Actively Recruiting

Age: 18Years +
All Genders
ID06545786

Intraoperative Diagnosis of Neurocognitive Complications Via Electroencephalographic (IDEA Network)

Led by Federal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology · Updated on 2025-04-08

265

Participants Needed

1

Research Sites

N/A

Total Duration

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AI-Summary

What this Trial Is About

Postoperative neurocognitive disorders (PND) are serious complications that often occur after surgery, particularly in older adults. These disorders can affect cognitive functions like memory and attention for years, lowering quality of life and increasing hospital stays and medical costs. One common form, postoperative delirium (POD), involves disturbances in consciousness and cognition and is thought to arise from a mix of risk factors. Diagnosing PND is difficult due to varied symptoms and a lack of clear criteria or biomarkers. This observational study evaluates the use of intraoperative electroencephalography (EEG) to identify neurocognitive complications during surgery. Patients scheduled for intermediate to high-risk non-cardiac surgery under general anesthesia will have EEG recorded with a 16-electrode setup. Researchers aim to analyze EEG patterns, such as alpha rhythm power and burst suppression, to predict risks of postoperative delirium, early neurocognitive disorders, and silent brain infarction. Participants will undergo EEG monitoring during surgery and be followed for up to three years to assess cognitive outcomes and mortality. Researchers will collect data on intraoperative EEG signals and evaluate their prognostic value for postoperative complications. The study includes various cognitive and neurological assessments and tracks outcomes like delirium development and brain infarction, providing long-term insight into surgery-related brain health risks.

CONDITIONS

Brief Title

Intraoperative Diagnosis of Neurocognitive Complications Via Electroencephalographic Analysis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 63 18 years
  • Scheduled non-cardiac surgery of intermediate or high risk
  • General anesthesia using inhalational anesthetics
  • Informed consent from the patient to participate in the study
Not Eligible

You will not qualify if you...

  • Preoperative MMSE score less than 20 points
  • History of any mental illness
  • Use of psychotropic drugs within 1 month prior to inclusion in the study
  • Presence of neuromuscular diseases
  • Neurosurgical procedures
  • Inability to undergo preoperative testing for any reason

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Duration of surgery

Participants undergo intraoperative electroencephalography (EEG) recording during their scheduled non-cardiac surgery to monitor brain activity.

1 intraoperative monitoring session

Long-term Monitoring

Duration - Up to 3 years

Participants are monitored postoperatively for neurocognitive complications such as delirium and silent brain infarction using EEG data and clinical assessments.

Periodic follow-up visits over several years

Trial Site Locations

Total: 1 location

1

City clinical hospital named after SS Yudin

Moscow, Moscow Oblast, Russia, 115446

Actively Recruiting

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Research Team

V

Valery Likhvantsev, PhD

L

Levan Berikashvili, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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