EEG-TMS for Postoperative Delirium After Cardiac Surgery
NCT07537725 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 144
Last updated 2026-04-17
Summary
This is a prospective, single-center, randomized, double-blind, sham-controlled trial evaluating the safety and efficacy of transcranial magnetic stimulation (TMS) for the treatment of postoperative delirium in patients undergoing cardiac surgery with extracorporeal circulation. Eligible patients aged 50 years or older who develop delirium after surgery, as assessed by the CAM-ICU, will be randomized to receive either active TMS or sham stimulation. The intervention consists of three daily cycles of intermittent and continuous theta burst stimulation over five days. The primary outcome is the duration of delirium within the five-day intervention period. Secondary outcomes include delirium severity, time to successful discharge, and survival at 30 and 90 days. A total of 144 participants will be enrolled.
Conditions
- Delirium
Interventions
- DEVICE
-
Theta Burst Stimulation (TBS)
A patterned form of transcranial magnetic stimulation delivered via a 12 cm coil. The active intervention consists of intermittent TBS (iTBS) applied to the left dorsolateral prefrontal cortex and continuous TBS (cTBS) applied to the right dorsolateral prefrontal cortex at 80% of resting motor threshold.
- DEVICE
-
Sham Stimulation
Sham stimulation delivered using a coil identical in appearance to the active coil, which produces similar auditory and scalp sensations but delivers no electromagnetic penetration to the brain.
Sponsors & Collaborators
-
RenJi Hospital
lead OTHER
Principal Investigators
-
Dan Huang, MD · RenJi Hospital
-
Shujing Lin · RenJi Hospital
-
Tong Wu · RenJi Hospital
-
Xi Chen, MD · RenJi Hospital
-
Nan Wang · RenJi Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-27
- Primary Completion
- 2026-12-30
- Completion
- 2027-03-31
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