Status:

RECRUITING

CORTERAS STUDY: The Effect of Corticosteroids on Early Recovery After Major Surgery in Elderly Patients

Lead Sponsor:

Ziekenhuis Oost-Limburg

Conditions:

Inflammatory Response

Weakness, Muscle

Eligibility:

All Genders

60+ years

Phase:

PHASE4

Brief Summary

Major surgery induces a systemic inflammatory response, which can influence the post-operative morbidity, such as coagulation disorders and post-operative muscle weakness, hampering early recovery aft...

Detailed Description

The number of elderly patients undergoing surgery is expected to increase in the coming years, due to the increase in life expectancy in the developing world. Compared to younger surgical patients, th...

Eligibility Criteria

Inclusion

  • Aged 60 years or older.
  • Scheduled for one of the predefined surgical procedures:
  • off-pump coronary bypass surgery
  • on-pump coronary bypass surgery
  • aortic and mitral valve replacement
  • laparoscopic hemicolectomies
  • thoracoscopic lung resections
  • femoral popliteal and tibial bypass surgery and femoral profundoplasty
  • laparoscopic radical prostatectomies

Exclusion

  • Lack of informed consent or inability to give informed consent.
  • Severe postoperative nausea \& vomiting (PONV), needing corticosteroids as PONV prophylaxis.
  • Urgent, not elective surgery
  • Hypersensitivity or known allergic reactions to methylprednisolone
  • Preoperative systemic use of steroids:
  • Including, but not limited to, the use of corticosteroids \> 4 weeks before surgery of at least 4 mg methylprednisolone equivalents.
  • Excluding inhalational and topical steroids
  • Preexisting muscle disease o Including, but not limited to: Steinert's disease, amyotrophic lateral sclerosis (ALS), Duchenne dystrophy, amputation of dominant arm or hand.

Key Trial Info

Start Date :

February 3 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2025

Estimated Enrollment :

672 Patients enrolled

Trial Details

Trial ID

NCT05220319

Start Date

February 3 2022

End Date

December 1 2025

Last Update

April 11 2024

Active Locations (1)

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Ziekenhuis Oost-Limburg

Genk, Belgium