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Trial registered on ANZCTR
Registration number
ACTRN12616001295437
Ethics application status
Approved
Date submitted
1/09/2016
Date registered
14/09/2016
Date last updated
14/09/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of depression on anaesthetic requirement in patients undergoing laparoscopic cholecystectomy
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Scientific title
Effect of major depressive disorder on anaesthetic requirement in patients undergoing laparoscopic cholecystectomy.
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Secondary ID [1]
290073
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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:
major depressive disorder
300149
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laparoscopic cholecystectomy
300150
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Condition category
Condition code
Anaesthesiology
300025
300025
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0
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Anaesthetics
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Mental Health
300026
300026
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0
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Depression
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Oral and Gastrointestinal
300027
300027
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
In all groups anesthesia was standardized and induced with propofol 2 mg/kg, muscle relaxation with rocuronium 0.5mg/kg by several anesthesiologists. Fentanyl was given to all patients intravenously as a bolus 1 mcg/kg before induction of anesthesia. Anesthesia was maintained with sevoflurane in a mixture of nitrous oxide 2L/min and oxygen 2L/min, and all patients were mechanically ventilated to maintain an ETCO2 concentration of 30-37 mmHg. The patients were divided into two groups by using the Beck Depression Inventory(BDI). BDI is a 21-item self-administered scale measuring various symptoms of depression. It comprises 21 groups of statements describing the somatic and cognitive-emotional symptoms of depression. Each item consists of four alternative responses graded from 0 to 3 according to the severity of the symptom. The patients choose the response closest to their state during the past week. A sum score is counted, a higher score indicating more severe depression. If the BDI score was under 10, it was called as control group. Patients were consulted to the psychiatrist when the BDI score was 17 or more. The psychiatric assessment was performed using the Structured Clinical Interview for DSM-IV Axis 1 disorders (SCID-I) with a trained interviewer. Patients who had axis-II disorders. psychiatric depression and seasonal affective disorder were excluded. Patients whom were diagnosed as MDD by the psychiatrist, they were classified as MDD group. Beck Anxiety Inventory(BAI) was also applied to all patients. Anesthesia was administered by blinded study raters who did not know patient’s group allocation. None of the patients were premedicated. Patients were observed during surgery.
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Intervention code [1]
295805
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Not applicable
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Comparator / control treatment
Beck Depression Inventory(BDI) were asked to the
patients. BDI is a 21-item self-administered scale measuring various symptoms of depression. It comprises 21 groups of statements describing the somatic and cognitive-emotional symptoms of depression. Each item consists of four alternative responses graded from 0 to 3 according to the severity of the symptom. The patients choose the response closest to their state during the past week. A sum score is counted, a higher score indicating more severe depression. If the BDI score was under 10, it was called as control group.
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Control group
Active
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Outcomes
Primary outcome [1]
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anesthetic requirement is assessed by review of hospital anesthesia records.
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Assessment method [1]
299510
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Timepoint [1]
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from start of procedure to end of the procedure.
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Secondary outcome [1]
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none
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Assessment method [1]
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Timepoint [1]
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none
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Eligibility
Key inclusion criteria
Inpatients planning to undergo laparoscopic cholecystectomy as an elective surgery
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Minimum age
18
Years
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Maximum age
65
Years
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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 having urgency about cholecystitis, renal failure, thyroid dysfunction, morbid obesity, obstructive sleep apnea, neurological dysfunction, alcoholism, anticonvulsants, antidepressants and opioids usage
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/03/2016
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Date of last participant enrolment
Anticipated
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Actual
19/08/2016
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Date of last data collection
Anticipated
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Actual
22/08/2016
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Sample size
Target
60
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Accrual to date
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Final
50
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Recruitment outside Australia
Country [1]
8174
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Turkey
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State/province [1]
8174
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ISTANBUL
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Funding & Sponsors
Funding source category [1]
294441
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Self funded/Unfunded
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Name [1]
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Unfunded
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Address [1]
294441
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unfunded
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Country [1]
294441
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Primary sponsor type
Individual
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Name
VEYSEL ERDEN
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Address
Istanbul Research and Education Hospital Kasap Ilyas district Org.Abdurrahman Nafiz Gurman street Postal code:34098 FATIH/ ISTANBUL
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Country
Turkey
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Secondary sponsor category [1]
293296
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None
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Name [1]
293296
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none
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Address [1]
293296
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none
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Country [1]
293296
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295872
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Istanbul Research and Education Hospital
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Ethics committee address [1]
295872
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Istanbul Research and Education Hospital Kasap Ilyas district Org.Abdurrahman Nafiz Gurman street Postal code:34098 FATIH/ ISTANBUL
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Ethics committee country [1]
295872
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Turkey
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Date submitted for ethics approval [1]
295872
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10/02/2016
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Approval date [1]
295872
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26/02/2016
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Ethics approval number [1]
295872
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235770
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Summary
Brief summary
Major depressive disorder (MDD) is a heterogeneous and highly prevalent mood disorder. MDD is defined by low mood and energy, inability to experience enjoyment, changes to eating and sleep patterns, feeling of guilt or worthlessness, and suicidal thoughts. MDD is associated with excess mortality and increased risk of suicide. There are numerous etiological theories about MDD. Dysregulation of the inhibitory amino acid neurotransmitter gamma-aminobutyric acid (GABA) is one of these theories that involved in the etiology of MDD. The potential connection between GABA physiology and MDD was investigated by several researchers. Earlier studies showed that GABA concentrations were reduced in the cerebrospinal fluid of MDD patients. Central nervous system(CNS) GABA concentrations which were measured by magnetic resonance spectroscopy, are reduced in some MDD patients recently. The GABA system is also suggested as a major substrate of anesthetic efficacy. Anesthetic requirement may differ in patients with MDD depending on an abnormal GABA content. The effect of abnormal GABA content on anesthetic requirement has not been studied on patients with MDD yet. In this study, we investigated whether MDD has any effect on anesthetic requirement.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof VEYSEL ERDEN
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Address
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ISTANBUL RESEARCH and EDUCATION HOSPITAL
Kasap Ilyas district Org.Abdurrahman Nafiz Gurman street Postal code:34098 FATIH
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Country
68766
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Turkey
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Phone
68766
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+90 212 459 60 50
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Fax
68766
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Email
68766
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[email protected]
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Contact person for public queries
Name
68767
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CIHAN GULER
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Address
68767
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ISTANBUL RESEARCH and EDUCATION HOSPITAL
Kasap Ilyas district Org.Abdurrahman Nafiz Gurman street Postal code:34098 FATIH
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Country
68767
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Turkey
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Phone
68767
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+90 212 459 61 63
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Fax
68767
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Email
68767
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[email protected]
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Contact person for scientific queries
Name
68768
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CIHAN GULER
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Address
68768
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ISTANBUL RESEARCH and EDUCATION HOSPITAL
Kasap Ilyas district Org.Abdurrahman Nafiz Gurman street Postal code:34098 FATIH
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Country
68768
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Turkey
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Phone
68768
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+90 212 459 61 63
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Fax
68768
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Email
68768
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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
Bispectral-Index-measured sevoflurane requirement might be decreased in individuals with major depressive disorder.
2018
https://dx.doi.org/10.23736/S0375-9393.17.11713-X
N.B. These documents automatically identified may not have been verified by the study sponsor.
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