Dexamethasone for the Prevention of Postoperative Cognitive Dysfunction

NCT ID: NCT01332812

Last Updated: 2015-09-10

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

Clinical Phase

PHASE4

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2013-03-31

Brief Summary

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This study aims to evaluate the possible effect of dexamethasone on prevention of cognitive dysfunction in the postoperative period of elderly patients undergoing to surgery under general anesthesia.

Detailed Description

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Postoperative cognitive dysfunction is related with the use of opioids in the postoperative period, lack of physical activity, fatigue, postoperative pain and quality of life. The use of corticosteroids preoperatively reduces postoperative pain, fatigue, nausea and vomiting in the postoperative period and is frequently used as an adjuvant in anesthesia. This study aims to evaluate the possible effect of dexamethasone on prevention of cognitive dysfunction in the postoperative period of elderly patients undergoing to surgery under general anesthesia.

Conditions

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Postoperative Cognitive Dysfunction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Dexamethasone, POCD, psycological tests

Subjects will be randomly assigned in two groups: For the Dexamethasone group, 8mg of dexamethasone will be administered intravenously before the induction of general anesthesia. For Control Group, no Dexamethasone will be administered.

Tests for evaluation of quality of life, depressive symptoms and neuropsychological battery to assess general mental status, learning, attention, visuospatial perception, immediate memory, operational and executive skills and recall, including processing speed. This assessment will be applied before surgery, and 3, 7, 21, 90 and 180 days after surgery.

Group Type EXPERIMENTAL

Dexamethasone

Intervention Type DRUG

a dose of 8 mg of dexamethasone will be administered intravenously before induction of general anesthesia

Control, POCD, psycological tests

Subjects will be randomly assigned in two groups: For the Dexamethasone group, 8mg of dexamethasone will be administered intravenously before the induction of general anesthesia. For Control Group, no Dexamethasone will be administered.

Tests for evaluation of quality of life, depressive symptoms and neuropsychological battery to assess general mental status, learning, attention, visuospatial perception, immediate memory, operational and executive skills and recall, including processing speed. This assessment will be applied before surgery, and 3, 7, 21, 90 and 180 days after surgery.

Group Type SHAM_COMPARATOR

control group

Intervention Type OTHER

General anesthesia, without additional interventions

Interventions

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Dexamethasone

a dose of 8 mg of dexamethasone will be administered intravenously before induction of general anesthesia

Intervention Type DRUG

control group

General anesthesia, without additional interventions

Intervention Type OTHER

Other Intervention Names

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The Dexamethasone and Index Bispectral Index Bispectral and not received the Desamethasone

Eligibility Criteria

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Inclusion Criteria

* patients over 60 years,
* underwent surgery for inguinal hernia repair, Nissen procedure, cholecystectomy or other surgeries midsize under general anesthesia and hospital stay expected within 72 hours.

Exclusion Criteria

* age less than 60 years,
* history of brain disease or dementia, other psychiatric disorders that affect cognition,
* lack of proficiency in Portuguese,
* use of corticosteroids or opioid preoperatively.
Minimum Eligible Age

60 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundação de Amparo à Pesquisa do Estado de São Paulo

OTHER_GOV

Sponsor Role collaborator

Duke University

OTHER

Sponsor Role collaborator

University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Maria José Carvalho Carmona

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Maria José C Carmona, M.D.

Role: PRINCIPAL_INVESTIGATOR

Faculty of Medicine of the University of Sao Paulo

Locations

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General Hospital of the University of São Paulo Medical School

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Valentin LS, Pereira VF, Pietrobon RS, Schmidt AP, Oses JP, Portela LV, Souza DO, Vissoci JR, Luz VF, Trintoni LM, Nielsen KC, Carmona MJ. Effects of Single Low Dose of Dexamethasone before Noncardiac and Nonneurologic Surgery and General Anesthesia on Postoperative Cognitive Dysfunction-A Phase III Double Blind, Randomized Clinical Trial. PLoS One. 2016 May 6;11(5):e0152308. doi: 10.1371/journal.pone.0152308. eCollection 2016.

Reference Type DERIVED
PMID: 27152422 (View on PubMed)

Other Identifiers

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Maria J.C. Carmona

Identifier Type: -

Identifier Source: org_study_id

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