Clinical trial NCT05537155: Buccal Acupuncture for Delirium Treatment in Older Patients Recovering From Orthopedic Surgery
Official title: Buccal Acupuncture for Delirium Treatment in Older Patients Recovering From Orthopedic Surgery: a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Older Patients
Orthopedic Surgery
Postoperative Delirium
Acupuncture
Treatment
Keywords: Older patients
Orthopedic surgery
Postoperative delirium
Buccal acupuncture
Treatment effects
Lead sponsor: Peking University First Hospital
Sponsor class: OTHER
Collaborators: name: Beijing Jishuitan Hospital
First posted: 2022-09-13
Enrollment: 112
Sex: ALL
Minimum age (years): 65
Maximum age (years): 90
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study is designed to test the hypothesis that, for older orthopedic patients who developed postoperative delirium, combining buccal acupuncture with routine care will shorten delirium duration and relieve delirium severity.

Detailed description: Delirium is an acute, transient central nervous system dysfunction characterized by fluctuating disturbances of attention, consciousness, and cognitive function. Delirium is common in older patients following surgery. The incidence of postoperative delirium ranges from 12.0% to 23.8% in older patients; the incidence of delirium is about 10.7-17.6% in older patients after joint replacement surgery. The occurrence of delirium is associated with worse outcomes, including increased early postoperative complications, prolonged hospital-stay, and increased in-hospital mortality, as well as long-term decline in cognitive function, quality of life, and survival duration.

Clinical use of acupuncture has a long history in China. Buccal acupuncture therapy is a microneedle technique and provides treatment for systemic diseases by acupuncturing specific acupoints in the cheek. Acupuncture is also used for delirium treatment. Studies of older patients who developed delirium in internal medicine wards found that, compared with routine care alone, combining routine care with acupuncture relieved delirious symptoms and severity more efficaciously. However, evidence in this aspect is limited. We suppose that, for older orthopedic patients who developed postoperative delirium, combining buccal acupuncture with routine care will shorten delirium duration and relieve delirium severity.

Eligibility criteria: Inclusion criteria:

* Aged ≥65 years, but \<90 years.
* After knee or hip replacement surgery.
* Diagnosed with delirium in the morning of enrollment.

Exclusion criteria:

* Refuse to participate in the study.
* Presence of any contraindications to acupuncture, such as puncture site infections or platelet count ≤20×10\^9/L.
* Preoperative history of schizophrenia, epilepsy, Parkinson's disease, or myasthenia gravis.
* Inability to communicate due to coma, profound dementia, or language barrier, or inability to cooperate with treatment due to agitation.
* American Society of Anesthesiologists physical status grade ≥V, or estimated survival ≤24 h.

