Trial Review

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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT04840316




Registration number
NCT04840316
Ethics application status
Date submitted
7/04/2021
Date registered
12/04/2021
Date last updated
22/06/2021

Titles & IDs
Public title
INcidence of PostOperative Delirium Incidence in Surgical Patients: an Observational Cohort Study in New Zealand
Scientific title
INcidence of PostOperative Delirium Incidence in Surgical Patients: an Observational Cohort Study in New Zealand
Secondary ID [1] 0 0
A+ 9133
Universal Trial Number (UTN)
Trial acronym
INPOD-NZ
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Delirium Confusional State 0 0
Complication,Postoperative 0 0
Condition category
Condition code
Neurological 0 0 0 0
Other neurological disorders
Mental Health 0 0 0 0
Other mental health disorders
Mental Health 0 0 0 0
Psychosis and personality disorders
Surgery 0 0 0 0
Other surgery

Intervention/exposure
Study type
Observational
Patient registry
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
Post operative - Nil Intervention - observational cohort study
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Incidence of postoperative delirium
Timepoint [1] 0 0
January 1st 2007 to December 31st 2016

Eligibility
Key inclusion criteria
Eligible patients include those aged 18 years or over undergoing a surgical procedure in
any of 71 public or private hospitals
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria

Study design
Purpose
Duration
Selection
Timing
Retrospective
Statistical methods / analysis

Recruitment
Recruitment status
Unknown status
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
30/06/2021
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
31/12/2021
Actual
Sample size
Target
1
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment outside Australia
Country [1] 0 0
New Zealand
State/province [1] 0 0
Auckland

Funding & Sponsors
Primary sponsor type
Other
Name
Auckland City Hospital
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
As the population of older adults increases, so too with the number of older adult patients
that present for anesthesia and surgery. The development of delirium following surgery has
some significant potential effects on patient outcomes; however, POD is often under
diagnosed. Some studies reported that more than 50% of patients with delirium were
undiagnosed by clinical teams. POD is associated with cognitive decline, increased hospital
length of stay, discharge to institutional care, mortality and higher healthcare costs. POD
contributes significantly to healthcare inefficiency; a diagnosis of POD is estimated by the
Australian Commission on Quality and Safety in Healthcare to cost an additional $27,791 AUD.
The incidence of POD reported in clinical trials depends on the risk profile of the study
population, the frequency and duration of delirium assessments as well as the surgical
procedure. Reported incidence may also vary due to the presence of high-risk pathways
involving multi-specialty management and intervention. POD may present as either hyperactive
or hypoactive subtypes, the latter being more difficult to detect.

There are few reports on the incidence of POD in New Zealand national level datasets, with
single centre studies primarily looking at in-hospital delirium and demonstrating an
incidence of 11.2 to 29% on mixed and/or medical wards. A review of elderly patients with
neck-of-femur fractures found the incidences of POD to be as high as 39%. The current data
suggests a significant level of morbidity due to POD in New Zealand hospitals, however there
is lack of national level data in the surgical population; which is crucial for establishing
demographic and regional need for effective intervention.
Trial website
https://clinicaltrials.gov/ct2/show/NCT04840316
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT04840316