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Trial registered on ANZCTR
Registration number
ACTRN12615000758505
Ethics application status
Approved
Date submitted
22/06/2015
Date registered
21/07/2015
Date last updated
21/07/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Comparision of the Effect of Sugammadex on the Recovery Period and Postoperative Residual Block in Young Elderly (65-74) and Middle-Old Elderly (>74) Patients
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Scientific title
A Comparision of the Effect of Sugammadex on the Recovery Period and Postoperative Residual Block in two groups of elderly patients undergoing laparoscopic cholecystectomy
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Secondary ID [1]
286941
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Postoperative Residual Block
295370
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Condition category
Condition code
Anaesthesiology
295635
295635
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0
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Anaesthetics
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Anaesthesiology
295780
295780
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Sixty patients over the age of 65 with ASA I-III were divided into two groups according to their age (65-74 years old and greater than 74 years old). Patients received sugammadex (2.0 mg/kg intravenous) at the reappearance of the second twitch of the train of four (TOF) Watch as an agent for reversal of neuromuscular blockage at the end of surgery. Patients were extubated at the time of TOF equal 0.9. The patients’ TOF responses were evaluated with regards to postoperative residual curarization (PORC) in fifth minute and were followed up for one hour in the recovery room. Reintubation was applied for those patients who developed PORC and had SpO2 less than 90% despite being given 6L oxygen per min with a face mask
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Intervention code [1]
292161
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Treatment: Drugs
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The PORC incidence with TOF Watch monitorization
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Assessment method [1]
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Timepoint [1]
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For one hour in the recovery room
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Primary outcome [2]
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Rate of reintubation
Patients whose SpO2 value could not be kept over 90 % despite the administration of 6 L/min oxygen were reintubated.
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Assessment method [2]
295485
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Timepoint [2]
295485
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For one hour in the recovery room
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Secondary outcome [1]
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The onset time of neuromuscular blocking agent assessed by e TOF Watch
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Assessment method [1]
315441
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Timepoint [1]
315441
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until the patient's extubation
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Eligibility
Key inclusion criteria
-over the age of 65
-whom laparoscopic chloecystectomy was planned
-ASA I-III
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Minimum age
65
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
-Patients with renal and hepatic failure
-Patients with musculoskeletal disease
-Family history of malignant hyperthermia
-BMI over 30
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
Statistical analysis of the study was carried out using Statistical Package 21.0 for Windows (SPSS Inc., Armonk, NY, USA). Shapiro-Wilk test was used as normallity test. Continuous variables were compared using Mann-Whitney U test when the data were not normally distributed. Wilcoxon Signed rank test was used for dependent groups. Categorical variables were compared using Pearson’s chi-squared test and Fisher’s exact test. Correlations between variables were tested using Spearman correlation coefficient. Results were given as median (min-max) values. The p value of <0.05 was considered statistically significant and the values were expressed as ''median-minimum-maximum'' or as a number. The power calculation for the present study was calculated according to the T0.9 and an alpha level set at 0.05. The power was calculated as 0.64 according to recorded sample size.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
24/05/2012
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Actual
24/05/2012
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Date of last participant enrolment
Anticipated
31/12/2012
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Actual
31/12/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
6993
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Turkey
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State/province [1]
6993
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Bursa
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Funding & Sponsors
Funding source category [1]
291514
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Self funded/Unfunded
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Name [1]
291514
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Emine Yazar
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Address [1]
291514
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Sirnak Goverment Hospital,
Dicle neighborhood/ Cizre Street/ Bahcelievler/ 73000/ Sirnak
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Country [1]
291514
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Turkey
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Primary sponsor type
Individual
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Name
Emine Yazar
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Address
Sirnak Goverment Hospital,
Dicle neighborhood/ Cizre Street/ Bahcelievler/ 73000/ Sirnak
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Country
Turkey
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Secondary sponsor category [1]
290195
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None
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Name [1]
290195
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Address [1]
290195
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Country [1]
290195
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293057
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Sevket Yilmaz Training and Education Hospital Clinical Research Ethics Committee
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Ethics committee address [1]
293057
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Sevket Yilmaz Training and Education Hospital Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/Bursa
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Ethics committee country [1]
293057
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Turkey
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Date submitted for ethics approval [1]
293057
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14/05/2012
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Approval date [1]
293057
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23/05/2012
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Ethics approval number [1]
293057
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2012/10/3
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Summary
Brief summary
Background: The importance of the characteristics of anesthesia and postoperative residual curarization (PORC) in the elderly population should be a growing concern in this century. Aims: To investigate the effect of sugammadex on the duration of the recovery from neuromuscular blocking agents and postoperative residual curarization in the young elderly and middle-old elderly patients who underwent elective laparoscopic cholecystectomy, followed by a train of four (TOF) Watch monitorization. Methods: Sixty patients over the age of 65 with ASA I-III were divided into two groups according to their age (65-74 years old and older than 74 years ). Patients received sugammadex (2.0 mg/kg iv) at the reappearance of the second twitch of the TOF as an agent for reversal of neuromuscular blockage at the end of surgery. Patients were extubated at the time of TOF equal to 0.9 value. The patients’ TOF responses were evaluated with regards to PORC in at the fifth minute and were followed up for one hour in the recovery room. Reintubation was applied for those patients who developed PORC and had SpO2 less than 90% despite being given 6L oxygen per min with a face mask Results: The onset time of neuromuscular blocking agent and time from T2 to achieve TOF ratio 90% or over were found to be longer in the middle-old elderly group than in the young elderly group. A statistically significant relationship was found between age and the duration of TOF ratio to reach 0.9 in the same direction. The PORC incidence and rate of reintubation were found to be 1.7% in all patients. Conclusions: In our opinion, it is necessary to remember that the onset of the sugammadex effect is prolonged for patients who are aged older than 74 years compared to patients aged between 65-74 years.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
510
510
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/AnzctrAttachments/368785-etic.pdf
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Contacts
Principal investigator
Name
58198
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Dr Emine Yazar
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Address
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Sirnak Goverment Hospital Clinic of Anesthesiology and Reanimation
Dicle Neighborhood, Cizre Street, Bahcelievler, 73000 Sirnak
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Country
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Turkey
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Phone
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+90,505,2689998
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Fax
58198
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Email
58198
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[email protected]
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Contact person for public queries
Name
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Derya Karasu
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Address
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Bursa Sevket Yilmaz Training and Education Hospital Clinic of Anesthesiology and Reanimation
Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/Bursa
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Country
58199
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Turkey
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Phone
58199
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+90,505,7281175
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Fax
58199
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Email
58199
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[email protected]
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Contact person for scientific queries
Name
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Canan Yilmaz
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Address
58200
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Bursa Sevket Yilmaz Training and Education Hospital Clinic of Anesthesiology and Reanimation
Mimar Sinan Neighborhood/ Emniyet Street/ 16310 Yildirim/Bursa
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Country
58200
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Turkey
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Phone
58200
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+90,505,9045989
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Fax
58200
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Email
58200
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A comparision of the effect of sugammadex on the recovery period and postoperative residual block in young elderly and middle-aged elderly patients.
2016
https://dx.doi.org/10.5152/balkanmedj.2016.16383
N.B. These documents automatically identified may not have been verified by the study sponsor.
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