UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058926
Receipt number R000067363
Scientific Title A prospective observational study on the association between emergence agitation after pediatric general anesthesia and the High Frequency Variability Index (HFVI)
Date of disclosure of the study information 2025/09/01
Last modified on 2025/08/26 21:14:41

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Basic information

Public title

Emergence agitation after pediatric general anesthesia and its relationship with HFVI

Acronym

Emergence agitation after pediatric general anesthesia and its relationship with HFVI

Scientific Title

A prospective observational study on the association between emergence agitation after pediatric general anesthesia and the High Frequency Variability Index (HFVI)

Scientific Title:Acronym

A prospective observational study on the association between emergence agitation after pediatric general anesthesia and the High Frequency Variability Index (HFVI)

Region

Japan


Condition

Condition

Pediatric patients aged 2 to 10 years, classified as ASA physical status I or II, scheduled to undergo inguinal hernia repair or tonsillectomy under general anesthesia

Classification by specialty

Surgery in general Child

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to clarify whether the High Frequency Variability Index (HFVI) is associated with the development of emergence delirium (ED) in pediatric patients. HFVI is a noninvasive indicator of parasympathetic nervous activity, and its use may enhance the prediction of ED risk and the possibility of preventive interventions. Establishing a predictive marker for ED is expected to contribute to improving the quality and safety of pediatric anesthesia.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Measurement of HFVI at three time points (preoperative, intraoperative, and immediately before emergence)

Assessment of PAED score after emergence

Key secondary outcomes

Demographic and procedural characteristics: age, sex, body weight, and type of surgery (inguinal hernia repair vs. tonsillectomy)

Anesthesia duration, surgical duration, and emergence time

Vital signs: heart rate, blood pressure, and SpO2


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

2 years-old <=

Age-upper limit

10 years-old >=

Gender

Male and Female

Key inclusion criteria

Pediatric patients aged 2 to 10 years, classified as ASA physical status I or II, scheduled to undergo inguinal hernia repair or tonsillectomy under general anesthesia at Showa University Yokohama North Hospital

Key exclusion criteria

Patients with a history of cardiac, respiratory, or neurological disorders that may affect HFVI

Patients for whom assessment of the PAED score is difficult, such as those with developmental delay

Patients with a previous history of emergence-related problems under general anesthesia

Patients whose legal guardians are unable to provide written informed consent

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Yoshida
Middle name
Last name AI

Organization

Showa Medical University Northern Yokohama Hospital

Division name

Department of Anesthesiology

Zip code

2248503

Address

35-1 Chigasaki Chuo, Tsuzuki-ku, Yokohama City, Kanagawa Prefecture

TEL

045-949-7000

Email

aiteruya0217@gmail.com


Public contact

Name of contact person

1st name Ai
Middle name
Last name Yoshida

Organization

Showa Medical University Northern Yokohama Hospital

Division name

Department of Anesthesiology

Zip code

2248503

Address

35-1 Chigasaki Chuo, Tsuzuki-ku, Yokohama City, Kanagawa Prefecture

TEL

045-9497332

Homepage URL


Email

aiteruya0217@gmail.com


Sponsor or person

Institute

Showa University

Institute

Department

Personal name

Ai Yoshida


Funding Source

Organization

Showa University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Showa University Research Ethics Review Board

Address

1-5-8 Hatanodai, Shinagawa-ku, Tokyo

Tel

03-3784-8000

Email

m-rinri@ofc.showa-u.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 09 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

2025 Year 08 Month 29 Day

Date of IRB

2025 Year 08 Month 22 Day

Anticipated trial start date

2025 Year 08 Month 29 Day

Last follow-up date

2026 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 aims to investigate whether the High Frequency Variability Index (HFVI) is associated with emergence delirium (ED) in pediatric patients. HFVI is a noninvasive measure of parasympathetic activity and may help predict ED risk and guide preventive interventions.


Management information

Registered date

2025 Year 08 Month 29 Day

Last modified on

2025 Year 08 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067363