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Biochemical Predictors of Delirium in Cardiac Surgery

Conditions
Postoperative Delirium
Interventions
Diagnostic Test: Metabolomic analysis
Registration Number
NCT03931499
Lead Sponsor
Meshalkin Research Institute of Pathology of Circulation
Brief Summary

Delirium is a common neurologic complication after cardiac surgery occuring in 30-50% of patients. The occurence of this complication is associated with worse outcomes, including prolonged length of stay in the ICU and hospital, increased morbidity and mortality. Considering great clinical significance of this complication, the search for early predictors of postoperative delirium remains an urgent task. The purpose of this prospective observational study is to test the hypothesis that metabolomic changes before and after cardiac surgery could be served as early predictors of this complication.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • surgery under cardiopulmonary bypass
  • Age > 60 years
  • CABG surgery or valve surgery (repair/replacement)
Exclusion Criteria
  • urgent surgery
  • surgery on aorta
  • combined procedures (CABG+valves)
  • significant stenosis of carotid arteries
  • Parkinson's disease
  • liver cirrhosis
  • use of anticholinergic drugs, antidepressants, antiepileptic or chemotherapy drugs

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Study cohortMetabolomic analysisPatients undergoing surgery under cardiopulmonary bypass
Primary Outcome Measures
NameTimeMethod
Postoperative delirium5 days after surgery

Postoperative delirium will be diagnosed with CAM-ICU (confusion assessment method - intensive care unit)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

E. Meshalkin National Medical Research Center

🇷🇺

Novosibirsk, Russian Federation

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