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Preoperative Vitamin D Levels and Respiratory Complications of General Anesthesia (VitaminD)

Primary Purpose

Vitamin D Deficiency

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Vitamin D
Sponsored by
T.C. ORDU ÜNİVERSİTESİ
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Vitamin D Deficiency focused on measuring Vitamin D, general anesthesia, respiratory complications

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

- American Society of Anesthesiologists I - II risk classification, healthy adult surgery cases

Exclusion Criteria:

  • Thoracic surgery, those with severe respiratory, neuromuscular or endocrine system diseases, those with difficult intubation, morbid obesity, using vitamin D supplements and those who smoked

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Other

    Arm Label

    Observational research

    Arm Description

    Vitamin D levels and respiratory complications; observational research.

    Outcomes

    Primary Outcome Measures

    Relationship between Vitamin D levels and respiratory complications
    Low vitamin D levels may be a potential risk in terms of respiratory complications related to general anesthesia

    Secondary Outcome Measures

    Full Information

    First Posted
    October 8, 2017
    Last Updated
    November 13, 2017
    Sponsor
    T.C. ORDU ÜNİVERSİTESİ
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03342651
    Brief Title
    Preoperative Vitamin D Levels and Respiratory Complications of General Anesthesia
    Acronym
    VitaminD
    Official Title
    Evaluation of the Effect of Preoperative Vitamin D Levels and Respiratory Complications of General Anesthesia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    April 1, 2015 (Actual)
    Primary Completion Date
    April 1, 2016 (Actual)
    Study Completion Date
    December 31, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    T.C. ORDU ÜNİVERSİTESİ

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Vitamin D deficiency is a commonly observed health problem in the world. With a role in many chronic diseases and especially lung diseases, the importance of vitamin D deficiency in anesthesia management is increased. This research aims to investigate whether there is a correlation between the respiratory complications occurring in patients under general anesthesia and preoperative vitamin D levels.
    Detailed Description
    This study included 95 adult cases aged from 18-65 years operated under general anesthesia. The cases had total 25-hydroxyvitamin D (25OHD) levels identified in blood samples before the operation. Patients given routine general anesthesia and postoperative monitoring procedures were assessed in terms of respiratory complications during anesthesia induction, extubation, anesthesia recovery and the first 24 hours postoperative. This research observed that patients with low preoperative 25OHD vitamin levels encountered respiratory complications related to general anesthesia more often. Especially in the early postoperative period there is a very significant difference between complications and low 25OHD vitamin levels. Our study results show that low vitamin D levels may be a potential risk in terms of respiratory complications related to general anesthesia causing severe morbidity and mortality increase. The results lead to the consideration that optimizing vitamin D levels in the preoperative period for patients undergoing general anesthesia may aid in reducing complications.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Vitamin D Deficiency
    Keywords
    Vitamin D, general anesthesia, respiratory complications

    7. Study Design

    Primary Purpose
    Diagnostic
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    95 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Observational research
    Arm Type
    Other
    Arm Description
    Vitamin D levels and respiratory complications; observational research.
    Intervention Type
    Other
    Intervention Name(s)
    Vitamin D
    Other Intervention Name(s)
    Anesthesia, respiratory complications
    Intervention Description
    Vitamin D, general anesthesia, respiratory complications
    Primary Outcome Measure Information:
    Title
    Relationship between Vitamin D levels and respiratory complications
    Description
    Low vitamin D levels may be a potential risk in terms of respiratory complications related to general anesthesia
    Time Frame
    Perioperative period

