Evidence map›Paper›PMID 28298244›Full record

Trial reportTrials2017

Frailty Related to Anesthesia guided by the Index "bispectraL" (FRAIL) study: study protocol for a randomized controlled trial.

Morgan Le Guen, Marie Herr, Antoine Bizard, Caroline Bichon, Nathalie Boichut, Thierry Chazot, Ngai Liu, Joel Ankri, Marc Fischler

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02524327 (Influence of the Modality of General Anesthesia Guided by the Bispectral Index), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 95% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02524327 naterminatednot on this map

Influence of the Modality of General Anesthesia Guided by the Bispectral Index (Manual or Automated) on the Occurrence of a Loss of Capability in Elderly Patients (> 70 Yrs): a Randomized Multicenter Study

TypeinterventionalSponsorHopital FochRan2015 to 2018Enrolled134ConditionsAnesthesia, General, Aged, 70 and OverArmsToolbox: Automated group, Manual group
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Morgan Le GuenDepartment of Anesthesiology, Hôpital Foch, University Versailles-Saint Quentin, 40 rue Worth, 92150, Suresnes, France. m.leguen@hopital-foch.org.
Marie HerrUVSQ, UMR-S 1168, Université Versailles Saint-Quentin-en-Yvelines, Saint-Quentin-en-Yvelines, France.
Antoine BizardDepartment of Neuropsychology and Mobile Unit for Geriatric Patients, Hôpital Foch, University Versailles-Saint Quentin, Suresnes, France.
Caroline BichonDepartment of Neuropsychology and Mobile Unit for Geriatric Patients, Hôpital Foch, University Versailles-Saint Quentin, Suresnes, France.
Nathalie BoichutDepartment of Anesthesiology and Critical Care Medicine, CHRU Besançon, University of Franche-Comté, Besançon, France.
Thierry ChazotDepartment of Anesthesiology, Hôpital Foch, University Versailles-Saint Quentin, 40 rue Worth, 92150, Suresnes, France.
Ngai LiuDepartment of Anesthesiology, Hôpital Foch, University Versailles-Saint Quentin, 40 rue Worth, 92150, Suresnes, France.
Joel AnkriUVSQ, UMR-S 1168, Université Versailles Saint-Quentin-en-Yvelines, Saint-Quentin-en-Yvelines, France.
Marc FischlerDepartment of Anesthesiology, Hôpital Foch, University Versailles-Saint Quentin, 40 rue Worth, 92150, Suresnes, France.
Hôpital Foch · FRHôpital Sainte-Périne · FRUniversité de franche-comté · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, patients older than 60 years of age represent 25% of the population and are at an increased risk during surgery. Therefore, reducing postoperative morbidity and mortality is a major concern in medical research and practice. Dependence on caregivers and cognitive impairment represent two major risk factors in the elderly, especially in frail patients after surgery under general anesthesia. In this context, continuous monitoring of the depth of anesthesia using a bispectral index (BIS) sensor may reduce the occurrence of impairments by gaining better control of the anesthetic depth. The first aim of this study is to compare manual versus automated administration of intravenous anesthetics with regard to 6-month functional decline in persons aged 70 years and older. The secondary objective includes an evaluation of the influence of the frail phenotype on self-sufficiency in elderly patients after general anesthesia. METHODS/

designAfter receiving ethical committee approval and written consent, a complete preoperative assessment of physiological reserve and self-sufficiency will be performed on patients more than 70 years old who are scheduled for surgery under general anesthesia. This evaluation will determine the patient's frailty status in three categories: robust, pre-frail, and frail. Then, patients will be randomized into two groups: manual administration of anesthetics guided by BIS sensor (manual group) or automated administration (automated group) with recording of the anesthesia. A second examination will be scheduled after 6 months to assess changes in functional abilities, cognitive functions, and frailty status. A priori calculation of sample size gives a population of 430 patients to be included in this multicenter trial. DISCUSSION: This clinical study is designed to detect any postoperative complications and deaths related to the performance of the general anesthesia guided by the BIS sensor and the preoperative functional status of the elderly: robust, pre-frail, or frail.

trial registrationClinicalTrials.gov, NCT02524327 . Registered on 10 August 2015.

Indexed as

Anesthesia, GeneralConsciousness MonitorsFrail ElderlyAgedAge FactorsClinical ProtocolsCognitionExerciseFemaleFrailtyFranceGeriatric AssessmentHumansIntraoperative Neurophysiological MonitoringMaleMuscle StrengthAnesthesiaElderlyFrailtyOutcomeRecovery

Identifiers

PMID28298244
PMCPMC5353801
OpenAlexW2600241986

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.