Dexamethasone for the Prevention of Recurrent Laryngeal Nerve Palsy
1 other identifier
observational
328
1 country
1
Brief Summary
Recurrent laryngeal nerve dysfunction and hypoparathyroidism are well-recognized important complications of thyroid surgery. The duration of convalescence, after non complicated thyroid operation, may depend on several factors of which pain and fatigue are the most important. Nausea and vomiting occur mainly on the day of operation. Glucocorticoids are well known for their analgesic, anti-inflammatory, immune modulating and antiemetic effects. The investigators therefore undertook the present study to investigate whether preoperative dexamethasone could improve surgical outcome in patients undergoing thyroid surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2008
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2012
CompletedFirst Submitted
Initial submission to the registry
September 19, 2012
CompletedFirst Posted
Study publicly available on registry
September 24, 2012
CompletedSeptember 26, 2012
August 1, 2011
4 years
September 19, 2012
September 25, 2012
Conditions
Study Arms (2)
dexamethasone
Patients who receive dexamethasone (8 mg; Decadron; Merck Sharp \& Dohme) intravenously 90 min before skin incision
placebo
Patients who receive saline placebo intravenously 90 min before skin incision
Eligibility Criteria
patients undergoing thyroid surgery for benign and malignant thyroidal disease
You may qualify if:
- patients undergoing thyroid surgery
You may not qualify if:
- ASA physical class III or IV
- age \> 75 years
- pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
ospedale San Salvatore-Reparto di Chirurgia Generale Universitaria
L’Aquila, AQ, 67100, Italy
Related Publications (1)
Schietroma M, Cecilia EM, Carlei F, Sista F, De Santis G, Lancione L, Amicucci G. Dexamethasone for the prevention of recurrent laryngeal nerve palsy and other complications after thyroid surgery: a randomized double-blind placebo-controlled trial. JAMA Otolaryngol Head Neck Surg. 2013 May;139(5):471-8. doi: 10.1001/jamaoto.2013.2821.
PMID: 23681030DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Emanuela M CECILIA, M.D.
Università degli Studi dell'Aquila
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- M.D.
Study Record Dates
First Submitted
September 19, 2012
First Posted
September 24, 2012
Study Start
January 1, 2008
Primary Completion
January 1, 2012
Study Completion
March 1, 2012
Last Updated
September 26, 2012
Record last verified: 2011-08