Trial Outcomes & Findings for The Effect of Age on the Incidence of Postoperative Residual Neuromuscular Blockade (NCT NCT01545193)

NCT ID: NCT01545193

Last Updated: 2019-09-16

Results Overview

The TOF-Watch SX will be used to determine the incidence of residual neuromuscular blockade. The TOF-Watch SX consists of a nerve stimulator and a sensor to quantify the TOF ratio. Two consecutive responses to train-of-four (TOF) stimulation will be obtained, and the average of the two values recorded. If the measurements differ by greater than 10%, additional TOF ratios can be obtained (up to a total of 4 TOF values), and the closest two ratios averaged. The number of patients with TOF ratios \< 0.9 in each group will be compared.

Recruitment status

COMPLETED

Target enrollment

300 participants

Primary outcome timeframe

Early postoperative period, up to 24 hours

Results posted on

2019-09-16

Participant Flow

Participant milestones

Participant milestones
Measure
Age 18-50
This is a younger study cohort who is anticipated to have a lower incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Age 70-90
This is a older study cohort who is anticipated to have a higher incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Overall Study
STARTED
150
150
Overall Study
COMPLETED
150
149
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Effect of Age on the Incidence of Postoperative Residual Neuromuscular Blockade

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Age 18-50
n=150 Participants
This is a younger study cohort who is anticipated to have a lower incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Age 70-90
n=149 Participants
This is a older study cohort who is anticipated to have a higher incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Total
n=299 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
150 Participants
n=5 Participants
0 Participants
n=7 Participants
150 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
149 Participants
n=7 Participants
149 Participants
n=5 Participants
Age, Continuous
38 years
n=5 Participants
75 years
n=7 Participants
57 years
n=5 Participants
Sex: Female, Male
Female
98 Participants
n=5 Participants
84 Participants
n=7 Participants
182 Participants
n=5 Participants
Sex: Female, Male
Male
52 Participants
n=5 Participants
65 Participants
n=7 Participants
117 Participants
n=5 Participants
Region of Enrollment
United States
150 participants
n=5 Participants
149 participants
n=7 Participants
299 participants
n=5 Participants

PRIMARY outcome

Timeframe: Early postoperative period, up to 24 hours

The TOF-Watch SX will be used to determine the incidence of residual neuromuscular blockade. The TOF-Watch SX consists of a nerve stimulator and a sensor to quantify the TOF ratio. Two consecutive responses to train-of-four (TOF) stimulation will be obtained, and the average of the two values recorded. If the measurements differ by greater than 10%, additional TOF ratios can be obtained (up to a total of 4 TOF values), and the closest two ratios averaged. The number of patients with TOF ratios \< 0.9 in each group will be compared.

Outcome measures

Outcome measures
Measure
Age 18-50
n=150 Participants
This is a younger study cohort who is anticipated to have a lower incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Age 70-90
n=149 Participants
This is a older study cohort who is anticipated to have a higher incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Incidence of Residual Neuromuscular Blockade
45 participants
86 participants

SECONDARY outcome

Timeframe: Early postoperative period, up to 24 hours

A standardized examination form will be used to determine the presence or absence of muscle weakness in a variety of muscle groups. The examination will be performed on arrival to the PACU and again 15 minutes after admission. Reported data is the total number of symptoms (0-16) at PACU admission

Outcome measures

Outcome measures
Measure
Age 18-50
n=150 Participants
This is a younger study cohort who is anticipated to have a lower incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Age 70-90
n=149 Participants
This is a older study cohort who is anticipated to have a higher incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Signs and Symptoms of Residual Neuromuscular Blockade
2 symptoms
Interval 0.0 to 5.0
4 symptoms
Interval 1.0 to 8.0

SECONDARY outcome

Timeframe: Early postoperative period, up to 24 hours

Pulse oximetry will be used to continuously monitor arterial oxygen saturations (Sp02) during patient transport and in the PACU. Data reported are the number of patients developing hypoxemia (oxygen saturation \< 94% on pulse oximetry) in the PACU

Outcome measures

Outcome measures
Measure
Age 18-50
n=150 Participants
This is a younger study cohort who is anticipated to have a lower incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Age 70-90
n=149 Participants
This is a older study cohort who is anticipated to have a higher incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Respiratory Events Potentially Related to Residual Neuromuscular Blockade
26 participants
57 participants

SECONDARY outcome

Timeframe: Early postoperative period, up to 24 hours

The time required to meet discharge criteria and achieve actual discharge will be noted.

Outcome measures

Outcome measures
Measure
Age 18-50
n=150 Participants
This is a younger study cohort who is anticipated to have a lower incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
Age 70-90
n=149 Participants
This is a older study cohort who is anticipated to have a higher incidence of residual neuromuscular blockade Age and incidence of residual neuromuscular blockade: An older cohort is anticipated to have a higher incidence of residual neuromuscular blockade
PACU Length of Stay
73 minutes
Interval 56.0 to 102.0
92 minutes
Interval 67.0 to 125.0

Adverse Events

Age 18-50

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Age 70-90

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Glenn S. Murphy,MD

NorthShore University HealthSystem

Phone: 847-570-2760

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place