Perioperative Oral Decontamination and ImmunoNuTrition (POINT) in Elderly

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorPeking Union Medical College Hospital

About this trial

The goal of this multicenter randomized controlled trial is to explore the efficacy of perioperative oral decontamination and immunonutrition supplement to prevent postoperative pulmonary complications in elderly patients(≥65 years) receiving elective non-cardiac operations. Participants will be either given immunonutrition supplement versus routine nutrition advice, and oral chlorhexidine decontamination versus routine oral care randomly. The two interventions will be compared with control groups separately regarding postoperative pulmonary complications and other outcomes.

Eligibility criteria

Qualifiers

age≥65 years;

undergoing major non-cardiac surgery;

scheduled for general anesthesia and endotracheal intubation;

American Society of Anesthesiologists (ASA) physical status classification I-IV;

Disqualifiers

emergency surgery;

preoperative pneumonia;

allergic to chlorhexidine;

severe hepatic/renal dysfunction, incapable of oral feeding, with autoimmune diseases, taking immunosuppressant or immunoregulation medications, or with other contraindication to immunonutrition supplementation;

Trial design

Treatments tested in this trial

  • immunonutrition supplement of ORAL IMPACT™
  • oral chlorhexidine decontamination

Treatment groups

592 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Peking Union Medical College Hospital

Lead sponsor

Fujian Provincial Hospital

Collaborator

The Second Hospital of Hebei Medical University

Collaborator

Shenzhen Nanshan District Shekou People's Hospital

Collaborator

Ningbo No.2 Hospital

Collaborator

Peking University International Hospital

Collaborator

Guizhou Provincial People's Hospital

Collaborator