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: - American Society of Anesthesiologists I - II risk classification, healthy adult surgery cases Exclusion Criteria: Thoracic surgery, those with severe respiratory, neuromuscular or endocrine system diseases, those with difficult intubation, morbid obesity, using vitamin D supplements and those who smoked
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Nilay Taş, Assoc.Prof.
    Organizational Affiliation
    Ordu University, Turkey
    Official's Role
    Principal Investigator
    First Name & Middle Initial & Last Name & Degree
    Tevfik Noyan, Prof.
    Organizational Affiliation
    Ordu University, Turkey
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Özgür Yağan, Assoc. Prof.
    Organizational Affiliation
    Ordu University, Turkey
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Volkan Hancı, Prof.
    Organizational Affiliation
    Ordu University, Turkey
    Official's Role
    Study Chair
    First Name & Middle Initial & Last Name & Degree
    Ebru Çanakçı, Ass. Prof.
    Organizational Affiliation
    Ordu University, Turkey
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    28856215
    Citation
    Hutchinson K, Healy M, Crowley V, Louw M, Rochev Y. Verification of Abbott 25-OH-vitamin D assay on the architect system. Pract Lab Med. 2017 Jan 17;7:27-35. doi: 10.1016/j.plabm.2017.01.001. eCollection 2017 Apr.
    Results Reference
    result
    PubMed Identifier
    25121616
    Citation
    Turan A, Hesler BD, You J, Saager L, Grady M, Komatsu R, Kurz A, Sessler DI. The association of serum vitamin D concentration with serious complications after noncardiac surgery. Anesth Analg. 2014 Sep;119(3):603-612. doi: 10.1213/ANE.0000000000000096.
    Results Reference
    result
    PubMed Identifier
    18400738
    Citation
    Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr. 2008 Apr;87(4):1080S-6S. doi: 10.1093/ajcn/87.4.1080S.
    Results Reference
    result
    PubMed Identifier
    25374465
    Citation
    Bener A, Ehlayel MS, Bener HZ, Hamid Q. The impact of Vitamin D deficiency on asthma, allergic rhinitis and wheezing in children: An emerging public health problem. J Family Community Med. 2014 Sep;21(3):154-61. doi: 10.4103/2230-8229.142967.
    Results Reference
    result
    PubMed Identifier
    25221606
    Citation
    Columbo M, Panettieri RA Jr, Rohr AS. Asthma in the elderly: a study of the role of vitamin D. Allergy Asthma Clin Immunol. 2014 Sep 5;10(1):48. doi: 10.1186/1710-1492-10-48. eCollection 2014.
    Results Reference
    result
    PubMed Identifier
    22365730
    Citation
    Banerjee A, Panettieri R Jr. Vitamin D modulates airway smooth muscle function in COPD. Curr Opin Pharmacol. 2012 Jun;12(3):266-74. doi: 10.1016/j.coph.2012.01.014. Epub 2012 Feb 25.
    Results Reference
    result
    PubMed Identifier
    23075939
    Citation
    Quraishi SA, Camargo CA Jr. Vitamin D in acute stress and critical illness. Curr Opin Clin Nutr Metab Care. 2012 Nov;15(6):625-34. doi: 10.1097/MCO.0b013e328358fc2b.
    Results Reference
    result
    PubMed Identifier
    24698317
    Citation
    Mulligan JK, Nagel W, O'Connell BP, Wentzel J, Atkinson C, Schlosser RJ. Cigarette smoke exposure is associated with vitamin D3 deficiencies in patients with chronic rhinosinusitis. J Allergy Clin Immunol. 2014 Aug;134(2):342-9. doi: 10.1016/j.jaci.2014.01.039. Epub 2014 Mar 31.
    Results Reference
    result
    PubMed Identifier
    19063829
    Citation
    Ginde AA, Mansbach JM, Camargo CA Jr. Vitamin D, respiratory infections, and asthma. Curr Allergy Asthma Rep. 2009 Jan;9(1):81-7. doi: 10.1007/s11882-009-0012-7.
    Results Reference
    result
    PubMed Identifier
    20067648
    Citation
    Bartley J. Vitamin D, innate immunity and upper respiratory tract infection. J Laryngol Otol. 2010 May;124(5):465-9. doi: 10.1017/S0022215109992684. Epub 2010 Jan 13.
    Results Reference
    result

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    Preoperative Vitamin D Levels and Respiratory Complications of General Anesthesia

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