Paresthesia in Hand and Antebrachium Following CardiacSurgery: Incidence, Risk Factors and Clinical Course

NCT ID: NCT06088823

Last Updated: 2024-09-19

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 361 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2023-10-06
• Study Completion Date: 2024-01-09

Brief Summary

To describe the incidence and severity of Paresthesia in Hand and Antebrachium in patients that have undergone CardiacSurgery.

Detailed Description

Some patients report tingling and/or numbness in hand and/or antebrachium after cardiac surgery, but potential risc factors and clinical course are not well described, and the incidence or severity is not known. Many factors may impact on the development of these complaints: age, BMI, pre-operative neurological deficits, diabetes, type, technique and duration of cardiac surgery, positioning of arms and hands during surgery, placement of the arterial line, time-to-extubation and post-operative positioning during this period.

The investigators aim to describe incidence and clinical course of these complaints and possibly identify modifiable risc factors in a retrospective cohort of patients that have undergone fast-track cardiac surgery, as a part of the on-going patient-centered quality improvement.

The study included 361 patients. Conclusion The incidence of hand paresthesia following cardiac surgery was 10%. This study found an increased occurrence of paresthesia after aortic valve surgery and prolonged aortic cross-clamp duration; these differences were not statistically significant. The impact of arterial line placement and patient positioning as a risk factor remains unclear. The majority of patients with paresthesia were overweight and had pre-existing comorbidity, with 11% reporting preoperative paresthesia. The clinical course of hand paresthesia following cardiac surgery was predominantly transient and not severe.

Conditions

Paresthesia; Peri-operative Injury; Complication,Postoperative; Upper Limb Nerve Lesion

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Study Groups

No paresthesia

Patients that had no registration of post-operative paresthesia in hand or lower arm after cardiac surgery

Heart surgery

Intervention Type: OTHER

Adult cardiac surgery

Paresthesia

Patients that had one o more registrations of post-operative paresthesia in hand or lower arm after cardiac surgery

Heart surgery

Intervention Type: OTHER

Adult cardiac surgery

Interventions

Heart surgery

Adult cardiac surgery

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• adult patients
• cardiac surgery in the period from january 2022 to december 2023
• perioperative data entered into the quality database SafeBrain

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Rigshospitalet, Denmark

OTHER

Sponsor Role: lead

Responsible Party

Vibeke Lind Jørgensen

Consultant, PhD, principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Vibeke Renee Lind Jørgensen

København Ø, , Denmark

Countries

Denmark

Other Identifiers

kandidatopgave NFL 2023

Identifier Type: -

Identifier Source: org_study_id