Status:

UNKNOWN

Perioperative Inflammatory Response Assessment in High-risk Patients Undergoing Noncardiac Surgery

Lead Sponsor:

Medical University of Vienna

Collaborating Sponsors:

Medical University of Graz

Conditions:

Postoperative Complications

Cardiovascular Complication

Eligibility:

All Genders

45+ years

Brief Summary

Postoperative cardiovascular complications are common after noncardiac surgery. The association between perioperative inflammation and the occurrence of cardiovascular complications after surgery is s...

Eligibility Criteria

Inclusion

  • All patients need to meet all of the following criteria for inclusion (1-4):
  • Surgery planned for more than two hours
  • ≥ 45 years of age
  • Provide written informed consent AND
  • Fulfill ≥ 1 of the following criteria (A-K)
  • NT-proBNP ≥ 200 ng/L
  • Troponin T \> 25 ng/L
  • History of coronary artery disease
  • History of peripheral artery disease (PAD)
  • 75 years or older
  • History of transient ischemic attack (TIA) or stroke
  • Current smoking or cessation of smoking within 2 years
  • Diabetes or currently taking anti-diabetic drug
  • Hyperlipidemia
  • History of hypertension or currently taking an antihypertensive drug
  • Atrial fibrillation

Exclusion

  • Patients on immune-suppressive therapy
  • ICU patients undergoing surgery
  • Preoperative Sepsis/systemic inflammatory syndrome (SIRS) needing ICU treatment
  • Preoperative hemodynamically instable patients, who require vasopressor or inotropic support
  • History of severe heart failure (defined as left ventricular ejection fraction (LVEF) \< 30%)
  • Liver cirrhosis
  • Chronic inflammatory bowel diseases (CIBD)
  • Severe rheumatic diseases requiring immunosuppressive treatment

Key Trial Info

Start Date :

January 19 2021

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

January 31 2025

Estimated Enrollment :

1400 Patients enrolled

Trial Details

Trial ID

NCT04753307

Start Date

January 19 2021

End Date

January 31 2025

Last Update

August 14 2023

Active Locations (1)

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1

Medical University of Vienna

Vienna, Austria, 1090