The effect of brain temperature on neuropsychological outcome following cardiopulmonary bypass

ISRCTN ISRCTN59467488
DOI https://doi.org/10.1186/ISRCTN59467488
Secondary identifying numbers MCT-38146
Submission date
15/10/2004
Registration date
23/06/2005
Last edited
10/11/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Howard Nathan
Scientific

Ottawa Heart Institute
40 Ruskin St H341
Ottawa
K1Y 4W7
Canada

Phone 613-761-4775
Email hnathan@ottawaheart.ca

Study information

Study designSingle centre, two arm, randomised parallel trial with study participant and investigator, outcome assessor, and data analyst blinded
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typePrevention
Scientific titleThe effect of brain temperature on neuropsychological outcome following cardiopulmonary bypass: a single centre, two arm, randomised parallel trial
Study acronymNPSYCH2
Study objectivesMaintaining mild hypothermia (34°C) compared to normothermia (37°C) throughout the entire intra-operative period will decrease brain injury during coronary artery surgery with cardiopulmonary bypass.
Ethics approval(s)Human Research Ethics Board, University of Ottawa Heart Institute, Ottawa, Ontario (Canada) approved on the 27th April 2004 (ref: #UOHI 00-113)
Health condition(s) or problem(s) studiedCognitive deficits following cardiopulmonary bypass
InterventionRandomisation to maintenance of body and brain temperature constant at 34 °C or 37 °C during the entire intra-operative period. Eleven tests were combined into three cognitive domains:
1. Memory
2. Attention
3. Psychomotor speed and dexterity
Intervention typeOther
Primary outcome measureThe incidence of cognitive deficits at 5 - 7 days after surgery.
Secondary outcome measures1. Incidence of cerebral emboli during cardiopulmonary bypass (CPB) as measured by trans-cranial doppler
2. Quality of life at 3 months and the incidence of cognitive deficits at 3 months
Overall study start date01/08/1995
Completion date01/02/1998

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants334
Key inclusion criteriaMale or female 60 years or older undergoing coronary artery surgery utilising cardiopulmonary bypass.
Key exclusion criteria1. Emergency surgery
2. Unable to undergo cognitive testing (visual or motor problems, unable to speak French or English)
3. Mini Mental State Examination (MMSE) less than 24 (dementia)
4. Patients undergoing other cardiac procedures in addition to coronary artery bypass graft (CABG) or reoperation
5. Patients with Parkinson's disease or a history of stroke
6. Age less than 60
7. Patients with renal insufficiency (creatinine 2 x normal) or hepatic insufficiency
Date of first enrolment01/08/1995
Date of final enrolment01/02/1998

Locations

Countries of recruitment

  • Canada

Study participating centre

Ottawa Heart Institute
Ottawa
K1Y 4W7
Canada

Sponsor information

University of Ottawa Heart Institute (Canada)
University/education

40 Ruskin St H341
Ottawa
K1Y 4W7
Canada

Phone +1 613 761 4775
Email hnathan@ottawaheart.ca
ROR logo "ROR" https://ror.org/03c4mmv16

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-38146)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article neuroprotective effect results 18/09/2001 Yes No
Results article five-year follow-up results 01/05/2007 Yes No
Results article neurocognitive function results: 01/12/2007 Yes No
Results article renal function results 01/02/2009 Yes No
Results article cognitive dysfunction results 01/10/2010 Yes No