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Predicting Perioperative Neurocognitive Disorders in Elderly Patients Using Interpretable Machine Learning Models Enhanced by SHAP: A Study Following the 2018 Consensus Recommendations

Predicting Perioperative Neurocognitive Disorders in Elderly Patients Using Interpretable Machine Learning Models Enhanced by SHAP: A Study Following the 2018 Consensus Recommendations

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2400094715
Enrollment
Unknown
Registered
2024-12-26
Start date
2025-01-01
Completion date
Unknown
Last updated
2025-01-06

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

Conditions

Perioperative Neurocognitive Disorder

Interventions

Perioperative neurocognitive impairment group/non-cognitive impairment group in elderly patients:None

Sponsors

Wenzhou Integrated Traditional Chinese and Western Medicine Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
60 Years to 80 Years

Inclusion criteria

Inclusion criteria: This study plans to enroll elderly patients aged 60-80 years who are scheduled to undergo major non-cardiac surgery between January 2025 and December 2025. The specific inclusion criteria are as follows: 1). Age between 60 and 80 years; 2). Scheduled to undergo one of the following types of surgery: abdominal surgery, thoracic surgery, orthopedic surgery for traumatic fractures, or hip or knee replacement surgery; 3). Willing to participate and sign an informed consent form.

Exclusion criteria

Exclusion criteria: Exclusion Criteria: 1). Refusal of study informed consent; 2). Inability to communicate effectively due to issues with vision, hearing, language, etc; 3). History of central nervous system disorders (stroke, traumatic brain injury, etc.); 4). History of mental illness (schizophrenia, depression, etc.); 5). Presence of significant physical illnesses (paralysis, amputation, etc.); 6). History of major surgery within the past year (radical resection for tumors, cardiac surgery, etc.); 7). Severe dysfunction of major organ systems; 8). Regular use of antipsychotic or sedative-hypnotic medications within the past month; 9). Preoperative MMSE score below the cut-off value corresponding to education level (illiterate <=17, primary school <=20, junior high school and above <=24).

Design outcomes

Primary

MeasureTime frame
Rate of postoperative delayed neurocognitive recovery ;Rate of neurocognitive disorder;

Countries

China

Contacts

Public ContactXiaowei Jin

Wenzhou Integrated Traditional Chinese and Western Medicine Hospital

xiaoweijinwz@163.com+86 139 5871 8529

Outcome results

None listed

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