Probiotics Attenuate Postoperative Cognition Decline
Probiotics Oral Administration Attenuate Postoperative Cognition Decline in Elderly Orthopedic Patients
1 other identifier
interventional
220
1 country
3
Brief Summary
The aim of this study was to evaluate whether perioperative probiotics can reduce the incidence of postoperative cognitive dysfunction and postoperative delirium.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2019
Longer than P75 for not_applicable
3 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
First Submitted
Initial submission to the registry
July 9, 2019
CompletedFirst Posted
Study publicly available on registry
July 12, 2019
CompletedStudy Start
First participant enrolled
December 15, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2023
CompletedMay 2, 2022
April 1, 2022
4 years
July 9, 2019
April 26, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of POCD 7days after surgery
The seventh day after surgery
Secondary Outcomes (2)
Incidence of POCD 1 month after operation
One month after surgery
Incidence of POD 7 days after surgery
One day after surgery to the seventh day after surgery
Study Arms (2)
Probiotic group
EXPERIMENTALThe probiotic group was treated with Bifidobacterium tripleis,one day before surgery to the sixth day after surgerythe drug is taken orally, 4 capsules at a time, 2 times a day.
Placebo group
PLACEBO COMPARATORThe control group was given the same package of placebo,one day before surgery to the sixth day after surgery. The drug is taken orally, 4 capsules at a time, 2 times a day.
Interventions
Bifidobacterium triple live capsules, indications for acute and chronic diarrhea and constipation caused by intestinal flora imbalance, can also be used for the treatment of mild to moderate acute diarrhea, chronic diarrhea and indigestion, bloating, and adjuvant treatment of intestinal flora Endotoxemia caused by disorders.
Placebos were administrated as same as the bifidobacterium live capsule
Eligibility Criteria
You may qualify if:
- Age is greater than or equal to 65 years old
- Can communicate normally
- Selective knee ankle, hip replacement or lumbar open reduction and internal fixation under general anesthesia
- ASA graded at I-II level
- Patient or family informed consent
You may not qualify if:
- Have a brain disease, or have a history of brain disease
- MMSE check of less than 24 points.
- History of neurological and psychological disorders including AD, stroke, psychosis
- Serious hearing or visual impairment
- Preoperative systolic blood pressure \>190mmhg, or diastolic blood pressure \>100mmhg
- The patient or family refuses
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- RenJi Hospitallead
Study Sites (3)
Renji Hospital
Shanghai, Shanghai Municipality, 200127, China
Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine
Shanghai, Shanghai Municipality, China
Jin Cheng people's hospital
Jincheng, Shanxi, China
Related Publications (1)
Zhang X, Chen Y, Tang Y, Zhang Y, Zhang X, Su D. Efficiency of probiotics in elderly patients undergoing orthopedic surgery for postoperative cognitive dysfunction: a study protocol for a multicenter, randomized controlled trial. Trials. 2023 Feb 25;24(1):146. doi: 10.1186/s13063-023-07167-6.
PMID: 36841790DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
su diansan
RenJi Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 9, 2019
First Posted
July 12, 2019
Study Start
December 15, 2019
Primary Completion
December 31, 2023
Study Completion
December 31, 2023
Last Updated
May 2, 2022
Record last verified: 2022-04