Correlation Between Modified Weakness Index and Postoperative Delirium in Elderly Patients

NCT ID: NCT05189678

Last Updated: 2022-01-12

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

UNKNOWN

Total Enrollment

1 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-11-22

Study Completion Date

2022-08-31

Brief Summary

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1. To study whether there is a correlation between weakness and postoperative delusions in elderly non-cardiac surgery patients
2. Can the improved debilitating index predict the delusion after non-cardiac surgery
3. Which of the debilitating index are independent risk factors associated with postoperative delusions

Detailed Description

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Early identification of frailty patients is of great clinical significance for preoperative decision making and prognosis assessment. To date, the incidence of postoperative delirium in elderly patients undergoing noncardiac surgery has not been assessed. This study aimed to investigate the relationship between preoperative frailty assessment and the incidence of postoperative delirium after noncardiac surgery.

1. To study whether there is a correlation between weakness and postoperative delusions in elderly non-cardiac surgery patients
2. Can the improved debilitating index predict the delusion after non-cardiac surgery
3. Which of the debilitating index are independent risk factors associated with postoperative delusions

Conditions

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Frailty

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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frailty group

Modified Frailty index score greater than or equal to 0.21

No intervention

Intervention Type OTHER

No intervention

non-frailty group

Modified Frailty index score is less than 0.21

No intervention

Intervention Type OTHER

No intervention

Interventions

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No intervention

No intervention

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 70 years old;
2. ASA: Grade Ⅰ~Ⅳ;
3. Signed informed consent;
4. Scheduled non-cardiac surgery.

Exclusion Criteria

1. Refuse to participate;
2. Expected length of stay \<3 days;
3. The same patient can only be included once, regardless of whether the reason for the second operation is related to the first cause;
4. Emergency surgery patients;
5. Inability to communicate due to illiteracy, language impairment, severe hearing or visual impairment;
6. Central nervous system diseases, including various types of dementia and depression
7. Severe renal insufficiency (requiring dialysis treatment);
8. Severe liver dysfunction (Child-Pugh score ≥10);
9. Patients who have participated in other relevant clinical studies within 3 months MMSE examination has confirmed the existence of cognitive dysfunction: illiteracy ≤17 points, primary school degree ≤20 points, middle school degree (including technical secondary school) ≤22 points, university degree (including junior college) ≤23 points
Minimum Eligible Age

70 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Qianfoshan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Lili Cao

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yuelan Wang, PhD

Role: PRINCIPAL_INVESTIGATOR

Shandong First Medical University

Locations

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Yongtao Sun

Jinan, Shandong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Yongtao Sun, PhD

Role: CONTACT

18660795201

Facility Contacts

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Yongtao Sun, doctor

Role: primary

18660795201

References

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Kulason K, Nouchi R, Hoshikawa Y, Noda M, Okada Y, Kawashima R. Indication of Cognitive Change and Associated Risk Factor after Thoracic Surgery in the Elderly: A Pilot Study. Front Aging Neurosci. 2017 Dec 5;9:396. doi: 10.3389/fnagi.2017.00396. eCollection 2017.

Reference Type RESULT
PMID: 29259553 (View on PubMed)

Woo J, Yu R, Wong M, Yeung F, Wong M, Lum C. Frailty Screening in the Community Using the FRAIL Scale. J Am Med Dir Assoc. 2015 May 1;16(5):412-9. doi: 10.1016/j.jamda.2015.01.087. Epub 2015 Feb 24.

Reference Type RESULT
PMID: 25732832 (View on PubMed)

Gleason LJ, Benton EA, Alvarez-Nebreda ML, Weaver MJ, Harris MB, Javedan H. FRAIL Questionnaire Screening Tool and Short-Term Outcomes in Geriatric Fracture Patients. J Am Med Dir Assoc. 2017 Dec 1;18(12):1082-1086. doi: 10.1016/j.jamda.2017.07.005. Epub 2017 Aug 31.

Reference Type RESULT
PMID: 28866353 (View on PubMed)

Zhang M, Gao X, Liu M, Gao Z, Guo Y, Chen L, Liu Y, Zhang X, Huang L, Tong M, Zou T, Sun Y. Correlation of preoperative frailty with postoperative delirium and 1-year mortality in Chinese geriatric patients undergoing non-cardiac surgery: a prospective observational cohort study. Int J Surg. 2025 Jan 1;111(1):1576-1579. doi: 10.1097/JS9.0000000000002042. No abstract available.

Reference Type DERIVED
PMID: 39166961 (View on PubMed)

Zhang M, Gao X, Liu M, Gao Z, Sun X, Huang L, Zou T, Guo Y, Chen L, Liu Y, Zhang X, Feng H, Wang Y, Sun Y. Correlation of preoperative frailty with postoperative delirium and one-year mortality in Chinese geriatric patients undergoing noncardiac surgery: Study protocol for a prospective observational cohort study. PLoS One. 2024 Mar 6;19(3):e0295500. doi: 10.1371/journal.pone.0295500. eCollection 2024.

Reference Type DERIVED
PMID: 38446754 (View on PubMed)

Other Identifiers

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Frailty

Identifier Type: -

Identifier Source: org_study_id

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