Actively Recruiting

Phase Not Applicable
Age: 65Years +
All Genders
NCT06256354

Effects of Intraoperative Targeted Temperature Management on Incidence of Postoperative Delirium and Long-term Survival

Led by Peking University First Hospital · Updated on 2026-03-09

3992

Participants Needed

36

Research Sites

417 weeks

Total Duration

On this page

Sponsors

P

Peking University First Hospital

Lead Sponsor

P

Peking University

Collaborating Sponsor

AI-Summary

What this Trial Is About

Intraoperative hypothermia is common in patients having major surgery and the compliance with intraoperative temperature monitoring and management remains poor. Studies suggest that intraoperative hypothermia is an important risk factor of postoperative delirium, which is associated with worse early and long-term outcomes. Furthermore, perioperative hypothermia increases stress responses and provokes immune suppression, which might promote cancer recurrence and metastasis. In a recent trial, targeted temperature management reduced intraoperative hypothermia and emergence delirium. There was also a trend of reduced postoperative delirium, although not statistically significant. This trial is designed to test the hypothesis that intraoperative targeted temperature management may reduce postoperative delirium and improves progression-free survival in older patients recovering from major cancer surgery.

CONDITIONS

Official Title

Effects of Intraoperative Targeted Temperature Management on Incidence of Postoperative Delirium and Long-term Survival

Who Can Participate

Age: 65Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 65 years or older
  • Planned potentially curative initial cancer surgery lasting 2 hours or longer under general anesthesia
Not Eligible

You will not qualify if you...

  • Preoperative fever with tympanic temperature 386C or higher
  • Known or suspected preoperative infection
  • History of schizophrenia, epilepsy, Parkinson disease, myasthenia gravis, or delirium
  • Unable to communicate due to severe dementia, language barrier, or coma
  • Critically ill conditions including left ventricular ejection fraction less than 30%, Child-Pugh grade C, need for renal replacement therapy, ASA physical status over IV, or expected survival under 24 hours
  • Scheduled surgery for breast cancer, intracranial tumors, or rare cancers
  • Planned therapeutic hypothermia
  • Body mass index over 30 kg/m2
  • Prior participation in this study
  • Any other conditions deemed unsuitable for participation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 36 locations

1

The People's Hospital of Chizhou

Chizhou, Anhui, China, 247099

Not Yet Recruiting

2

The Second Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China, 230601

Actively Recruiting

3

The First Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China, 610042

Actively Recruiting

4

Maanshan People's Hospital

Ma’anshan, Anhui, China

Actively Recruiting

5

Dongzhimen Hospital Beijing University of Chinese Medicine

Beijing, Beijing Municipality, China, 100007

Not Yet Recruiting

6

Peking University First Hospital

Beijing, Beijing Municipality, China, 100034

Actively Recruiting

7

Guang'anmen Hospital China Academy of Chinese Medical Sciences

Beijing, Beijing Municipality, China, 100055

Actively Recruiting

8

Xiyuan Hospital of China Academy of Chinese Medical Sciences

Beijing, Beijing Municipality, China, 100091

Actively Recruiting

9

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China, 100730

Actively Recruiting

10

Aerospace Medical Center

Beijing, Beijing Municipality, China

Actively Recruiting

11

Beijing Chao-Yang Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Not Yet Recruiting

12

Beijing Chuiyangliu Hospital

Beijing, Beijing Municipality, China

Not Yet Recruiting

13

Beijing Coal Group General Hospital

Beijing, Beijing Municipality, China

Not Yet Recruiting

14

Beijing Electric Power Hospital

Beijing, Beijing Municipality, China

Actively Recruiting

15

Peking University International Hospital

Beijing, Beijing Municipality, China

Not Yet Recruiting

16

The First Hospital of Tsinghua University

Beijing, Beijing Municipality, China

Not Yet Recruiting

17

The First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Actively Recruiting

18

Peking University Shenzhen Hospital

Shenzhen, Guangdong, China, 518034

Actively Recruiting

19

The Fourth Hospital of Hebei Medical University (Hebei Tumor Hospital)

Shijiazhuang, Hebei, China, 050011

Not Yet Recruiting

20

First Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China, 163711

Actively Recruiting

21

The First Affiliated Hospital Of Zhengzhou University

Zhengzhou, Henan, China, 450052

Actively Recruiting

22

Henan Provincial People's Hospital

Zhengzhou, Henan, China, 463599

Not Yet Recruiting

23

Jingzhou Central Hospital

Jingzhou, Hubei, China

Not Yet Recruiting

24

Jiangyin People's Hospital

Jiangyin, Jiangsu, China, 214400

Actively Recruiting

25

The First Affiliated Hospital of Kangda College of Nanjing Medical University ( Lianyungang First People's Hospital)

Lianyungang, Jiangsu, China

Not Yet Recruiting

26

Jiangsu Province Hospital

Nanjing, Jiangsu, China, 210029

Actively Recruiting

27

The Second Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Not Yet Recruiting

28

The People's Hospital of Wuxi

Wuxi, Jiangsu, China, 214023

Not Yet Recruiting

29

Xijing Hospital, Fourth Military Medical University

Xi'an, Shaanxi, China, 710032

Actively Recruiting

30

The First Affiliated Hospital Of Shandong First Medical University

Jinan, Shandong, China, 250013

Not Yet Recruiting

31

The People's Hospital of Liaocheng

Liaocheng, Shandong, China, 252000

Actively Recruiting

32

Chengdu Seventh People's Hospital

Chengdu, Sichuan, China, 610041

Actively Recruiting

33

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China, 610072

Actively Recruiting

34

The First Affiliated Hospital of Chengdu Medical College

Chengdu, Sichuan, China, 610500

Actively Recruiting

35

The Second People's Hospital of Yibin (affiliated with West China Hospital of Sichuan University)

Chengdu, Sichuan, China

Not Yet Recruiting

36

Deyang People's Hospital

Deyang, Sichuan, China

Actively Recruiting

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Research Team

D

Dong-Xin Wang, MD, PhD

CONTACT

X

Xin-quan Liang, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Effects of Intraoperative Targeted Temperature Management on Incidence of Postoperative Delirium and Long-term Survival | DecenTrialz