Status:

COMPLETED

Dexmedetomidine and 5-year Outcome in Elderly Patients After Surgery

Lead Sponsor:

Peking University First Hospital

Collaborating Sponsors:

Peking University Third Hospital

Conditions:

Aged

Operative

Eligibility:

All Genders

65-90 years

Phase:

NA

Brief Summary

Delirium is a frequent postoperative complication. Its occurrence is associated with worse long-term outcomes. In a previous randomized controlled trial, prophylactic low-dose dexmedetomidine infusion...

Detailed Description

Delirium is a frequent postoperative complication; a systematic review revealed that postoperative delirium occurs in 36.8% of surgical patients, and its prevalence increases with age. The occurrence ...

Eligibility Criteria

Inclusion

  • Patients were included if they met all of the following criteria:
  • Age of 65 years or older;
  • Underwent elective noncardiac surgery under general anesthesia;
  • Admitted to ICU after surgery.

Exclusion

  • Patients were excluded if they met any of the following criteria:
  • Preoperative history of schizophrenia, epilepsy, Parkinsonism or myasthenia gravis;
  • Inability to communicate in the preoperative period (because of coma, profound dementia or language barrier);
  • Brain injury or neurosurgery;
  • Preoperative left ventricular ejection fraction \< 30%, sick sinus syndrome, severe sinus bradycardia (\< 50 beats per minute), or second-degree or greater atrioventricular block without pacemaker;
  • Serious hepatic dysfunction (Child-Pugh class C);
  • Serious renal dysfunction (undergoing dialysis before surgery); or
  • Unlikely to survive for more than 24 hours.

Key Trial Info

Start Date :

June 1 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2019

Estimated Enrollment :

700 Patients enrolled

Trial Details

Trial ID

NCT03436472

Start Date

June 1 2017

End Date

April 1 2019

Last Update

June 21 2019

Active Locations (1)

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Peking University First Hospital

Beijing, China, 100034