Recommendations for return to full activity including return to school, sports, exercise, etc.
Infections and infestations
infection requiring antibiotics
5.0%
1/20 • Number of events 1 • 6 months post procedure
adverse event data not collected from parents
3.2%
2/62 • Number of events 2 • 6 months post procedure
adverse event data not collected from parents
Surgical and medical procedures
anesthesia reaction
5.0%
1/20 • Number of events 1 • 6 months post procedure
adverse event data not collected from parents
0.00%
0/62 • 6 months post procedure
adverse event data not collected from parents
Skin and subcutaneous tissue disorders
skin inflammation
0.00%
0/20 • 6 months post procedure
adverse event data not collected from parents
1.6%
1/62 • Number of events 1 • 6 months post procedure
adverse event data not collected from parents
Renal and urinary disorders
urinary tract infection
0.00%
0/20 • 6 months post procedure
adverse event data not collected from parents
1.6%
1/62 • Number of events 1 • 6 months post procedure
adverse event data not collected from parents
Skin and subcutaneous tissue disorders
drug rash
0.00%
0/20 • 6 months post procedure
adverse event data not collected from parents
1.6%
1/62 • Number of events 1 • 6 months post procedure
adverse event data not collected from parents

Additional Information

Diane Studzinski

Beaumont Hospitals

Phone: 2485512570

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place