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Semi-up Right Position Study
Sponsor: University Health Network, Toronto
Summary
Our main objective is to perform an explanatory, first stage proof of concept, randomized controlled trial to determine whether a semi-upright patient position versus a supine position while asleep in the postoperative period helps decrease the worsening of AHI in patients diagnosed with OSA and compare this to usual care (i.e. supine patient positioning while asleep). The investigators will evaluate whether a semi-upright position reduces: worsening of AHI (as measured with a portable PSG) on the second postoperative night (POD2); oxygen desaturation index (using a portable oxygen saturation monitor, oxygen desaturation defined as \>4% change below baseline lasting for 10 seconds); REM sleep related change in AHI at baseline and POD2.; major and minor perioperative complications on postoperative day POD1, POD2, at discharge and POD 30.; length of hospital stay and readmission within 30 days; and patient satisfaction score on POD30
Official title: Does a Semi-upright Position During Sleep Prevent Worsening of Severity of Obstructive Sleep Apnea (OSA) on the Second Postoperative Night in Patients Following Elective Inpatient Surgery? A Two Arm, Parallel, Randomized, Controlled, First Stage Proof of Concept Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
164
Start Date
2011-07
Completion Date
2016-12
Last Updated
2026-05-04
Healthy Volunteers
No
Conditions
Interventions
Semi-upright position
In this group patients' bed will be set into 45 degree angle during sleep in the night time.
Supine position
Control: Supine position during nocturnal sleep for at least two postoperative nights.
Locations (4)
Mount Sinai Hospital, Department of Anesthesia
Toronto, Ontario, Canada
Toronto Western Hospital, Department of Aneshtesia
Toronto, Ontario, Canada
University Health Network, Department of Anesthesia
Toronto, Ontario, Canada
Toronto Western Hospital, Department of Aneshtesia
Toronto, Ontario, Canada