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A prospective, randomised, controlled evaluation of the effects of optimisation of cerebral oxygenation and depth of anaesthesia on postoperative cognitive functioning in older patients undergoing major orthopaedic and abdominal surgery

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN39503939
Enrollment
250
Registered
2006-09-15
Start date
2006-10-01
Completion date
Unknown
Last updated
2015-01-13

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

Conditions

Post-operative cognitive decline (POCD) Surgery Post-operative cognitive decline (POCD)

Interventions

1. Bi-spectral index monitor (BIS): monitor of depth of anaesthesia 2. Somanetics invos cerebral oximeter (SICO): monitor of cerebral oxygen saturation 200 out of 250 participants will be patients un

Sponsors

King's College London (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Aged 65 years or over 2. Due to undergo major abdominal or orthopaedic surgery or a healthy relative of such a patient 3. Able to give informed consent 4. Fluency in English

Exclusion criteria

Exclusion criteria: 1. Mild cognitive impairment 2. Dementia 3. Physical disability which would interfere with cognitive interviewing (blindness, inability to write)

Design outcomes

Primary

MeasureTime frame
1. The Cambridge Assessment for Mental Disorders in the Elderly (section B)

Secondary

MeasureTime frame
1. The Bristol Activities of Daily Living Scale 2. The Cornell depression scale 3. The Quality of Life instrument (EQ-5D, EuroQolGroup) 4. Cognitive Drug Research Battery (choice reaction time, simple reaction time, digit vigilance reaction time, number vigilance, visual working memory) 5. Client Service Receipt Inventory 6. Confusion Assessment Method 7. Trail-making A and B 8. Stroop Test

Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 26, 2026