Immune-Nutritional Scores and Sleep Quality After Total Abdominal Hysterectomy

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18-70
SponsorIstinye University

About this trial

This prospective observational study aims to evaluate the relationship between preoperative immune-nutritional status and postoperative sleep quality in women undergoing total abdominal hysterectomy under general anesthesia. Immune-nutritional scores, including the Prognostic Nutritional Index (PNI) and Hemoglobin-Albumin-Lymphocyte-Platelet (HALP) score, will be calculated using routine preoperative blood parameters. Postoperative sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire (RCSQ). Secondary outcomes include postoperative pain scores and patient satisfaction. The study will enroll 60 patients and seeks to determine whether preoperative physiological markers can predict subjective recovery parameters such as sleep and comfort, potentially contributing to personalized perioperative care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Female patients aged 18-70

ASA physical status I-III

Undergoing elective total abdominal hysterectomy under general anesthesia

Available complete blood count and biochemistry results within 24 hours preoperatively

Disqualifiers

History of neurological or psychiatric illness

Diagnosed sleep disorders

Current use of sedative or hypnotic medications

Undergoing additional surgical procedures during operation

Trial population

The study population consists of female patients aged 18 to 70 years undergoing elective total abdominal hysterectomy under general anesthesia at Haseki Training and Research Hospital. Participants must have available preoperative laboratory data and be able to complete postoperative questionnaires.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Immune-Nutritional Scoring and Postoperative Sleep Assessment

    Other intervention

    Routine preoperative laboratory data (hemoglobin, albumin, lymphocyte, platelet) will be used to calculate immune-nutritional scores (HALP, PNI). Postoperative sleep quality will be assessed with the Richards-Campbell Sleep Questionnaire (RCSQ).

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Postoperative Sleep Quality Score

Sleep quality will be measured using the Richards-Campbell Sleep Questionnaire (RCSQ), a validated 5-item instrument assessing sleep depth, latency, number of awakenings, efficiency, and overall quality. Each item is scored from 0 to 100, with higher scores indicating better sleep quality.

Time frame
Postoperative first night

Secondary outcomes

1

Postoperative Pain Score

Pain levels will be assessed using the Visual Analog Scale (VAS), ranging from 0 (no pain) to 10 (worst pain imaginable). Scores will be recorded at rest and during mobilization on each postoperative day.

Time frame
Post-anesthesia care unit (PACU), postoperative day 1 and day 2 (rest and mobilization)
2

Patient Satisfaction Score

Overall patient satisfaction with the perioperative experience will be assessed using a 0-10 numeric rating scale, with higher scores indicating greater satisfaction.

Time frame
Postoperative day 2

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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Istinye University

Lead sponsor

Haseki Training and Research Hospital

Sponsor institution

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