- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03087838
Postoperative Delirium in Adult Patients After Elective Craniotomy Under General Anaesthesia
February 8, 2018 updated by: Jian-Xin Zhou, Capital Medical University
Postoperative Delirium in Adult Patients After Elective Craniotomy Under General Anaesthesia: a Prospective Cohort Study
Postoperative delirium may result in many adverse complications.
At present little is known about postoperative delirium in patients after crniotomy because they may manifest similar symptoms to definitely delirium for some structural brain disease.
Objective of this study is to find out incidence and risk factors of postoperative delirium in patients after elective craniotomy and also the relationship of postoperative delirium with clinical outcome.
Study Overview
Status
Completed
Conditions
Detailed Description
The study is a prospective single-center cohort study.
Consecutive adult patients admitted to the ICU after elective craniotomy is enrolled.
Richmond Agitation Sedation Scale (RASS) is used to assess level of consciousness of patients; if conditions met "RASS≥-3", the Confusion Assessment Method for the Intensive Care Unit will proceed to evaluate delirium signs in patients.
Delirium is assessed every 12-hour shift within 3 days during the patient's ICU stay and ended when discharged from ICU or dead, time started at 9am and 9pm.
On the third day after operation when most patients have been transferred to general ward, delirium was assessed only at 9am for follow-up studies.
Patients is divided into two groups via assessment of CAM-ICU: delirium groups and non-delirium groups.
Factors potentially related to postoperative delirium are collected and categorized as preoperative, intraoperative and postoperative in chronological order.
Univariate analyses between delirium groups and non-delirium groups is performed.
The stepwise backward logistic regression is carried out to identify the independent predictors of delirium.
Patients will be followed up until hospital discharge, death or 90 days after the enrollment.
Clinical outcome such as days on the mechanical ventilator, endotracheal extubation time, need for re-intubation and tracheotomy, unexpected reoperation within 72 h after surgery, length of stay in the ICU , hospital costs and mortality will be registered.
Study Type
Observational
Enrollment (Actual)
800
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Beijing
-
Beijing, Beijing, China, 100050
- ICU, Beijing Tiantan Hospital, Capital Medical University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
Adult Patients After Elective Craniotomy Under General Anaesthesia
Description
Inclusion Criteria:
- Adult patients after elective craniotomy under general anaesthesia and admitted to the ICU directly after surgery.
Exclusion Criteria:
- Patients younger than 18 years
- Patients with emergency operation
- Patients with preoperative impairment of consciousness (GCS<8)
- Patients with a past medical history of delirium or schizophrenia(evaluated by the medical document)
- Patients withventriculoperitoneal shunt or endoscope operation
- Patients with inability to communicate in the preoperative period(including language barrier)
- Pregnant or lactating women.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
---|
delirium group
CAM-ICU is positive within the first 24 hours after operation
|
non-delirium group
CAM-ICU is negative within the first 24 hours after operation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative delirium
Time Frame: Within the first 24 hours after operation
|
CAM-ICU is positive
|
Within the first 24 hours after operation
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Zhang X, Zhang G, Wang Y, Huang H, Li H, Li M, Yang C, Li M, Chen H, Jing B, Lin S. Alteration of default mode network: association with executive dysfunction in frontal glioma patients. J Neurosurg. 2022 Oct 14:1-10. doi: 10.3171/2022.8.JNS22591. Online ahead of print.
- Wang CM, Huang HW, Wang YM, He X, Sun XM, Zhou YM, Zhang GB, Gu HQ, Zhou JX. Incidence and risk factors of postoperative delirium in patients admitted to the ICU after elective intracranial surgery: A prospective cohort study. Eur J Anaesthesiol. 2020 Jan;37(1):14-24. doi: 10.1097/EJA.0000000000001074.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 1, 2017
Primary Completion (Actual)
November 1, 2017
Study Completion (Actual)
February 2, 2018
Study Registration Dates
First Submitted
March 17, 2017
First Submitted That Met QC Criteria
March 22, 2017
First Posted (Actual)
March 23, 2017
Study Record Updates
Last Update Posted (Actual)
February 12, 2018
Last Update Submitted That Met QC Criteria
February 8, 2018
Last Verified
February 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- KY2017-018-02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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