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Prophylactic Olanzapine Versus Placebo for Prevention of Postoperative Delirium After Joint Replacement Surgery
This study has been completed.
First Received: June 16, 2008   Last Updated: January 19, 2009   History of Changes
Sponsored by: The New England Baptist Hospital
Information provided by: The New England Baptist Hospital
ClinicalTrials.gov Identifier: NCT00699946
  Purpose

In this study we wanted to determine if perioperative administration of olanzapine prior to knee or hip replacement surgery in high risk patients would prevent the onset of postoperative delirium.


Condition Intervention
Delirium
Drug: olanzapine
Drug: placebo

Study Type: Interventional
Study Design: Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: A Double-Blind, Randomized, Placebo-Controlled Study of Perioperative Administration of Olanzapine to Prevent Postoperative Delirium in Joint Replacement Patients

Resource links provided by NLM:


Further study details as provided by The New England Baptist Hospital:

Primary Outcome Measures:
  • incidence of delirium [ Time Frame: days in hospital ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Complications, length of stay, hospital costs [ Time Frame: days ] [ Designated as safety issue: No ]

Enrollment: 495
Study Start Date: January 2005
Study Completion Date: October 2007
Primary Completion Date: August 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator Drug: olanzapine
5 mg preoperative and 5mg postoperative prior to discharge to inpatient nursing floor
2: Placebo Comparator Drug: placebo
placebo administered preoperatively and postoperatively prior to discharge to inpatient nursing floor

Detailed Description:

Postoperative delirium is a serious and common (20% to 60%) complication in orthopedic surgery patients. In this study we investigate whether prophylactic administration of olanzapine can prevent delirium from occurring after knee or hip replacement in high-risk patients > 65 years of age. This is a randomized, double-blind, single center, placebo-controlled study.

  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • High risk for delirium age > 65 history of delirium medical comorbidities ability to give informed consent

Exclusion Criteria:

  • Dementia Alcohol abuse Current use of an antipsychotic Allergy to olanzapine
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00699946

Locations
United States, Massachusetts
New England Baptist Hospital
Boston, Massachusetts, United States, 02120
Sponsors and Collaborators
The New England Baptist Hospital
Investigators
Principal Investigator: Susan Kelly, MD New England Baptist Hospital
  More Information

No publications provided

Responsible Party: New England Baptist Hospital ( Ken Larsen, Director, Pastoral Care/Psychology )
Study ID Numbers: 7381*KELLY
Study First Received: June 16, 2008
Last Updated: January 19, 2009
ClinicalTrials.gov Identifier: NCT00699946     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by The New England Baptist Hospital:
delirium, atypical antipsychotics, olanzapine, orthopedic

Study placed in the following topic categories:
Neurotransmitter Agents
Tranquilizing Agents
Psychotropic Drugs
Olanzapine
Antiemetics
Central Nervous System Depressants
Confusion
Antipsychotic Agents
Serotonin Uptake Inhibitors
Serotonin
Cognition Disorders
Signs and Symptoms
Delirium, Dementia, Amnestic, Cognitive Disorders
Mental Disorders
Neurologic Manifestations
Peripheral Nervous System Agents
Dementia
Neurobehavioral Manifestations
Delirium

Additional relevant MeSH terms:
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Olanzapine
Psychotropic Drugs
Antiemetics
Signs and Symptoms
Mental Disorders
Therapeutic Uses
Neurobehavioral Manifestations
Delirium
Tranquilizing Agents
Nervous System Diseases
Gastrointestinal Agents
Central Nervous System Depressants
Confusion
Antipsychotic Agents
Serotonin Uptake Inhibitors
Pharmacologic Actions
Delirium, Dementia, Amnestic, Cognitive Disorders
Serotonin Agents
Autonomic Agents
Neurologic Manifestations
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on August 28, 2009