Inflammation and Postoperative Tramadol Analgesia
The Influence of Systemic Inflammation on the Analgesic Effect of Tramadol After Major Abdominal Surgery
1 other identifier
observational
50
1 country
1
Brief Summary
Patients will be admitted in the intensive care unit after major abdominal surgery. All patients will receive 100 mg of tramadol intravenously every 6 hours. Pain will be assessed before and half an hour after tramadol administration by verbal Numeric Rating Scale.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jan 2019
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
Study Start
First participant enrolled
January 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2020
CompletedFirst Submitted
Initial submission to the registry
March 30, 2020
CompletedFirst Posted
Study publicly available on registry
April 1, 2020
CompletedResults Posted
Study results publicly available
July 30, 2021
CompletedJuly 30, 2021
July 1, 2021
1 year
March 30, 2020
April 19, 2021
July 10, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Analgesic Affect of Tramadol After Major Abdominal Surgery
Pain will be assessed before and half an hour after tramadol administration in awake patients by verbal Numeric Rating Scale. This scale has values from 0 to 10, where 0 means no pain and 10 means maximum pain.
NRS was assessed before and 30 minutes after each tramadol dose during first 24 postoperative hours
Examine Differences in the Analgesic Effect of Tramadol Between Patients With and Without Postoperative Systemic Inflammation
Differences in Numeric Rating Scale (NRS) in Patients with and without Systemic Inflammation. This scale has values from 0 to 10, where 0 means no pain and 10 means maximum pain.
NRS was assessed before and 30 minutes after each dose of tramadol in a first 24 postoperative hour
Eligibility Criteria
The study included patients admitted in the intensive care unit after major abdominal surgery performed with open laparotomy.
You may qualify if:
- elective and emergency open abdominal surgery
- ICU admission
You may not qualify if:
- tramadol allergy
- surgery performed laparoscopically
- age younger of 18 years and older the 90 years
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University hospital centre Osijek
Osijek, 31000, Croatia
Related Publications (4)
Barakat A. Revisiting Tramadol: A Multi-Modal Agent for Pain Management. CNS Drugs. 2019 May;33(5):481-501. doi: 10.1007/s40263-019-00623-5.
PMID: 31004280BACKGROUNDHe ZX, Chen XW, Zhou ZW, Zhou SF. Impact of physiological, pathological and environmental factors on the expression and activity of human cytochrome P450 2D6 and implications in precision medicine. Drug Metab Rev. 2015;47(4):470-519. doi: 10.3109/03602532.2015.1101131. Epub 2015 Nov 16.
PMID: 26574146BACKGROUNDGerbershagen HJ, Rothaug J, Kalkman CJ, Meissner W. Determination of moderate-to-severe postoperative pain on the numeric rating scale: a cut-off point analysis applying four different methods. Br J Anaesth. 2011 Oct;107(4):619-26. doi: 10.1093/bja/aer195. Epub 2011 Jun 30.
PMID: 21724620BACKGROUNDMallick P, Taneja G, Moorthy B, Ghose R. Regulation of drug-metabolizing enzymes in infectious and inflammatory disease: implications for biologics-small molecule drug interactions. Expert Opin Drug Metab Toxicol. 2017 Jun;13(6):605-616. doi: 10.1080/17425255.2017.1292251. Epub 2017 Feb 22.
PMID: 28537216BACKGROUND
Biospecimen
CRP, PCT. leukocyte count, lactate, arterial blood gas
Results Point of Contact
- Title
- Nenad Neskovic
- Organization
- University hospital Osijek
Study Officials
- PRINCIPAL INVESTIGATOR
Nenad Nešković
Anesthesiologyst
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 30, 2020
First Posted
April 1, 2020
Study Start
January 1, 2019
Primary Completion
January 1, 2020
Study Completion
February 1, 2020
Last Updated
July 30, 2021
Results First Posted
July 30, 2021
Record last verified: 2021-07
Data Sharing
- IPD Sharing
- Will not share