UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054725
Receipt number R000062538
Scientific Title Word Search Puzzles Intervention to Improve Cognitive Function in Geriatric Patients After General Anesthesia: Randomized Clinical Trial
Date of disclosure of the study information 2025/08/01
Last modified on 2024/06/21 06:32:10

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Basic information

Public title

Word Search Puzzles Intervention to Improve Cognitive Function in Geriatric Patients After General Anesthesia

Acronym

WISPIG trial

Scientific Title

Word Search Puzzles Intervention to Improve Cognitive Function in Geriatric Patients After General Anesthesia: Randomized Clinical Trial

Scientific Title:Acronym

WISPIG Randomized Clinical Trial

Region

North America


Condition

Condition

Geriatric patients scheduled for surgery under general anesthesia

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Investigate whether the implementation of word search puzzle exercises modifies the score of cognitive status assessment determined by the Montreal Cognitive Assessment (MoCA) at 24 hours postoperative compared to its preoperative assessment 7 days before surgery in geriatric patients undergoing general anesthesia.

Basic objectives2

Others

Basic objectives -Others

1.- Investigate whether the implementation of word search puzzle exercises modifies the different domains of the Montreal Cognitive Assessment (MoCA): (1) Memory, (2) Executive Functioning, (3) Attention, (4) Language, (5) Visuospatial, and (6) Orientation, at 24 hours postoperative compared to their preoperative assessment 7 days before surgery in geriatric patients undergoing general anesthesia

2.- Investigate the impact of educational level, duration of anesthesia, type of anesthesia, and type of surgery on cognitive status assessed by the Montreal Cognitive Assessment (MoCA) at 24 hours postoperative in geriatric patients undergoing general anesthesia.




Trial characteristics_1

Exploratory

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Exploring the correlation between changes in cognitive status evaluated using the Montreal Cognitive Assessment (MoCA) one week before surgery and 24 hours postoperatively, with word search puzzle exercises in geriatric patients undergoing general anesthesia

Key secondary outcomes

1.- Exploring the correlation between changes in different domains of the Montreal Cognitive Assessment (MoCA);(1) Memory, (2) Executive Functioning, (3) Attention, (4) Language, (5) Visuospatial, and (6) Orientation, evaluated one week before surgery and 24 hours postoperatively, with word search puzzle exercises in geriatric patients undergoing general anesthesia.
2.- Determining the correlation between anesthesia duration, educational level, type of anesthesia, and type of surgery with changes in cognitive function assessed using the Montreal Cognitive Assessment (MoCA) one week before surgery and 24 hours postoperatively.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Maneuver

Interventions/Control_1

10 exercises of word search puzzle seven days before surgery

Interventions/Control_2

No exercises of word search puzzle seven days before surgery

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

60 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients aged between 65 and 85 years old scheduled for surgery under general anesthesia who are literate, able to write, and capable of following instructions.

Key exclusion criteria

1.- Patients with dementia or chronic neurodegenerative diseases that interfere with cognitive function.
2.- Patients unable to follow instructions or commands during the study period.
3.-Patients with cognitive impairment, defined as a MoCA score <10.
4.- Patients who cannot undergo MoCA assessment at 24 hours postoperative due to transfer to the intensive care unit and hemodynamically unstable patients during the perioperative period, defined as requiring vasopressor medications with or without endotracheal intubation.

Target sample size

128


Research contact person

Name of lead principal investigator

1st name Diego
Middle name Escarraman
Last name Martinez

Organization

Instituto Mexicano del Seguro Social, Centro Medico Nacional, Hospital de Especialidades "La Raza"

Division name

Anesthesioly department

Zip code

02990

Address

Seris y Zaachila S/N, Col La Raza, Del Azcapotzalco, CdMx

TEL

+525570778209

Email

diego-piloto@hotmail.com


Public contact

Name of contact person

1st name Laura
Middle name Jose
Last name Juarez

Organization

Instituto Mexicano del Seguro Social, Centro Medico Nacional, Hospital de Especialidades "La Raza"

Division name

Anesthesioly department

Zip code

02990

Address

Seris y Zaachila S/N, Col La Raza, Del Azcapotzalco, CdMx

TEL

+525517338040

Homepage URL


Email

pepelura.josa@gmail.com


Sponsor or person

Institute

Instituto Mexicano del Seguro Social, Centro Medico Nacional, Hospital de Especialidades "La Raza"

Institute

Department

Personal name



Funding Source

Organization

Non

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Instituto Mexicano del Seguro Social, Centro Medico Nacional, Hospital de Especialidades "La Raza"

Address

Seris y Zaachila S/N, Col La Raza, Del Azcapotzalco, CdMx

Tel

+5215557245900

Email

zoquiapagj@hotmail.com


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

2025 Year 08 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

2024 Year 06 Month 24 Day

Date of IRB


Anticipated trial start date

2024 Year 07 Month 01 Day

Last follow-up date

2024 Year 07 Month 02 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 06 Month 21 Day

Last modified on

2024 Year 06 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062538