UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041329
Receipt number R000046004
Scientific Title The effects of postoperative sleep disorders on the development of delirium
Date of disclosure of the study information 2020/08/20
Last modified on 2022/08/09 12:45:33

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Basic information

Public title

The effects of postoperative sleep disorders on the development of delirium

Acronym

The effects of postoperative sleep disorders on the development of delirium

Scientific Title

The effects of postoperative sleep disorders on the development of delirium

Scientific Title:Acronym

The effects of postoperative sleep disorders on the development of delirium

Region

Japan


Condition

Condition

After cardiovascular surgery (coronary artery bypass grafting and/or valve surgery)

Classification by specialty

Psychiatry Cardiovascular surgery Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate sleep disorders and sleep / wake rhythm disorders in patients with post-cardiovascular surgery using a non-restrictive sleep meter to explore how they are involved in the onset of delirium.

Basic objectives2

Others

Basic objectives -Others

To evaluate sleep disorders and sleep / wake rhythm disorders in patients with post-cardiovascular surgery using a non-restrictive sleep meter to explore how they are involved in the onset of delirium.

Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Relationship between the incidence of delirium and sleep status

Key secondary outcomes

Sleep status (objective data by EEG measurement / matte sleep measurement, subjective data by questionnaire)
Deep body temperature rhythm analysis
Delirium severity
Delirium duration (days)
28-day non-ventilation period
ICU stay days
Outcome at discharge, 28-day mortality, 89-day mortality


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1 Patients aged 20 years or older at the time of obtaining consent
2 Those who can speak Japanese
3 Patients who are expected to enter the ICU of the Tokyo Women's Medical University Hospital and stay for 72 hours or more
4 Patients who, after receiving a sufficient explanation for participating in this study, have a sufficient understanding and have the free written consent of the patient (or a deputy if a deputy is required)

Key exclusion criteria

History of significant CNS disease
(Stroke, head injury, CNS infection, brain tumor, after brain surgery, after cardiopulmonary resuscitation, etc.)
Patients with dementia
Alcohol and other addicts
Pregnant women or patients who may be pregnant
Other patients who the investigator determined to be inappropriate as subjects

Target sample size

160


Research contact person

Name of lead principal investigator

1st name Takeshi
Middle name
Last name Nomura

Organization

Tokyo Women's Medical University Hospital

Division name

Department of Intensive Care Medicine

Zip code

162-8666

Address

8-1, Kawada-cho, Shinjuku-ku, Tokyo

TEL

03-3353-8111

Email

tnomura@twmu.ac.jp


Public contact

Name of contact person

1st name Nobuo
Middle name
Last name Sato

Organization

Tokyo Women's Medical University Hospital

Division name

Department of Intensive Care Medicine

Zip code

162-8666

Address

8-1, Kawada-cho, Shinjuku-ku, Tokyo

TEL

03-3353-8111

Homepage URL


Email

sato.nobuo@twmu.ac.jp


Sponsor or person

Institute

Tokyo Women's Medical University Hospital, Department of Intensive Care Medicine

Institute

Department

Personal name



Funding Source

Organization

Ministry of education

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee, Tokyo Women's Medical University

Address

8-1, Kawada-cho, Shinjuku-ku, Tokyo

Tel

03-3353-8111

Email

ohta.megumi@twmu.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

5690

Org. issuing International ID_1

Ethics Committee, Tokyo Women's Medical University

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京女子医科大学病院(東京都)


Other administrative information

Date of disclosure of the study information

2020 Year 08 Month 20 Day


Related information

URL releasing protocol

https://twmu.bvits.com/rinri/publish.aspx

Publication of results

Unpublished


Result

URL related to results and publications

not yet

Number of participants that the trial has enrolled

20

Results

Three of the 20 patients developed delirium.

Results date posted

2022 Year 08 Month 09 Day

Results Delayed


Results Delay Reason

Preparing for paper submission

Date of the first journal publication of results


Baseline Characteristics

Eight patients underwent cardiac coronary artery bypass surgery and 12 underwent valve surgery.

Participant flow

The patient was admitted to the ICU after the surgery, and EEG measurement was conducted for 24 hours from 12:00 p.m. on the day following extubation.

Adverse events

None

Outcome measures

Occurrence of delirium with or without postoperative sleep disturbance
Sleep status (objective data from EEG-measured and mat-type sleep measurements, subjective data from questionnaires)
Deep body temperature rhythm analysis
Severity of delirium
Duration of delirium (days)
Non-ventilated period of 28 days
Number of days of ICU stay
28-day mortality rate, 90-day mortality rate

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 07 Month 27 Day

Date of IRB

2020 Year 12 Month 25 Day

Anticipated trial start date

2021 Year 02 Month 01 Day

Last follow-up date

2021 Year 03 Month 31 Day

Date of closure to data entry

2022 Year 03 Month 31 Day

Date trial data considered complete

2022 Year 09 Month 30 Day

Date analysis concluded

2023 Year 03 Month 31 Day


Other

Other related information

Prospective observational study,
From February 1, 2021, 20 patients who have undergone cardiovascular surgery at our institution and meet the selection criteria will be included in order of entry.


Management information

Registered date

2020 Year 08 Month 05 Day

Last modified on

2022 Year 08 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046004


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name