Postoperative Delirium Clinical Trial
Official title:
The Efficacy and Safety of Tropisetron in Preventing Emergence Delirium: A Randomized Controlled Trial
The purpose of this study is to determine the efficacy and safety of Tropisetron in preventing emergence delirium.
Delirium is a common complication during postoperative period, especially in elderly
patients. The presence of postoperative delirium is independently associated with poor
recovery, increased length of hospital stay, the development of long-term cognitive decline
and increased mortality.
Tropisetron is a 5-HT3A receptor antagonist and is widely used to treat postoperative nausea
and vomiting. Previous studies found that tropisetron has positive effect on cognitive
function. This study aims to access the efficacy and safety of tropisetron in preventing
emergence delirium.
To explore the results differences amongst different patients, subgroup analysis will be
conducted according to: a. Age (older than 65 years versus 65 years or younger); b. Surgery
type (major surgery versus minor surgery); c. Preoperative MoCA scores (>26 versus 18-26
versus 10-17).
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