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Telomere length and risk of postoperative cognitive issues in elderly patients after major orthopaedic surgery: A prospective study

Association between DNA Telomere Length in Peripheral Blood Leukocytes and Post-Operative Cognitive Dysfunction (POCD) and Post-Operative Delirium (POD) in Elderly Patients Undergoing Major Orthopaedic Surgery under General Anesthesia: A Prospective Observational Study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2024/12/077549
Enrollment
100
Registered
2024-12-02
Start date
Unknown
Completion date
Unknown
Last updated
2024-12-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: F079- Unspecified personality and behavioral disorder due to known physiological condition

Interventions

Intervention1: NA: NA Control Intervention1: NA: NA

Sponsors

Dr. Puneet Khanna
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients age above 60 years. 2. Undergoing orthopaedics surgery under general anaesthesia. 3. Can give informed consent themselves. 4. There is no minimum cognitive performance required to participate.

Exclusion criteria

Exclusion criteria: 1. Patients with a history suggestive of dementia (either listed in the medical record or reported by the patient) or any neurological disorder. 2. History of alcohol abuse, chronic opioid or other substance abuse 3. History of cerebral surgeries, and stroke. 4. History suggestive of psychiatric disease like schizophrenia, dementia, anxiety, or other disorders affecting cognition, mental dysfunction 5. Prescription of central nervous system–active medication (eg: antidepressants, antipsychotics, sedatives)

Design outcomes

Primary

MeasureTime frame
To determine the association between pre-operative telomere length in peripheral blood leukocytes and incidence of post operative delirium oxidative stress in elderly population undergoing major orthopedics surgeryTimepoint: 24 hours pre and postoperative

Secondary

MeasureTime frame
1. To determine the association of blood glucose levels and serum electrolytes to postoperative delirium and cognitive functioning in elderly population undergoing major orthopedics surgery. 2. To study the association of oxidative stress and plasma, brain derived nerve growth factor (BDNF) levels with change in telomere length in peripheral blood leukocytes.Timepoint: 24 hours pre and postoperative

Countries

India

Contacts

Public ContactDr Puneet Khanna

AIIMS, New Delhi

k.punit@yahoo.com9873106516

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026