NCT04219033

Brief Summary

In the elderly patients undergoing elective non-cardiac major surgery, the differences of EEG parameters between those with and without postoperative cognitive dysfunction were observed to determine the characteristic changes of EEG parameters related to postoperative cognitive dysfunction

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
1,250

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2020

Typical duration for all trials

Geographic Reach
1 country

18 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 31, 2019

Completed
6 days until next milestone

First Posted

Study publicly available on registry

January 6, 2020

Completed
4 months until next milestone

Study Start

First participant enrolled

May 5, 2020

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2023

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2023

Completed
Last Updated

October 18, 2022

Status Verified

October 1, 2022

Enrollment Period

2.9 years

First QC Date

December 31, 2019

Last Update Submit

October 15, 2022

Conditions

Keywords

noncardiac surgeryelderly patientspostoperative cognitive dysfunctionElectroencephalogram

Outcome Measures

Primary Outcomes (2)

  • The difference of delta wave miss rate between patients with or without cognitive dysfunction by 1 day after surgery

    The difference (OR) between the miss rate of delta wave in patients with and without cognitive function change 1 day after operation.

    from end of surgery to 1 day after surgery

  • The difference of spindle miss rate between patients with or without cognitive dysfunction by 1day after surgery

    The difference (OR) between the miss rate of spindle in patients with and without cognitive function change 1 day after operation.

    from end of surgery to 1 day after surgery

Secondary Outcomes (12)

  • The difference of delta wave miss rate between patients with or without cognitive dysfunction by 3 days after surgery

    from end of surgery to 3 day after surgery

  • The difference of spindle miss rate between patients with or without cognitive dysfunction by 3 days after surgery

    from end of surgery to 3 days after surgery

  • The difference of burst suppression rate between patients with or without cognitive dysfunction by 3 days after surgery

    from end of surgery to 3 days after surgery

  • correlation of delta wave miss rate and incidence of postoperative cognitive dysfunction by 1 day after surgery

    from end of surgery to 1 day after surgery

  • correlation of delta wave miss rate and incidence of postoperative cognitive dysfunction by 3 days after surgery

    from end of surgery to 3 days after surgery

  • +7 more secondary outcomes

Study Arms (2)

with postoperative cognitive dysfunction

Other: EEG(Electroencephalogram) change

without postoperative dysfunction

Other: EEG(Electroencephalogram) change

Interventions

patients are found to have characteristic EEG change

with postoperative cognitive dysfunctionwithout postoperative dysfunction

Eligibility Criteria

Age65 Years - 100 Years
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)
Sampling MethodProbability Sample
Study Population

1150 cases in the elderly group and 100 cases in the adult background group

You may qualify if:

  • aged 65 and above
  • non-cardiac surgery under general anesthesia;
  • American Society of Anesthesiology(ASA) classification I- II
  • Patients aged 18-40 years old are set as background

You may not qualify if:

  • patients with central nervous system diseases and mental diseases
  • preoperative minimal mental status examination(MMSE) score\<24;
  • ASA status III or higher
  • \) those who have received less than 5 years of education since entering primary school; 4) history of sedatives or antidepressants use; 5) existed or anticipated alcohol or drug abuse(over 40°c and over 100ml per day for the past 3 months); 6) history of surgery within the previous year; 7) those with severe visual or hearing impairment; 8) those participated in other clinical studies within last 3 months;

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Suzhou First People's Hospital

Suzhou, Jiangsu, China

RECRUITING

The First Affiliated Hospital Nanchang University

Nanchang, Jiangxi, China

RECRUITING

General Hospital of Northern Theater Command

Shenyang, Liaoning, China

RECRUITING

General Hospital of Ningxia Medical University

Yinchuan, Ningxia, China

RECRUITING

Qinhai Provincial People's Hospital

Xining, Qinghai, China

RECRUITING

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China

RECRUITING

First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

RECRUITING

Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

RECRUITING

Shanxi Bethune Hospital

Taiyuan, Shanxi, China

RECRUITING

The Second Affiliated Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310009, China

RECRUITING

China-Japan Friendship Hospital

Beijing, China

RECRUITING

Xinqiao Hospital of Army Medical University

Chongqing, China

RECRUITING

People's Hospital of Jiangsu

Nanjing, China

RECRUITING

Weinan Central Hospital

Weinan, China

RECRUITING

Zhongnan Hospital of Wuhan University

Wuhan, China

RECRUITING

People's Hospital of Zhanjiang

Zhanjiang, China

RECRUITING

People's Hospital of Zhengzhou University

Zhengzhou, China

RECRUITING

Traditional Chinese Medicine Hospital of Henan

Zhengzhou, China

RECRUITING

Related Publications (3)

  • Vutskits L, Xie Z. Lasting impact of general anaesthesia on the brain: mechanisms and relevance. Nat Rev Neurosci. 2016 Oct 18;17(11):705-717. doi: 10.1038/nrn.2016.128.

  • Monk TG, Weldon BC, Garvan CW, Dede DE, van der Aa MT, Heilman KM, Gravenstein JS. Predictors of cognitive dysfunction after major noncardiac surgery. Anesthesiology. 2008 Jan;108(1):18-30. doi: 10.1097/01.anes.0000296071.19434.1e.

  • Abildstrom H, Rasmussen LS, Rentowl P, Hanning CD, Rasmussen H, Kristensen PA, Moller JT. Cognitive dysfunction 1-2 years after non-cardiac surgery in the elderly. ISPOCD group. International Study of Post-Operative Cognitive Dysfunction. Acta Anaesthesiol Scand. 2000 Nov;44(10):1246-51. doi: 10.1034/j.1399-6576.2000.441010.x.

MeSH Terms

Conditions

Postoperative Cognitive Complications

Condition Hierarchy (Ancestors)

Postoperative ComplicationsPathologic ProcessesPathological Conditions, Signs and SymptomsCognitive DysfunctionCognition DisordersNeurocognitive DisordersMental Disorders

Central Study Contacts

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
professor

Study Record Dates

First Submitted

December 31, 2019

First Posted

January 6, 2020

Study Start

May 5, 2020

Primary Completion

March 31, 2023

Study Completion

April 30, 2023

Last Updated

October 18, 2022

Record last verified: 2022-10

Data Sharing

IPD Sharing
Will not share

Locations