Dynamics of microRNA Expression and Systemic Inflammatory Response in POCD After Cardiac Surgery
NCT07231731 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 48
Last updated 2025-11-19
Summary
Postoperative cognitive decline (POCD) is one of the most common complications after cardiac surgery. It is characterized by impaired memory, attention, and executive functions and can have long-term consequences. The goal of this observational study was to investigate the mechanisms of cognitive decline after cardiac surgery and potential biomarkers that could aid in the diagnosis, prevention, and treatment of POCD. The investigators focused on the role of microRNAs (miRNAs) and systemic inflammatory response to surgery, extracorporeal circulation, and anesthesia as potential factors involved in the development of the neuroinflammatory response and subsequent POCD. The main question this study aims to answer is whether perioperative miRNA 151-5p expression is associated with POCD after surgery. The second aim is to examine the association between miRNA-151-5p and systemic inflammation. The investigators measured circulating miRNA-151-5p levels and plasma levels of inflammatory biomarkers in patients undergoing surgical myocardial revascularization. To assess cognitive function, participants completed the Montreal Cognitive Assessment (MoCA Test). Changes in the measured values of miRNA-151-5p expression and inflammatory markers, as well as changes in cognitive status after surgery, were assessed in relation to the preoperative state.
Conditions
- Biomarkers
- Coronary Artery Bypass Surgery
- Interleukin-6
- MicroRNAs
- Postoperative Cognitive Complications
- Systemic Inflammatory Response Syndrome
Sponsors & Collaborators
-
Josip Juraj Strossmayer University of Osijek
collaborator OTHER -
Osijek University Hospital
lead OTHER
Principal Investigators
-
Slavica Kvolik, Professor · University Hospital Osijek
Eligibility
- Min Age
- 65 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-05-31
- Primary Completion
- 2023-06-23
- Completion
- 2023-10-26
Countries
- Croatia
Study Locations
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