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Trial registered on ANZCTR
Registration number
ACTRN12623000051640
Ethics application status
Approved
Date submitted
25/11/2022
Date registered
17/01/2023
Date last updated
17/01/2023
Date data sharing statement initially provided
17/01/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of preoperative polyunsaturated fatty acid use on perioperative inflammatory response
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Scientific title
The effect of preoperative polyunsaturated fatty acid use on perioperative inflammatory response in women undergoing caesarean section
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Secondary ID [1]
308498
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none
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Universal Trial Number (UTN)
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Trial acronym
PIPFA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
perioperative inflammatory response
328307
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postoperative pain
328308
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Condition category
Condition code
Anaesthesiology
325355
325355
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0
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Other anaesthesiology
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Inflammatory and Immune System
325484
325484
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0
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Normal development and function of the immune system
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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
omega-3 polyunsaturated fatty acid (PUFA);
- the dose administered, 500 mg once daily;
- the duration of administration, 3 mounths;
- the mode of administration, oral tablet.
all data will be directly collected from medical records
duration described will have the following data collected intraoperatively and over the duration of 24 ours of their hospital stay.
demographic information (age, gender, weight, BMI, gestational age, known diseases and medications used during pregnancy)
inflammation biomarkers in serum (c-reactive protein, interleukin-6, interleukin-10),
intraoperative monitoring(hemodynamic datas, operation time, bleeding)
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Intervention code [1]
324930
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Diagnosis / Prognosis
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Comparator / control treatment
omega-3 pufa non-users
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Control group
Active
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Outcomes
Primary outcome [1]
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perioperative inflammatory response assessed by interleukin-6 levels in serum
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Assessment method [1]
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Timepoint [1]
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1 hour before the operation,
6 hours after the operation,
24 hours after the operation.
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Primary outcome [2]
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perioperative inflammatory response assessed by interleukin-10 levels in serum
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Assessment method [2]
333425
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Timepoint [2]
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1 hour before the operation,
6 hours after the operation,
24 hours after the operation.
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Primary outcome [3]
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perioperative inflammatory response assessed by C-reaktive protein levels in serum
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Assessment method [3]
333426
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Timepoint [3]
333426
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1 hour before the operation,
6 hours after the operation,
24 hours after the operation.
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Secondary outcome [1]
416186
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postoperative pain assessed numeric rating score
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Assessment method [1]
416186
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Timepoint [1]
416186
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postoperative period 6 ours after the operation and 24 ours after the operation.
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Secondary outcome [2]
417035
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hospital stay duration
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Assessment method [2]
417035
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Timepoint [2]
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postoperative period at stay hospital
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Eligibility
Key inclusion criteria
Between 1 November 2022 and 31 January 2023,
physical status is ASA II according to the classification of the American Society of Anesthesiology (ASA),
over 18 years,
using fish oil supplement with at least 500 mg of omega3 content,
omega-3 pufa users (for the omega-3 group)
omega-3 pufa non-users (for the control group)
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with poor orientation and cooperation,
serious psychiatric patients
emergency cases,
gestational diabetes,
gestational hypertension,
preeclampsia,
eclampsia,
patients with a history of cardiac arrhythmia and heart failure,
Patients using fish oil supplement preparation with less than 500 mg or higher omega3 content,
patients with chronic smoking, alcohol or drug addiction
patients who do not agree to volunteer
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Case control
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Timing
Prospective
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Statistical methods / analysis
SPSS program will be used for statistical analysis. Descriptive values will be expressed as mean±standard deviation. Chi-Square Test will be used for ASA score and gender assessments. The Kolmogorov-Smirnov Test will be used for the evaluation of all data about the groups. It was planned to evaluate the compatible data with the Student T Test and the inconsistent data with the Mann Witney U Test.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
8/12/2022
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Date of last participant enrolment
Anticipated
31/03/2023
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Actual
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Date of last data collection
Anticipated
1/04/2023
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Actual
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Sample size
Target
30
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Accrual to date
7
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Final
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Recruitment outside Australia
Country [1]
25157
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Turkey
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State/province [1]
25157
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Konya
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Funding & Sponsors
Funding source category [1]
312740
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University
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Name [1]
