Incidence and Risk Factors of Peri-operative Stroke in Non-cardiac,Non-neurosurgical Surgeries
POSIC
Multi-center Prospective Investigation of Incidence and Risk Factors of Peri-operative Stroke in Non-cardiac,Non-neurosurgical Surgeries and Practicability of NIHSS in Screening Peri-operative Strokes
1 other identifier
observational
10,000
1 country
6
Brief Summary
Stroke is an important cause of perioperative morbidity and mortality, particularly in patients \> 60 years. In cardiac, neurological and carotid surgery the incidence is known to be high (2.2-5.2%). However, little is known regarding perioperative stroke following other types of surgery including general, urological, orthopedic, thoracic and gynecological procedures. We therefore propose to undertake a multicenter, observational cohort study, to determine the current incidence of, the risk factors for, and outcome associated with perioperative stroke in patients undergoing non-cardiac and non-neurological 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 Mar 2012
Longer than P75 for all trials
6 active sites
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
March 1, 2012
CompletedFirst Submitted
Initial submission to the registry
December 23, 2012
CompletedFirst Posted
Study publicly available on registry
January 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2021
CompletedJuly 16, 2020
November 1, 2013
3 years
December 23, 2012
July 15, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
perioperative stroke occurs during and within 30 days after surgery.
The primary outcome is perioperative stroke occurs during and within 30 days after surgery. This is defined as cerebral infarction or hemorrhage on computer tomography or magnetic resonance scan, or new neurological signs (paralysis, weakness or speech difficulties) lasting more than 24 hours or leading to death. The mechanism of stroke will be classified using the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria.
30 days after suegery
Secondary Outcomes (1)
total mortality and other major vascular complications up until 30 days after surgery
30 days after suegery
Study Arms (6)
Beijing Chaoyang Hospital
2000 cases
Peking University Hospital
2000 cases
Zhongshan Hospital of Fudan University
2000 cases
Tongji Hospital, Wuhan
2000 cases
Tangdu Hospital, Xi'an
2000 cases
The Prince Welsh Hospital
1000 cases
Eligibility Criteria
We propose a sample size of 10,000 patients to ensure a stable logistic model for an anticipated stroke rate of 1.0%.
You may qualify if:
- Ages Eligible for Study: 60 Years and older
- Genders Eligible for Study: Both
- Accepts Healthy Volunteers: No
- Sampling Method: Probability Sample
You may not qualify if:
- hospital stay after surgery less than 3 days
- not consent of the assessment
- surgery canceled
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (6)
Beijing Chaoyang Hospital, Capital Medical University
Beijing, Beijing Municipality, 100013, China
No.1 Hospital of Peking University
Beijing, China
Prince of Wales Hospital
Hong Kong, China
Zhongshan Hospital, Fudan University
Shanghai, China
Tongji Hospital, Huazhong University of Science and Technology
Wuhan, China
Tangdu Hospital, The Fourth Military Medical University
Xi'an, China
Related Publications (1)
Ng JL, Chan MT, Gelb AW. Perioperative stroke in noncardiac, nonneurosurgical surgery. Anesthesiology. 2011 Oct;115(4):879-90. doi: 10.1097/ALN.0b013e31822e9499.
PMID: 21862923BACKGROUND
Biospecimen
whole blood, serum, white cells
Study Officials
- STUDY CHAIR
Yun Yue, MD
Beijing Chao Yang Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 1 Month
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 23, 2012
First Posted
January 1, 2013
Study Start
March 1, 2012
Primary Completion
March 1, 2015
Study Completion
March 1, 2021
Last Updated
July 16, 2020
Record last verified: 2013-11