CSF Cholinergic Biomarkers and Postoperative Cognitive Change
Study Details
Study Description
Brief Summary
Previous study demonstrated that the condition of central cholinergic nerve is important for the postoperative cognitive dysfunction. In present study investigators hypothesized that the acetylcholine concentration in the cerebral spinal fluid is associated to the postoperative cognitive changes in aged patients undergoing osteopathic surgery.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
- Short-term postoperative cognitive dysfunction rate [The day before surgery and 7 days after surgery (or before leave hospital)]
- Concentration of Acetylcholine in CSF [During spinal anesthesia]
- Concentration of choline acetyltransferase in CSF [During spinal anesthesia]
- Concentration of acetylcholinesterase in CSF [During spinal anesthesia]
Secondary Outcome Measures
- Long-term postoperative cognitive dysfunction rate [Two months after surgery]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Elder than 60 years old
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Spoke proficient Mandarin Chinese
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Agree to undergoing spinal plus general anesthesia
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Selected total knee replacement surgery
Exclusion Criteria:
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Patients with neurological and/or psychiatric diseases, including AD, stroke and psychosis
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Have contraindication for spinal anesthesia such as clotting disorder local infection in the puncture site
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Existing cognitive impairment as evidenced by Mini-Mental State Examination scores below 24
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Several audition or vision disorder
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Unwillingness to comply with the protocol or procedures.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Renji hospital, School of Medicine, Shanghai Jiaotong University | Shanghai | Shanghai | China | 200127 |
Sponsors and Collaborators
- RenJi Hospital
Investigators
- Study Chair: Diansan Su, Dr., Renji Hospital, School of Medicine, Shanghai Jiaotong University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- ACHandPOCD