Assessment of Postoperative Delirium With CAM ICU Score in Patients Treated With Serotoninergic Reuptake (SSRI) Inhibitors and Undergoing Intervention of Heart Surgery on Pump

NCT ID: NCT05089097

Last Updated: 2021-10-22

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

152 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-06-04

Study Completion Date

2021-09-15

Brief Summary

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The study aims to observe the presence of postoperative delirium in patients undergoing elective cardiac surgery, without changing the pharmacological prescriptions of the enrolled patients and the procedures carried out by normal clinical practice.

Detailed Description

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Conditions

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Delirium

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Inhibitors of serotoninergic reuptake on

patients with a diagnosis of depressive syndrome requiring treatment with Inhibitors of serotoninergic reuptake drugs excluding neurodegenerative diseases and on treatment with antidepressants for more than three months.

Intervention: evaluation of the presence of postoperative delirium with the CAM-ICU score upon awakening and for the following 48 hours.

evaluation of delirium with CAM-ICU Score

Intervention Type OTHER

the CAM-ICU score is an evaluation tool to verify the presence or absence of delirium in a subject

Inhibitors of serotoninergic reuptake off

patients without a diagnosis of depressive syndrome requiring treatment with Inhibitors of serotoninergic reuptake drugs excluding neurodegenerative diseases and not in treatment with antidepressants.

Intervention: evaluation of the presence of postoperative delirium with the CAM-ICU score upon awakening and for the following 48 hours.

evaluation of delirium with CAM-ICU Score

Intervention Type OTHER

the CAM-ICU score is an evaluation tool to verify the presence or absence of delirium in a subject

Interventions

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evaluation of delirium with CAM-ICU Score

the CAM-ICU score is an evaluation tool to verify the presence or absence of delirium in a subject

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* patients over 18 years old
* patients undergoing elective cardiac surgery
* patients diagnosed with depressive syndrome requiring treatment with Inhibitors of serotoninergic reuptake excluding neurodegenerative diseases
* patients on antidepressant therapy for more than 3 months at the time of enrollment


* patients over 18 years old
* patients undergoing elective cardiac surgery
* patients without a diagnosis of depressive and psychiatric illness requiring treatment with psychoactive drugs to the exclusion of neurodegenerative diseases

Exclusion Criteria

* absence of written informed consent to the study
* patients undergoing non-elective and emergency cardiac surgery
* patients undergoing off pump surgery
* patients with depression not on therapy
* patients with existing malignancies
* patients with acute infections in progress
* patients with previous stroke, cerebral haemorrhage with relics
* patients with acquired and congenital metabolic pathologies with CNS alterations
* Patients with acute and / or chronic renal failure according to RIFLE score (exclude only F-L-E)
* Patients with acute and / or chronic hepatic insufficiency according to Child - Pugh score \<6 (but without encephalopathy);
* Patients with neurodegenerative diseases (dementias of all types both organic and vascular, parkinson's and ongoing delirium);
* Patients with previous or current drug and / or alcohol abuse
* pregnant or postpartum period patients (6 months after delivery)

Inhibitors of serotoninergic reuptake off


* absence of written informed consent to the study
* patients undergoing non-elective and emergency cardiac surgery
* patients undergoing off pump surgery
* patients with depression not on therapy
* patients with existing malignancies
* patients with acute infections in progress
* patients with previous stroke, cerebral haemorrhage with relics
* patients with acquired and congenital metabolic pathologies with CNS alterations
* Patients with acute and / or chronic renal failure according to RIFLE score (exclude only F-L-E)
* Patients with acute and / or chronic hepatic insufficiency according to Child - Pugh score \<6 (but without encephalopathy);
* Patients with neurodegenerative diseases (dementias of all types both organic and vascular, parkinson's and ongoing delirium);
* Patients with previous or current drug and / or alcohol abuse
* pregnant or postpartum period patients (6 months after delivery)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo di Alessandria

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Azienda Ospedaliera Nazionale SS Antonio e Biagio e Cesare Arrigo

Alessandria, , Italy

Site Status

Countries

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Italy

Other Identifiers

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ASO.Cch.19.01

Identifier Type: -

Identifier Source: org_study_id