NCT03442907
Completed
N/A
Intraoperative Blood Pressure Management Based on the Individual Blood Pressure Profile: Impact on Postoperative Organ Function
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Blood Pressure
- Sponsor
- Universitätsklinikum Hamburg-Eppendorf
- Enrollment
- 368
- Locations
- 1
- Primary Endpoint
- Composite endpoint: Incidence of POCD or delirium
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Composite endpoint: Incidence of POCD or delirium
Time Frame: 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.
Secondary Outcomes
- 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)
Study Sites (1)
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