UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000052979
Receipt number R000060365
Scientific Title Prophylactic use of glucocorticoids to reduce postoperative delirium in adult patients: A systematic review with meta-analysis
Date of disclosure of the study information 2023/12/10
Last modified on 2023/12/09 09:10:12

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Basic information

Public title

Prophylactic use of glucocorticoids to reduce postoperative delirium in adult patients: A systematic review with meta-analysis

Acronym

Prophylactic use of glucocorticoids to reduce postoperative delirium in adult patients: A systematic review with meta-analysis

Scientific Title

Prophylactic use of glucocorticoids to reduce postoperative delirium in adult patients: A systematic review with meta-analysis

Scientific Title:Acronym

Prophylactic use of glucocorticoids to reduce postoperative delirium in adult patients: A systematic review with meta-analysis

Region

Japan


Condition

Condition

Adult patients who underwent surgery

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We conducted this updated systematic review and meta-analysis of RCTs to explore the effect of prophylactic use of glucocorticoids on the incidence of postoperative delirium (POD).

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of POD

Key secondary outcomes

Incidence of postoperative infection, respiratory failure, and 30 day-mortality.


Base

Study type

Others,meta-analysis etc


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Adult patients underwent surgery

Key exclusion criteria

Pediatric surgical patients

Target sample size

1000


Research contact person

Name of lead principal investigator

1st name Koichi
Middle name
Last name Maruyama

Organization

Teikyo University School of Medicine, Mizonokuchi Hospital

Division name

Department of anesthesiology

Zip code

213-8507

Address

5-1-1 Futago, Takatsu-ku, Kawasaki, Kanagawa, Japan

TEL

0448443333

Email

kmaruyam@med.teikyo-u.ac.jp


Public contact

Name of contact person

1st name Koichi
Middle name
Last name Maruyama

Organization

Teikyo University School of Medicine, Mizonokuchi Hospital

Division name

Department of anesthesiology

Zip code

213-8507

Address

5-1-1 Futago, Takatsu-ku, Kawasaki, Kanagawa, Japan

TEL

0448443333

Homepage URL


Email

kmaruyam@med.teikyo-u.ac.jp


Sponsor or person

Institute

Teikyo University School of Medicine, Mizonokuchi Hospital

Institute

Department

Personal name

Koichi Maruyama


Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

N/A

Address

N/A

Tel

N/A

Email

N/A


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 12 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2023 Year 08 Month 01 Day

Date of IRB


Anticipated trial start date

2023 Year 08 Month 08 Day

Last follow-up date

2024 Year 03 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We searched these electric databases; PubMed search engine, Cochrane Central Register of Controlled Trials (CENTRAL), SCOPUS, and Web of Science. Studies investigating POD in the adult patients were included. The primary outcome of this meta-analysis was the incidence of POD. The secondary outcomes were, postoperative infection, respiratory failure, and 30 day-mortality. We combined data using a random-effect model (Der Simonian-Laird method). When significant heterogeneity was defined as an I2 statistic exceeded 40%, the preplanned subgroup analyze was performed according to type of surgery (cardiac vs noncardiac) to determine if the source of heterogeneity could be explained. To test the robustness of the results, preplanned sensitivity analysis was performed excluding studies of high risk of bias and some concerns. Additionally, the number need to treat was used to evaluate the impact of effect with intervention. The RCTs were assessed using risk of bias assessment, and quality of evidence was assessed using Grading of Recommendations, Assessment, Development and Evaluations (GRADE).


Management information

Registered date

2023 Year 12 Month 02 Day

Last modified on

2023 Year 12 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000060365


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name