- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03132168
Postoperative Delirium in Patients Undergoing Radical Cystectomy
August 26, 2021 updated by: Ahmad Shabsigh, Ohio State University
In this study, post-operative delirium will be measured in patients undergoing surgery for bladder resection, and associated microRNA biomarkers will be evaluated in patients considered delirious and non-delirious after surgery.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
With voluntary participation, this study requires participants to complete a self-administered cognitive evaluation (SAGE) before surgery to assess baseline cognitive impairment and early dementia; vital signs will be documented prior to surgery.
During surgery, participants will receive a standardized general anesthesia regimen as described in the protocol.
Several parameters will be measured during surgery, including bispectral monitoring to measure processed EEG.
After surgery, fitness for cognitive evaluation will be determined by the Richmond Agitation-Sedation Scale (RASS) scale, and then emergence delirium will be assessed using the CAM-ICU scale.
Fitness for discharge from PACU will be determined by an Aldrete score of 9 or more.
Postoperative pain will be assessed using the 11-point Numeric Rating Scale (NRS-11).
Postoperative nausea and vomiting (PONV) level will also be documented.
Postoperative Delirium (POD) assessment will be achieved by administering the memorial delirium assessment scale (MDAS) twice a day starting on day 1 through day 3 postoperatively.
Pain NRS-11 score and PONV levels will also be documented at each visit.
For microRNA testing, blood probes will be collected in 5mL purple top tube at surgical preadmission and post-surgery days one, two and three.
Risks associated with participating in this study include normal risk associated with having surgery and general anesthesia; no greater than minimal risk is associated with blood collection.
For the participant, there are no immediate anticipated benefits for participating in this study.
The importance of the knowledge that is expected to result includes lower post-operative complications as a result of post-operative delirium, faster recovery, and shorter hospital stay.
Study Type
Interventional
Enrollment (Actual)
50
Phase
- Not Applicable
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
-
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Ohio
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Columbus, Ohio, United States, 43210
- The Ohio State University Wexner Medical Center
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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
Description
Inclusion Criteria:
- Male or female, 18 years of age and older
- ASA II or III
- Capable of and willing to consent
- Participants literate in English language
Exclusion Criteria:
- ASA IV or V
- Patients with severe visual or auditory impairment
- Inability to read and/or write in English
- Presence of a clinically diagnosed major psychiatric condition such as bipolar disorder, uncontrolled major depression, schizophrenia
- Dementia of Alzheimer's type
- Parkinson's disease
- Multiple Sclerosis (MS)
- Vascular dementia
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
- Primary Purpose: OTHER
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
OTHER: Subjects undergoing radical cystectomy
Subjects involved in the study will be evaluated with various non-invasive assessments including the Richmond Agitation-Sedation Scale, pain assessments on a Numeric Rating Scale (NRS-11), and CAM-ICU scale.
Blood draws will also take place in order to perform microRNA testing in all subjects participating in the trial.
Standardized anesthetic care as described by the approved protocol will be followed for each subject included in this trial.
|
These cognitive assessments will be utilized during the study to evaluate cognitive levels comparing prior to surgery and post-operatively in order to determine if the subject is delirious.
BIS monitoring will be utilized for all subjects.
Other Names:
Subjects will have blood draws at surgical preadmission visit, Day 1, Day 2, and Day 3 post surgery only; one tube containing approximately one teaspoon (5 mL) of blood will be drawn at each visit.
Standardized anesthetic care will be provided as described by the protocol for each subject consented for this trial.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Post-operative delirium
Time Frame: up to 3 days post-operatively
|
Evaluate the incidence of and risk factors for POD in patients undergoing radical cystectomy utilizing the Memorial Delirium Assessment Scale.
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up to 3 days post-operatively
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
microRNA expression
Time Frame: up to 3 days post-operatively
|
A secondary aim of the study is to obtain estimates and variances of the difference in microRNA expression between 2 groups: delirious patients and non-delirious patients.
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up to 3 days post-operatively
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Ahmad Shabsigh, MD, Ohio State University
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)
January 10, 2018
Primary Completion (ACTUAL)
January 31, 2021
Study Completion (ACTUAL)
January 31, 2021
Study Registration Dates
First Submitted
April 5, 2017
First Submitted That Met QC Criteria
April 26, 2017
First Posted (ACTUAL)
April 27, 2017
Study Record Updates
Last Update Posted (ACTUAL)
August 27, 2021
Last Update Submitted That Met QC Criteria
August 26, 2021
Last Verified
August 1, 2021
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2016H0021
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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