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临床试验/NCT03442907
NCT03442907已完成不适用

Intraoperative Blood Pressure Management Based on the Individual Blood Pressure Profile: Impact on Postoperative Organ Function

Universitätsklinikum Hamburg-Eppendorf2 个研究点 分布在 1 个国家目标入组 368 人开始时间: 2018年3月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
368
试验地点
2
主要终点
Composite endpoint: Incidence of POCD or delirium

研究概览

简要总结

The aim of this research project is to find out whether a personalized definition of the lower blood pressure threshold based on the individual blood pressure profile by means of preoperative 24-hour blood pressure measurement can reduce organ damage (brain, kidney, heart) through reduced blood flow during surgery.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Double (Participant, Outcomes Assessor)

入排标准

年龄范围
50 Years 至 110 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 未提供

排除标准

  • Pregnancy
  • Emergency procedures
  • Surgery requiring controlled hypotension (e.g., aneurysm)
  • Cerebrovascular events in the past medical history
  • Patients of cardiac surgery, vascular surgery, neurosurgery, and transplantation surgery
  • Pre-existing dementia (anamnesis)
  • kidney transplant
  • dialysis-dependent renal insufficiency (KDIGO criteria)
  • no patient consent
  • failure to meet the inclusion criteria
  • Impossibility of 24-h blood pressure measurement

结局指标

主要结局

Composite endpoint: Incidence of POCD or delirium

时间窗: 3rd-7th postoperative day

POCD is measured on the basis of a neuropsychological test battery and the delirium on the basis of the CAM-ICU test.

次要结局

  • Kidney function(24, 48 and 72 hrs after surgery)
  • cardiac ischemia(6 hours after surgery)
  • length of hospital stay(30 days)
  • 30-day morbidity(30 days)
  • 30-day mortality(30 days)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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