Does APOE-e4 Predict Delirium and Cognitive Dysfunction After Surgery?

NCT ID: NCT00911677

Last Updated: 2009-06-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2005-08-31

Study Completion Date

2009-05-31

Brief Summary

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Patients with the APOE-ε4 genotype are at increased risk of both vascular dementia and peripheral vascular disease. Patients undergoing major vascular surgery are at particularly high risk of delirium and other, more subtle, changes in cognitive function following surgery. The hypothesis of this trial is that the APOE-ε4 genotype is associated with both delirium and postoperative cognitive dysfunction (POCD).

Detailed Description

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Conditions

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Delirium Postoperative Cognitive Dysfunction

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Open Aortic Repair

Patients 60 years of age and older undergoing open repair of the abdominal aorta

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age 60 or greater
* Open repair of the abdominal aorta

Exclusion Criteria

* refusal;
* planned endovascular repair;
* emergency surgery;
* previous diagnosis of dementia, Parkinson's disease, or psychiatric illness;
* active alcohol or substance abuse; and
* physical inability to complete neuropsychometric testing.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Canadian Anesthesiologists' Society

OTHER

Sponsor Role collaborator

University of Ottawa

OTHER

Sponsor Role collaborator

Ottawa Hospital Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Department of Anesthesiology, The Ottawa Hospital

Principal Investigators

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Gregory L Bryson, MD, FRCPC

Role: PRINCIPAL_INVESTIGATOR

Department of Anesthesiology, The Ottawa Hospital

Locations

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The Ottawa Hospital - Civic Campus

Ottawa, Ontario, Canada

Site Status

Countries

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Canada

References

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Bryson GL, Wyand A, Wozny D, Rees L, Taljaard M, Nathan H. A prospective cohort study evaluating associations among delirium, postoperative cognitive dysfunction, and apolipoprotein E genotype following open aortic repair. Can J Anaesth. 2011 Mar;58(3):246-55. doi: 10.1007/s12630-010-9446-6. Epub 2011 Jan 11.

Reference Type DERIVED
PMID: 21222188 (View on PubMed)

Bryson GL, Wyand A, Wozny D, Rees L, Taljaard M, Nathan H. The clock drawing test is a poor screening tool for postoperative delirium and cognitive dysfunction after aortic repair. Can J Anaesth. 2011 Mar;58(3):267-74. doi: 10.1007/s12630-010-9448-4. Epub 2010 Dec 31.

Reference Type DERIVED
PMID: 21194015 (View on PubMed)

Other Identifiers

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OHREB 2004800-01H

Identifier Type: -

Identifier Source: org_study_id

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