At a glance
ClinicalIndex Comparison Record- ✓Age ≥65 years
- ✓Undergoing spine, hip, or knee replacement surgery
- ✓Anticipated hospital stay of at least 48 hours
- ✓English speaking
- ✕Current or prior gabapentin use or known sensitivity to gabapentin
- ✕History of narcotic tolerance
- ✕Planned two-stage spinal procedures
- ✕Unable to provide informed consent
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Clinical Trial of Gabapentin to Decrease Postoperative Delirium and Pain in Surgical Patients
In Brief
A Phase 3 clinical trial evaluating Gabapentin for Postoperative Delirium and 3 related conditions. Completed, enrolled 750 participants across 1 site.
Detailed Summary
This will be a double blind, placebo-controlled study of patients ≥65 years of age undergoing surgery of the spine, hips and knees replacement at the University of California, San Francisco (UCSF) Medical Center. Intraoperative anesthetic and postoperative pain management will be standardized. Patients will be randomized to receive either placebo or gabapentin preoperatively, and continued postoperatively until discharge. Intraoperative anesthetic and other postoperative pain management strategies will be standardized. Postoperative delirium will be measured using structured interviews. Cognitive function will be measured using a battery of neurocognitive tests pre- and post-operatively. Using an intention to treat strategy, we, the researchers at UCSF, will compare the incidence of postoperative delirium and cognitive dysfunction, the amount of postoperative pain, and narcotic requirements between the two groups. The primary outcome will be postoperative delirium. Secondary outcomes will be postoperative pain and opioids use, and length of hospital stay, and cognitive dysfunction.
Study Details
Timeline
Interventions
This is a Double blind, placebo-controlled experimental study in which gabapentin adjusted for renal clearance (or placebo) is given preoperatively and also the first three postoperative days