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Beyond BMI: CT-derived body composition phenotypes and the obesity paradox of intraoperative hypotension in older surgical patients — a two-stage cohort study

Beyond BMI: CT-derived body composition phenotypes and the obesity paradox of intraoperative hypotension in older surgical patients — a two-stage cohort study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600125856
Enrollment
Unknown
Registered
2026-06-01
Start date
2026-06-01
Completion date
Unknown
Last updated
2026-06-08

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

Conditions

Intraoperative hypotension (IOH): From the start of anesthesia to the end of anesthesia, SBP <90 mmHg or MAP <65 mmHg measured by any method, lasting for at least 1 minute.

Interventions

Sponsors

Peking Union Medical College Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
65 Years to No maximum

Inclusion criteria

Inclusion criteria: 1.PUMCH retrospective cohort from January 1, 2015 to December 31, 2025; PUMCH prospective cohort starting from March 1, 2026. 2.Elective surgery. 3.General anesthesia. 4.Age >= 65 years. 5.Signed informed consent for the study, applicable to the prospective cohort.

Exclusion criteria

Exclusion criteria: 1.Absence of non-contrast abdominal CT within 6 months before surgery, or CT images of poor quality or unavailable for analysis. 2.Cardiac surgery, ascending aortic or aortic arch surgery, pheochromocytoma or paraganglioma surgery, and gastrointestinal endoscopy procedures. 3.Extreme BMI values, defined as BMI 70 kg/m^². 4.Missing intraoperative vital-sign monitoring data. 5.Missing key clinical baseline characteristics. 6.Failure to undergo the metabolism-related laboratory tests required for the study and prescribed by the investigators for any reason, applicable to the prospective cohort. 7.Failure to undergo the body measurements required for the study for any reason, applicable to the prospective cohort. 8.Loss to follow-up, applicable to the prospective cohort.

Design outcomes

Primary

MeasureTime frame
Intraoperative hypotension (IOH);

Secondary

MeasureTime frame
Postoperative Clavien-Dindo classification of postoperative complications;Postoperative WHODAS 2.0 12-item version score;Postoperative all-cause mortality;

Countries

China

Contacts

Public ContactLe Shen

Peking Union Medical College Hospital

pumchshenle@163.com+86 10 6915 2021

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Jun 11, 2026