312740
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T.R. Necmettin Erbakan University Scientific Research Projects Coordinatorship
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Address [1]
312740
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Necmettin Erbakan Üniversitesi Meram Tip Fakültesi Morfoloji Ek Binasi 2. Kat
Bilimsel Arastirma Projeleri Koordinatörlügü Akyokus / Meram / KONYA
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Country [1]
312740
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Turkey
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Primary sponsor type
University
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Name
T.R. Necmettin Erbakan University Scientific Research Projects Coordinatorship
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Address
Necmettin Erbakan Üniversitesi Meram Tip Fakültesi Morfoloji Ek Binasi 2. Kat
Bilimsel Arastirma Projeleri Koordinatörlügü Akyokus / Meram / KONYA
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Country
Turkey
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Secondary sponsor category [1]
314361
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None
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Name [1]
314361
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Address [1]
314361
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Country [1]
314361
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
312035
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N.E.Ü. Meram Tip Fakültesi Klinik Arastirmalar Etik Kurulu
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Ethics committee address [1]
312035
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Necmettin Erbakan Üniversitesi Meram Tip Fakültesi Morfoloji Ek Binasi 2. Kat Etik Kurullar Akyokus / Meram / KONYA
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Ethics committee country [1]
312035
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Turkey
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Date submitted for ethics approval [1]
312035
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Approval date [1]
312035
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23/02/2022
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Ethics approval number [1]
312035
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Summary
Brief summary
Inflammatory process; Secretion of anti-inflammatory cytokines can be regulated by negative feedback mechanisms, including inhibition of proinflammatory signals and loss of receptors to which inflammatory mediators will bind. The association of polyunsaturated fatty acids with inflammation is mediated by the production of eicosanoids. Eicosanoid synthesis occurs through polyunsaturated fatty acids obtained from phospholipids in the cell membrane by the phospholipase A2 enzyme. While there are studies on the use of polyunsaturated fatty acids in different patient groups in the literature, studies on the perioperative period are limited. With this study, it is aimed to show the effects of perioperative omega3-6 fatty acid use. In this study, pregnant women who were planned to deliver by cesarean section under elective conditions, between 1 April 2022 and 31 December 2022, whose physical status is ASA II according to the American Society of Anesthesiology (ASA) classification, over 18 years of age, omega3 and omega6 content of at least 500 mg in total will be included. 30 patients using fish oil supplements will be included. Demographic information of the patients (age, gender, weight, BMI, gestational age, known diseases and medications used during pregnancy) will be recorded. Interleukin-6 and Interleukin-10 serum levels will be studied in the laboratory environment in 3 different time periods, preoperative, postoperative 6th hour and postoperative 24th hour. group omega; Patients who use nutritional supplements containing omega-3 and omega-6 and continue to use them for at least 8 weeks before the operation, group control; It consists of patients who have not used any omega3 and omega6 nutritional supplements for at least 8 weeks. The patients in both groups will undergo the normal surgical procedure. SPSS program will be used for statistical analysis. Descriptive values will be expressed as mean±standard deviation. Chi-Square Test will be used for ASA score and gender assessments. The Kolmogorov-Smirnov Test will be used for the evaluation of all data about the groups. It was planned to evaluate the compatible data with the Student T Test and the inconsistent data with the Mann Witney U Test
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Trial website
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Trial related presentations / publications
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Public notes
none
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Contacts
Principal investigator
Name
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Dr RESUL YILMAZ
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Address
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Necmettin Erbakan Univercity Meram Faculty Of Medicine, Hocacihan Mah. Abdulhamid Han Cad. No:3 PK: 42080 Selçuklu/KONYA (Yeni Hastane)
KONYA
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Country
123258
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Turkey
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Phone
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+903322234042
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Fax
123258
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+90 332 223 60 00
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Email
123258
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[email protected]
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Contact person for public queries
Name
123259
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RESUL YILMAZ
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Address
123259
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Necmettin Erbakan Univercity Meram Faculty Of Medicine, Hocacihan Mah. Abdulhamid Han Cad. No:3 PK: 42080 Selçuklu/KONYA (Yeni Hastane)
KONYA
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Country
123259
0
Turkey
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Phone
123259
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+903322234042
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Fax
123259
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+90 332 223 60 00
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Email
123259
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[email protected]
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Contact person for scientific queries
Name
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RESUL YILMAZ
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Address
123260
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Necmettin Erbakan Univercity Meram Faculty Of Medicine, Hocacihan Mah. Abdulhamid Han Cad. No:3 PK: 42080 Selçuklu/KONYA (Yeni Hastane)
KONYA
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Country
123260
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Turkey
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Phone
123260
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+903322234042
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Fax
123260
0
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Email
123260
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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
No additional documents have been identified.
Download to PDF