Predictors of Postoperative Delirium After Transcatheter Aortic Valve Implantation
NCT02585128 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 201
Last updated 2024-04-18
Summary
Patients undergoing transcatheter aortic valve implantation (TAVI) have distinctive characteristics: they are old, frail, with several co-morbidities and take multiple medications. Hemodynamic instability, cerebral embolism, sedation, general anesthesia and hospitalization in intensive care expose those patients to postprocedural delirium.
Acute neurocognitive dysfunctions are associated with adverse outcomes in these population.
The objective of this study is to determine the incidence of delirium and neurocognitive disorders in elderly patients after TAVI.
Conditions
- Postoperative Delirium
Interventions
- OTHER
-
Delirium assessment
During the first post-procedural five days all patients will be evaluated on a daily basis for delirium occurrence by the CAM (Confusion Assessment Method) or CAM - ICU (Confusion Assessment Method - Intensive Care Unit)
- OTHER
-
MMSE (Mini Mental State Examination)
- OTHER
-
Barthel index
- OTHER
-
HADS (Hospital Anxiety and Depression Scale)
- OTHER
-
MNA-SF (Mini Nutritional Assessment - Short Form)
- DEVICE
-
NIRS (Near-Infrared Spectroscopy)
Regional cerebral oxygen saturation monitoring during TAVI procedure
- OTHER
-
CIRS (Cumulative Illness Rating Scale)
Sponsors & Collaborators
-
Cardiocentro Ticino
lead OTHER
Principal Investigators
-
Tiziano Cassina, MD · Cardiocentro Ticino
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-09-30
- Primary Completion
- 2019-05-31
- Completion
- 2021-01-31
Countries
- Switzerland
Study Locations
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