Perioperative Research Into Memory, Genomics in the Intensive Therapy Unit: Alzheimer's
NCT03393130 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 150
Last updated 2018-01-08
Summary
The current central dogma of long-term cognitive impairment after intensive care admission suggests an underlying neuroinflammatory dysregulation affecting neuronal function. This pathological process has not been fully elucidated and there has been little research into its genetic associations.
Alzheimer's disease (AD) causes cognitive impairment through a process of abnormal beta amyloid deposition and neuronal death through localised activation of the innate immune system. It is the most prevalent disease affecting cognition. The Apolipoprotein E (APOE) gene is implicated in the progression of late-onset Alzheimer's disease and is a recognised neuroinflammatory modulator. It is possible that young individuals exposed to high levels of inflammation may experience an acceleration of this process. This study sets out to look for an association between APOE-∈4 possession and poor cognitive outcome after a major burn injury and intensive care admission.
Conditions
- Cognitive Impairment
- Apolipoprotein E, Deficiency or Defect of
- Critical Illness
- Burns
- Young Adult
Interventions
- DIAGNOSTIC_TEST
-
APOE genotyping
APOE genotyping and broad cognitive assessment expressed as a median T-score of the following tests (with cognitive domains assessed in brackets) Trail Making Part A (processing speed), Trail Making Part B (executive function), One Back test (working memory), List Learning Task (Immediate recall, visual learning, delayed recall and recognition discrimination).
Sponsors & Collaborators
-
Chelsea and Westminster NHS Foundation Trust
lead OTHER
Principal Investigators
-
Marcela P Vizcaychipi, MD PhD · Chelsea and Westminster NHS Foundation Trust
Eligibility
- Min Age
- 18 Years
- Max Age
- 25 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-01
- Primary Completion
- 2019-02-01
- Completion
- 2019-12-01
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