Primary outcomes:
measure: Number of delirium-free days within 5 days
timeFrame: Up to 5 days after enrollment
Secondary outcomes:
measure: Delirium severity within 5 days
timeFrame: Up to 5 days after enrollment
measure: Time to first delirium resolution
timeFrame: Up to 5 days after enrollment
measure: Delirium subtype
timeFrame: Up to 5 days after enrollment
measure: Length of hospital stay after surgery
timeFrame: Up to 30 days after surgery
measure: Quality of life at 30 days after surgery
timeFrame: At 30 days after surgery
Other outcomes:
measure: Pain intensity
timeFrame: Up to 5 days after enrollment
measure: Subjective sleep quality
timeFrame: Up to 5 days after enrollment
measure: Non-delirium complications
timeFrame: Up to 30 days after surgery
measure: All-cause mortality
timeFrame: Up to 30 days after surgery
Locations:
city: Beijing
country: China
facility: Beijing Jishuitan Hospital
state: Beijing
city: Beijin
country: China
facility: Peking University First Hospital
state: Bejing
Study officials:
affiliation: Peking University First Hospital
name: Dong-Xin Wang, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Silva AR, Regueira P, Albuquerque E, Baldeiras I, Cardoso AL, Santana I, Cerejeira J. Estimates of Geriatric Delirium Frequency in Noncardiac Surgeries and Its Evaluation Across the Years: A Systematic Review and Meta-analysis. J Am Med Dir Assoc. 2021 Mar;22(3):613-620.e9. doi: 10.1016/j.jamda.2020.08.017. Epub 2020 Oct 1.
citation: Berian JR, Zhou L, Russell MM, Hornor MA, Cohen ME, Finlayson E, Ko CY, Rosenthal RA, Robinson TN. Postoperative Delirium as a Target for Surgical Quality Improvement. Ann Surg. 2018 Jul;268(1):93-99. doi: 10.1097/SLA.0000000000002436.
citation: Rong X, Ding ZC, Yu HD, Yao SY, Zhou ZK. Risk factors of postoperative delirium in the knee and hip replacement patients: a systematic review and meta-analysis. J Orthop Surg Res. 2021 Jan 22;16(1):76. doi: 10.1186/s13018-020-02127-1.
citation: Zhou Q, Zhou X, Zhang Y, Hou M, Tian X, Yang H, He F, Chen X, Liu T. Predictors of postoperative delirium in elderly patients following total hip and knee arthroplasty: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2021 Nov 12;22(1):945. doi: 10.1186/s12891-021-04825-1.
citation: Kitsis P, Zisimou T, Gkiatas I, Kostas-Agnantis I, Gelalis I, Korompilias A, Pakos E. Postoperative Delirium and Postoperative Cognitive Dysfunction in Patients with Elective Hip or Knee Arthroplasty: A Narrative Review of the Literature. Life (Basel). 2022 Feb 20;12(2):314. doi: 10.3390/life12020314.
citation: Lat I, McMillian W, Taylor S, Janzen JM, Papadopoulos S, Korth L, Ehtisham A, Nold J, Agarwal S, Azocar R, Burke P. The impact of delirium on clinical outcomes in mechanically ventilated surgical and trauma patients. Crit Care Med. 2009 Jun;37(6):1898-905. doi: 10.1097/CCM.0b013e31819ffe38.
citation: Quinlan N, Rudolph JL. Postoperative delirium and functional decline after noncardiac surgery. J Am Geriatr Soc. 2011 Nov;59 Suppl 2:S301-4. doi: 10.1111/j.1532-5415.2011.03679.x.
citation: Lescot T, Karvellas CJ, Chaudhury P, Tchervenkov J, Paraskevas S, Barkun J, Metrakos P, Goldberg P, Magder S. Postoperative delirium in the intensive care unit predicts worse outcomes in liver transplant recipients. Can J Gastroenterol. 2013 Apr;27(4):207-12. doi: 10.1155/2013/289185.
citation: Abelha FJ, Luis C, Veiga D, Parente D, Fernandes V, Santos P, Botelho M, Santos A, Santos C. Outcome and quality of life in patients with postoperative delirium during an ICU stay following major surgery. Crit Care. 2013 Oct 29;17(5):R257. doi: 10.1186/cc13084.
citation: Pisani MA, Kong SY, Kasl SV, Murphy TE, Araujo KL, Van Ness PH. Days of delirium are associated with 1-year mortality in an older intensive care unit population. Am J Respir Crit Care Med. 2009 Dec 1;180(11):1092-7. doi: 10.1164/rccm.200904-0537OC. Epub 2009 Sep 10.
citation: Bickel H, Gradinger R, Kochs E, Forstl H. High risk of cognitive and functional decline after postoperative delirium. A three-year prospective study. Dement Geriatr Cogn Disord. 2008;26(1):26-31. doi: 10.1159/000140804. Epub 2008 Jun 24.
citation: Van Rompaey B, Schuurmans MJ, Shortridge-Baggett LM, Truijen S, Elseviers M, Bossaert L. Long term outcome after delirium in the intensive care unit. J Clin Nurs. 2009 Dec;18(23):3349-57. doi: 10.1111/j.1365-2702.2009.02933.x. Epub 2009 Sep 4.
citation: Swarbrick CJ, Partridge JSL. Evidence-based strategies to reduce the incidence of postoperative delirium: a narrative review. Anaesthesia. 2022 Jan;77 Suppl 1:92-101. doi: 10.1111/anae.15607.
citation: Inouye SK, Bogardus ST Jr, Baker DI, Leo-Summers L, Cooney LM Jr. The Hospital Elder Life Program: a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program. J Am Geriatr Soc. 2000 Dec;48(12):1697-706. doi: 10.1111/j.1532-5415.2000.tb03885.x.
citation: Hshieh TT, Yang T, Gartaganis SL, Yue J, Inouye SK. Hospital Elder Life Program: Systematic Review and Meta-analysis of Effectiveness. Am J Geriatr Psychiatry. 2018 Oct;26(10):1015-1033. doi: 10.1016/j.jagp.2018.06.007. Epub 2018 Jun 26.
citation: Morandi A, Brummel NE, Ely EW. Sedation, delirium and mechanical ventilation: the 'ABCDE' approach. Curr Opin Crit Care. 2011 Feb;17(1):43-9. doi: 10.1097/MCC.0b013e3283427243.
citation: Aldecoa C, Bettelli G, Bilotta F, Sanders RD, Audisio R, Borozdina A, Cherubini A, Jones C, Kehlet H, MacLullich A, Radtke F, Riese F, Slooter AJ, Veyckemans F, Kramer S, Neuner B, Weiss B, Spies CD. European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium. Eur J Anaesthesiol. 2017 Apr;34(4):192-214. doi: 10.1097/EJA.0000000000000594.
citation: Sternberg SA, Chandran A, Sikka M. Alternative therapy use by elderly African Americans attending a community clinic. J Am Geriatr Soc. 2003 Dec;51(12):1768-72. doi: 10.1046/j.1532-5415.2003.51562.x.
citation: Ryder PT, Wolpert B, Orwig D, Carter-Pokras O, Black SA. Complementary and alternative medicine use among older urban African Americans: individual and neighborhood associations. J Natl Med Assoc. 2008 Oct;100(10):1186-92. doi: 10.1016/s0027-9684(15)31475-9.
citation: Loera JA, Reyes-Ortiz C, Kuo YF. Predictors of complementary and alternative medicine use among older Mexican Americans. Complement Ther Clin Pract. 2007 Nov;13(4):224-31. doi: 10.1016/j.ctcp.2007.03.002. Epub 2007 Apr 18.
citation: Levy I, Gavrieli S, Hefer T, Attias S, Schiff A, Oliven R, Wisberg-Levi S, Hanchinsky R, Schiff E. Acupuncture Treatment of Delirium in Older Adults Hospitalized in Internal Medicine Departments: An Open-Label Pragmatic Randomized-Controlled Trial. J Geriatr Psychiatry Neurol. 2022 May;35(3):333-343. doi: 10.1177/0891988721996804. Epub 2021 Mar 9.