NCT03028389

Brief Summary

To investigate whether limb remote ischemic preconditioning (LRIP) could safely decrease the incidence of delirium in elderly patients after non-cardiac surgery.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
611

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2017

Status
unknown

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

First Submitted

Initial submission to the registry

January 19, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 23, 2017

Completed
9 days until next milestone

Study Start

First participant enrolled

February 1, 2017

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2017

Completed
Last Updated

January 23, 2017

Status Verified

January 1, 2017

Enrollment Period

Same day

First QC Date

January 19, 2017

Last Update Submit

January 19, 2017

Conditions

Keywords

elderly patientsnon-cardiac surgeryischemic preconditioningdelirium

Outcome Measures

Primary Outcomes (1)

  • the incidence of delirium

    in the first 7 days after surgery

Study Arms (2)

Limb RIPC

EXPERIMENTAL

The limb RIPC protocol was applied after anesthetic induction and before the start of surgery. The limb RIPC was induced by placing a blood pressure cuff on the left upper arm of patient for three inflating-deflating cycles: 5 min inflating to 200 mmHg followed by a 5 min reperfusion with deflating the cuff.

Procedure: limb remote ischemic preconditioning(LRIP)

Convention

NO INTERVENTION

Elderly patients undergoing non-cardiac surgery received no treatment after induction of anaesthesia

Interventions

LRIP consisted of three cycles of left upper limb ischemia induced by inflating a blood pressure cuff on the left upper arm to 200mmHg, with an intervening 5 minutes of reperfusion, during which time the cuff was deflated.

Also known as: LRIP
Limb RIPC

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • elderly patients received elective non-cardiac surgery with general anesthesia
  • anticipated surgery time \> 2 hours

You may not qualify if:

  • age \< 65 years old
  • Acute coronary syndrome or myocardial infraction within 3 months
  • Chronic obstructive pulmonary emphysema
  • Serious hepatic dysfunction (Child-Pugh class C)
  • serious renal dysfunction (undergoing dialysis before surgery)
  • Ejection fraction less than 40%
  • Poor pulmonary function (PaO2 \<60mmHg)
  • Preoperative history of schizophrenia, epilepsy, Parkinsonism, or myasthenia gravis
  • Inability to communicate in the preoperative period (coma, profound dementia, or language barrier)
  • Brain injury or neurosurgery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Delirium

Condition Hierarchy (Ancestors)

ConfusionNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesSigns and SymptomsPathological Conditions, Signs and SymptomsNeurocognitive DisordersMental Disorders

Study Officials

  • Ke-Xuan Liu, Ph.D

    Nanfang Hospital, the Southern Medical University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Department of Anesthesiology, Nanfang Hospital, Southern Medical University, Guangzhou, China

Study Record Dates

First Submitted

January 19, 2017

First Posted

January 23, 2017

Study Start

February 1, 2017

Primary Completion

February 1, 2017

Study Completion

February 1, 2017

Last Updated

January 23, 2017

Record last verified: 2017-01

Data Sharing

IPD Sharing
Will not share