Cognitive Outcomes and Neuroimages Associated With Anesthesia-Related EEG Signatures
1 other identifier
observational
24
1 country
1
Brief Summary
In this study, we propose to evaluate the relationship between the alpha oscillation dynamics and the signals derived from the brain images related to brain aging.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Feb 2019
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
First Submitted
Initial submission to the registry
February 14, 2018
CompletedFirst Posted
Study publicly available on registry
February 22, 2018
CompletedStudy Start
First participant enrolled
February 13, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 11, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
May 11, 2024
CompletedAugust 1, 2023
July 1, 2023
4.2 years
February 14, 2018
July 28, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Postoperative Delirium Incidence
postoperative delirium will be assessed using 3-Minute Diagnostic Interview for Confusion Assessment Method (CAM)
on postoperative day 1
Postoperative Cognitive Decline
postoperative cognitive dysfunction will be assessed using the Montreal Cognitive Assessment (MoCA)
one week before the surgery and postoperative day 7
Intraoperative Burst Suppression Time
we will use the EEG data recorded during the surgical procedure to calculate time spent in burst suppression
during the surgical procedure under general anesthesia
Eligibility Criteria
45 subjects (male and female) aged 65 and above scheduled for open or laparoscopic general surgical procedures under general anesthesia
You may qualify if:
- years old or above (male and female)
- American Society of Anesthesiologists (ASA) physical status classification of I, II or III.
- Candidates scheduled for open or laparoscopic general surgical procedures under general anesthesia
- No cognitive impairment base on Telephone Interview for Cognitive Status (TICS)
- Fluency in English Language
You may not qualify if:
- Prior diagnosis of dementia
- Prior diagnosis of Alzheimer's Disease
- Prior history of psychiatric or neurological diseases including:
- Schizophrenia
- Parkinsonism
- Epilepsy or seizure
- Brain injury
- Brain tumors/metastases
- Encephalitis
- Stroke, CVA, TIA
- Drug or alcohol abuse:
- Any history of IV drug abuse
- Alcohol/drug (non-IV) abuse \<10 years
- Language impairment
- Hearing or visual impairment
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Related Publications (37)
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PMID: 21149695BACKGROUNDFlores FJ, Hartnack KE, Fath AB, Kim SE, Wilson MA, Brown EN, Purdon PL. Thalamocortical synchronization during induction and emergence from propofol-induced unconsciousness. Proc Natl Acad Sci U S A. 2017 Aug 8;114(32):E6660-E6668. doi: 10.1073/pnas.1700148114. Epub 2017 Jul 25.
PMID: 28743752BACKGROUNDFritz BA, Kalarickal PL, Maybrier HR, Muench MR, Dearth D, Chen Y, Escallier KE, Ben Abdallah A, Lin N, Avidan MS. Intraoperative Electroencephalogram Suppression Predicts Postoperative Delirium. Anesth Analg. 2016 Jan;122(1):234-42. doi: 10.1213/ANE.0000000000000989.
PMID: 26418126BACKGROUNDGuidera JA, Taylor NE, Lee JT, Vlasov KY, Pei J, Stephen EP, Mayo JP, Brown EN, Solt K. Sevoflurane Induces Coherent Slow-Delta Oscillations in Rats. Front Neural Circuits. 2017 Jul 4;11:36. doi: 10.3389/fncir.2017.00036. eCollection 2017.
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PMID: 15616062BACKGROUNDKrenk L, Rasmussen LS. Postoperative delirium and postoperative cognitive dysfunction in the elderly - what are the differences? Minerva Anestesiol. 2011 Jul;77(7):742-9.
PMID: 21709661BACKGROUNDLewis LD, Ching S, Weiner VS, Peterfreund RA, Eskandar EN, Cash SS, Brown EN, Purdon PL. Local cortical dynamics of burst suppression in the anaesthetized brain. Brain. 2013 Sep;136(Pt 9):2727-37. doi: 10.1093/brain/awt174. Epub 2013 Jul 25.
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PMID: 27752068BACKGROUND
Biospecimen
Blood samples to assess inflammatory markers.
Study Officials
- PRINCIPAL INVESTIGATOR
Patrick L. Purdon, PhD
Massachusetts General Hospital
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Anaesthesia
Study Record Dates
First Submitted
February 14, 2018
First Posted
February 22, 2018
Study Start
February 13, 2019
Primary Completion
May 11, 2023
Study Completion
May 11, 2024
Last Updated
August 1, 2023
Record last verified: 2023-07