POCD After Major Gynecologic Surgery

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18+
SponsorFatihhan Zeytun

About this trial

This prospective observational cohort study aims to determine the incidence of early postoperative cognitive dysfunction (POCD) in patients undergoing major gynecological surgery. Cognitive function will be assessed using the Montreal Cognitive Assessment (MoCA) preoperatively and on postoperative day 3. POCD will be defined as a ≥20% relative decline or ≥2-point decrease in MoCA score. The study will also evaluate the association between POCD and perioperative clinical, surgical, and inflammatory parameters.

Eligibility criteria

Qualifiers

Female patients aged ≥18 years

Scheduled for elective major gynecological surgery under general anesthesia

Total abdominal hysterectomy and/or bilateral salpingo-oophorectomy

Open or laparoscopic surgical approach

Disqualifiers

Pre-existing dementia or major neurocognitive disorder

History of cerebrovascular event within the previous 3 months

Severe visual or hearing impairment preventing cognitive assessment

Emergency or hemodynamically unstable surgery

Trial design

Treatments tested in this trial

  • Not listed

Trial groups

No trial groups listed

Sponsors and collaborators

Fatihhan Zeytun

Lead sponsor

Kocaeli City Hospital

Sponsor institution