UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058155
Receipt number R000066475
Scientific Title Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia
Date of disclosure of the study information 2025/06/12
Last modified on 2025/06/12 10:19:52

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Basic information

Public title

Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia

Acronym

Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia

Scientific Title

Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia

Scientific Title:Acronym

Determination of Heart Rate Cutoff Values and Elucidation of the Interaction Between Heart Rate and Blood Pressure During Anesthesia

Region

Japan


Condition

Condition

Tachycardia, bradycardia, hypertension, and hypotension

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to elucidate the following two objectives using the perioperative dataset from the University of Tsukuba Hospital:
To clarify the association between intraoperative heart rate and patient outcomes, and to identify cutoff values for bradycardia and tachycardia. (Objective 1)
To investigate whether intraoperative heart rate modifies the relationship between intraoperative hypotension and patient outcomes. (Objective 2)
While intraoperative hypotension has been suggested to adversely affect patient outcomes, prompting anesthesiologists to manage blood pressure more rigorously, bradycardia is often overlooked. As a result, current circulatory management during anesthesia may have become unbalanced due to the growing body of evidence focusing primarily on blood pressure. If this study reveals appropriate heart rate management targets or clarifies how heart rate influences the effects of hypotension, it could fundamentally change current assumptions regarding the selection of vasopressors during surgery.

Basic objectives2

Others

Basic objectives -Others

To clarify the association between intraoperative heart rate and patient outcomes, and to identify cutoff values for bradycardia and tachycardia. (Objective 1)
To investigate whether intraoperative heart rate modifies the relationship between intraoperative hypotension and patient outcomes. (Objective 2)

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Occurrence of major postoperative complications (defined as any of the following: death, cardiovascular complications, or acute kidney injury)

Key secondary outcomes

>Postoperative mortality
>Occurrence of cardiovascular complications (e.g., myocardial infarction, stroke, etc.)
>Acute kidney injury
>Length of hospital stay
As this is an exploratory study, other clinically important complications will also be examined and evaluated as appropriate.


Base

Study type

Observational


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


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who underwent surgery under general anesthesia at the University of Tsukuba Hospital between April 1, 2012, and March 31, 2023.
If a patient underwent multiple surgeries during a single hospitalization, only the first surgery will be included in the analysis.

Key exclusion criteria

Patients with errors or missing values in key data (e.g., age, sex, BMI, ASA-PS, etc.)

Target sample size

50000


Research contact person

Name of lead principal investigator

1st name Kensuke
Middle name
Last name Shimada

Organization

University of Tsukuba

Division name

Institute of Medicine

Zip code

305-8575

Address

1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan

TEL

+81-29-853-3914

Email

kensukeshimada@gwe.tsukuba.ac.jp


Public contact

Name of contact person

1st name Kensuke
Middle name
Last name Shimada

Organization

University of Tsukuba

Division name

Institute of Medicine

Zip code

305-8575

Address

1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan

TEL

+81-29-853-3914

Homepage URL


Email

kensukeshimada@gwe.md.tsukuba.ac.jp


Sponsor or person

Institute

University of Tsukuba

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

University of Tsukuba Hospital

Address

2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan

Tel

+81-29-853-3914

Email

kensukeshimada@gwe.md.tsukuba.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

2025 Year 06 Month 12 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

2025 Year 03 Month 24 Day

Date of IRB

2025 Year 04 Month 17 Day

Anticipated trial start date

2025 Year 06 Month 20 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study uses the dataset created by the "Large-scale observational study on the quality of perioperative care using perioperative dataset from the University of Tsukuba Hospital (R03-068)".


Management information

Registered date

2025 Year 06 Month 12 Day

Last modified on

2025 Year 06 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066475