Relevance of the Peripheral Cholinesterase-activity on Neurocognitive Dysfunctions in Surgical Patients (CESARO)
In this prospective, multicenter observational study the investigators capture the perioperative course of peripheral cholinesterase activity. The focus is the perioperative inflammation causing postoperative delirium. Therefore we measure the activity of Acetylcholine-Esterase and Butyrylcholine-Esterase in whole blood of adults in the perioperative context. Early postoperative delirium will be detected by Nu-DESC in the Recovery Room or the Postanaesthesia-Care-Unit. The course of the peripheral cholinesterase activity will be compared with the incidence of postoperative delirium and other clinical dysfunctions.
We follow up the patients for up to five years regarding Delirum, comorbidities and mortality data.
Descripción general del estudio
Estado
Estado
Condiciones
Condiciones
Tipo de estudio
Tipo de estudio
Inscripción (Actual)
Inscripción
Contactos y Ubicaciones
Ubicaciones de estudio
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Berlin, Alemania, 13353
- Department of Anesthesiology and Intensive Care Medicine, Campus Charité Mitte and Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin
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Berlin, Alemania, 14129
- Department of Anesthesia, Klinik für MIC
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Bochum, Alemania, 44789
- Clinic for Anaesthesiology, Intensive Care Medicine, Palliative Medicine and Pain Medicine, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil
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Heidelberg, Alemania, 69120
- Department of Anesthesiology, Universitätsklinikum Heidelberg
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München, Alemania, 81377
- Department of Anesthesiology, Klinikum Großhadern of the Ludwig Maximilians University of Munich
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Regensburg, Alemania, 93053
- Department of Anesthesiology, Universitätsklinikum Regensburg
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Ulm, Alemania, 89081
- Department of Anesthesiology, Universitätsklinikum Ulm
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Wetzlar, Alemania, 35578
- Department of Anesthesiology and Intensive Care Medicine
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Würzburg, Alemania, 97080
- Department of Anaesthesia and Critical Care, Universitätsklinikum Würzburg
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Criterios de participación
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Método de muestreo
Población de estudio
Descripción
Inclusion Criteria:
- Male and female patients with age 18 years and above scheduled for surgery with planned stay in Recovery Room or Postanesthesia-Care-Unit
- Offered patient information and written informed consent
- In-hospital stay for at least 24 hours
Exclusion Criteria:
- Patients with known pseudocholinesterase deficiency
- Participation in prospective intervention studies during the study period
- Analphabetism
- Unability of German and English language use
- Anacusis or Hypoacusis with hearing aid device, Amaurosis
- Lacking willingness to save and hand out data within the study
- Accommodation in an institution due to an official or judicial order
- Coworker of the clinic (study center)
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
Número de grupos/cohortes
Cohortes e Intervenciones
Grupo / CohorteGrupo / Cohorte |
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Surgical patients
Adult male and female patients undergoing surgery
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¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
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Postoperative Delirium
Periodo de tiempo: Participants will be followed in the sample period, an exspected average of three days
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Postoperative Delirium (measured by Nursing Delirium Screening Scale)
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Participants will be followed in the sample period, an exspected average of three days
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Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Organ Dysfunctions
Periodo de tiempo: Participants will be followed in the sample period, an exspected average of three days
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Participants will be followed in the sample period, an exspected average of three days
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Concomitant medication
Periodo de tiempo: Participants will be followed in the three postoperative days sample period
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Concomitant medications from Anticholinergic Drug Scale (ADS)
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Participants will be followed in the three postoperative days sample period
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Postoperative Pain
Periodo de tiempo: Participants will be followed in the three postoperative days sample period
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According to Numeric Rating Scale
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Participants will be followed in the three postoperative days sample period
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Duration of Intensive Care Unit Stay
Periodo de tiempo: Participants will be followed in the sample period, an exspected average of seven days
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Participants will be followed in the sample period, an exspected average of seven days
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Duration of Hospital Stay
Periodo de tiempo: Participants will be followed in the sample period, an exspected average of four weeks
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Participants will be followed in the sample period, an exspected average of four weeks
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Duration of Mechanical Ventilation
Periodo de tiempo: Participants will be followed in the sample period, an exspected average of 168 hours
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Participants will be followed in the sample period, an exspected average of 168 hours
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Readmission rate
Periodo de tiempo: Participants will be followed in the sample period, an exspected average of four weeks
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Participants will be followed in the sample period, an exspected average of four weeks
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Hospital Treatment Data
Periodo de tiempo: Participations will be followed for the duration of the operation day, an exspected time average of eight hours
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Operation time, surgery, anaesthesia
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Participations will be followed for the duration of the operation day, an exspected time average of eight hours
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Postoperative Mortality
Periodo de tiempo: Participants will be followed for the duration of the sample period an exspected average of five years
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Mortality (measured inhouse-mortality according to the patients´records and based on the data record according to §21 Krankenhausentgeltgesetz - (KHEntgG))
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Participants will be followed for the duration of the sample period an exspected average of five years
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Postoperative Delirium
Periodo de tiempo: Participants will be followed in the sample period, an exspected average of five years
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Postoperative Delirium (measured by Diagnosis of Delirium according to the patients´records and based on the data record according to §21 Krankenhausentgeltgesetz -(KHEntgG))
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Participants will be followed in the sample period, an exspected average of five years
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Comorbidities
Periodo de tiempo: Participants will be followed in the sample period, an exspected average of five years
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Comorbidities based on the data record according to §21 Krankenhausentgeltgesetz - (KHEntgG)
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Participants will be followed in the sample period, an exspected average of five years
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Colaboradores e Investigadores
Patrocinador
Patrocinador
Investigadores
Investigadores
- Director de estudio: Claudia Spies, MD, Department of Anesthesiology and Intensive Care Medicine, Campus Charité Mitte and Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin
Publicaciones y enlaces útiles
Publicaciones Generales
- Muller A, Olbert M, Heymann A, Zahn PK, Plaschke K, von Dossow V, Bitzinger D, Barth E, Meister M, Kranke P, Herrmann C, Wernecke KD, Spies CD. Relevance of peripheral cholinesterase activity on postoperative delirium in adult surgical patients (CESARO): A prospective observational cohort study. Eur J Anaesthesiol. 2019 Feb;36(2):114-122. doi: 10.1097/EJA.0000000000000888.
- Michels B, Holzamer A, Graf BM, Bredthauer A, Petermichl W, Muller A, Zausig YA, Bitzinger DI. Butyrylcholinesterase as a perioperative complication marker in patients after transcatheter aortic valve implantation: a prospective observational study. BMJ Open. 2021 Jul 6;11(7):e042857. doi: 10.1136/bmjopen-2020-042857.
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
Finalización primaria (Actual)
Finalización primaria
Finalización del estudio (Actual)
Finalización del estudio
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Publicado por primera vez
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
Otros números de identificación del estudio
- CESARO
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