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Trial registered on ANZCTR
Registration number
ACTRN12618000474257
Ethics application status
Approved
Date submitted
22/03/2018
Date registered
3/04/2018
Date last updated
3/04/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Assessing motor and cognitive function pre and post propofol only anaesthesia for endoscopic procedures.
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Scientific title
Assessing motor and cognitive function pre and post propofol only anaesthesia for endoscopic procedures using the SART and SOPT.
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Secondary ID [1]
294425
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Nil Known
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Universal Trial Number (UTN)
U1111-1211-2916
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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:
Propofol only sedational anaesthesia in endoscopic procedures
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Condition category
Condition code
Anaesthesiology
306288
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0
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Anaesthetics
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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
Patients receiving propofol only anaesthesia for endoscopic procedures are administered two computer programs called the "self ordered pointing test" (SOPT) and the "sustained attention to response task" (SART). These tests were administered 30 minutes prior to the patients procedure and again, 1 hour post emergence from the patients procedure and patients were observed for an estimated 1.5 hours in total from the first to last assessment.
In the SOPT test, the participant is presented number of images and she/he is asked to pick one. On the next screen the order of the images is scrambled and the subject is asked to pick a different image amongst the number of images which were presented to a participant on the previous screen. This repeats until all images are selected. This test measures working memory, verbal learning, visuospatial ability, and select aspects of executive functioning.
The SART test is a computer-based task designed to measure a person's ability to withhold responses to infrequent and unpredictable stimuli during a period of rapid and rhythmic responding to frequent stimuli. The participant was flashed a sequence of disordered numbers between 1-9 and was asked to press the space bar in response to being flashed the number 3.
The SART and SOPT have been studied heavily in the past with subjects exposed to alcohol and validated to a BAL of <0.05.
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Intervention code [1]
300720
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Not applicable
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Comparator / control treatment
A control arm completed the SART and SOPT test. This group only consisted of healthy volunteers who were exposed to no propofol and underwent no endoscopic intervention. These volunteers completed the tests at a interval of one hour. We aimed to mitigate any potential learning bias with the results from this arm of the study.
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Control group
Active
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Outcomes
Primary outcome [1]
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To demonstrate whether there is or isn't a significant effect of propofol only anaesthesia on cognitive function at one hour post administration of propofol in the endoscopy setting.
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Assessment method [1]
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Timepoint [1]
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Patient were recruited on presentation to the endoscopic department
Approximately 30 mins prior to their procedure, they conducted both the SART and SOPT tests
Patients were reassessed with the SART and SOPT one hour after presenting to the recovery room post procedure.
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Secondary outcome [1]
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NA
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Assessment method [1]
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Timepoint [1]
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NA
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Eligibility
Key inclusion criteria
Any ages welcomed >18y
Patients must have received propofol only anaesthesia for endoscopy
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Prior history of dementia or cognitive impairment
Recent use of alcohol/benzodiazepines
Non English speakers
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
305 patients to be enrolled in both propofol and control group.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
18/05/2016
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Date of last participant enrolment
Anticipated
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Actual
19/01/2018
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Date of last data collection
Anticipated
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Actual
19/01/2018
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Sample size
Target
610
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Accrual to date
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Final
600
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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St Vincent's Private Hospital (Darlinghurst) - Darlinghurst
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Recruitment postcode(s) [1]
22160
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2010 - Darlinghurst
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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St Vincent's Private Hospital
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Address [1]
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390 Victoria St,
Darlinghurst.
NSW, Australia, 2010
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
St Vincent's Hospital, Darlinghurst
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Address
390 Victoria St,
Darlinghurst.
NSW, Australia, 2010
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincent's Hospital Sydney Human Research Ethics Committee (HREC)
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Ethics committee address [1]
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390 Victoria St, Darlinghurst, NSW, Australia, 2010
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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27/10/2015
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Approval date [1]
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17/12/2015
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Ethics approval number [1]
299989
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15/238
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Summary
Brief summary
There has been an increase in the number of discharges against medical advice for endoscopic procedures in recent times and given this, patients could be at significant risk when discharging unsupervised from the clinical environment. As many patients now receive propofol as the sole agent for sedational anaesthesia for endoscopic procedures, we decided to conduct a study that assesses the cognitive and motor function of patients before and after propofol only anaesthesia in this clinical setting. We did this by using two computer tests called the SART and SOPT, which are validated to a BAL of 0.05 and were completed by patients prior to and again one hour after their procedure. We also conduced the same battery of tests on volunteers not receiving propofol to assess for any learning bias obtained by participants completing the test at one hour intervals. From this study, we aim to determine the level of cognitive impairment 1 hour post propofol only anaesthesia for endoscopic procedures, if any, which may help with discharge planning for patients in the future.
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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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Dr Jenny Stevens
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Address
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St Vincent's Anaesthetic Department
St Vincent's Hospital
390 Victoria St,
Darlinghurst,
NSW, Australia, 2010
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Country
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Australia
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Phone
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+61 2 83821111
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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James Kelly
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Address
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St Vincent's Hospital
390 Victoria St,
Darlinghurst,
NSW, Australia, 2010
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Country
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Australia
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Phone
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+61 2 83821111
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Drew Heffernan
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Address
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St Vincent's Anaesthetic Department
St Vincent's Hospital
390 Victoria St,
Darlinghurst,
NSW, Australia, 2010
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Country
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Australia
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Phone
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+61 2 83821111
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Fax
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Email
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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
No additional documents have been identified.
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