UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040775
Receipt number R000046543
Scientific Title Effectiveness of acupuncture therapy for the prevention of emergence agitation in children: A meta-analysis with trial sequential analysis
Date of disclosure of the study information 2020/07/01
Last modified on 2021/06/16 16:52:57

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Effectiveness of acupuncture therapy for the prevention of emergence agitation in children: A meta-analysis with trial sequential analysis

Acronym

Effectiveness of acupuncture therapy for the prevention of emergence agitation in children: A meta-analysis with trial sequential analysis

Scientific Title

Effectiveness of acupuncture therapy for the prevention of emergence agitation in children: A meta-analysis with trial sequential analysis

Scientific Title:Acronym

Effectiveness of acupuncture therapy for the prevention of emergence agitation in children: A meta-analysis with trial sequential analysis

Region

Japan


Condition

Condition

Emergence agitation

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The primarily purpose of this meta-analysis is to assess the incidence of emergence agitation evaluated using a specific assessment tool compared with no treatment, placebo/sham, or standard care in children.

Basic objectives2

Others

Basic objectives -Others

N/A

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome is the incidence of emergence agitation evaluated using a specific assessment tool. We followed the definitions of the incidence of emergency agitation to the criteria established in each study. When emergence agitation was classified according to severity or points, we extract the data from the severe category. When emergence agitation was evaluated at several time points, we extract the data evaluated immediately after emergence (e.g. data evaluated on the PACU or in the recovery room) in order to extract the data that represented acute emergence agitation.

Key secondary outcomes

The secondary outcomes are the absolute value of the emergence agitation score evaluated using a specific assessment tool score, and the pain score evaluated using a specific assessment tool score. Incidence of adverse events such as nausea and vomiting, delayed awakening (Time to extubation, PACU stay duration) are also analyzed.


Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit

18 years-old >

Gender

Male and Female

Key inclusion criteria

Children undergoing general anesthesia and being expected to be extubated in the operating room.

Key exclusion criteria

Non-children (aged more than 18).
Children undergoing cardiac surgery with cardiopulmonary bypass or not expected to be extubated at the end of surgery.

Target sample size

0


Research contact person

Name of lead principal investigator

1st name DAISUKE
Middle name
Last name NAKAJIMA

Organization

Yokohama City University Graduate School of Data Science

Division name

Department of Health Data Science

Zip code

236-0027

Address

22-2 Seto Kanazawa-ku, Yokohama-shi, Kanagawa-ken, Japan

TEL

045-787-2311

Email

w205659g@yokohama-cu.ac.jp


Public contact

Name of contact person

1st name DAISUKE
Middle name
Last name NAKAJIMA

Organization

Yokohama City University Graduate School of Data Science

Division name

Department of Health Data Science

Zip code

236-0027

Address

22-2 Seto Kanazawa-ku, Yokohama-shi, Kanagawa-ken, Japan

TEL

045-787-2311

Homepage URL


Email

w205659g@yokohama-cu.ac.jp


Sponsor or person

Institute

Yokohama City University

Institute

Department

Personal name



Funding Source

Organization

Yokohama City University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yokohama City University Graduate School of Data Science

Address

22-2 Seto Kanazawa-ku, Yokohama-shi, Kanagawa-ken, Japan

Tel

045-787-2311

Email

w205659g@yokohama-cu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 07 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2020 Year 06 Month 15 Day

Date of IRB


Anticipated trial start date

2020 Year 07 Month 01 Day

Last follow-up date

2020 Year 09 Month 30 Day

Date of closure to data entry

2021 Year 07 Month 31 Day

Date trial data considered complete

2021 Year 07 Month 31 Day

Date analysis concluded

2021 Year 07 Month 31 Day


Other

Other related information

The study protocol is attached in this pre-registration or can be seen at

http://www-user.yokohama-cu.ac.jp/~masuika/protocol/

<Searches>
We will search the following electronic bibliographic database: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science. We will also search for trial registration sites such as ClinicalTrials.gov and University Medical Information Network Clinical Trial Registry.
<Types of study to be included>
We will include randomized controlled trials (RCTs) that evaluated the effect of acupuncture therapy for the prevention of emergence agitation compared with a placebo, no medication, standard care in children undergoing general anesthesia.
<Risk of bias assessment>
We assess the risk of bias using RoB2 tool for randomized, controlled trials. Trials with 1 or more risk of bias classified as some concerns or high are trials with a high risk of bias. We grade the quality of evidence of the main outcomes using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach with GRADEpro software.
<Strategy for data synthesis and analysis>
We will compare the incidence of the emergence agitation with risk ratio. We will summarize the risk ration with 95% confidence interval. We will use a random effect model to combine the result. Heterogeneity is quantified with I2 statistic. We plan to conduct subgroup analyses according to the following predefined factors when the I2 statistic exceeded 50%: (1) method of acupuncture therapy, (2) selection of points (unilateral or bilateral) (3) type of surgery. Sensitivity analysis is performed for primary outcomes according to the risk of bias (low vs high or unclear). For the primary outcome, Trial Sequential Analysis (TSA) is performed to correct for random error and repetitive testing of accumulating and sparse data.


Management information

Registered date

2020 Year 06 Month 15 Day

Last modified on

2021 Year 06 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046543