[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100623053":3},{"organization":4,"outcomesModule":7,"designInfo":18,"detailedDescription":21,"studyPopulation":22,"armGroups":17,"interventions":17,"overallOfficials":17,"centralContacts":23,"locations":17,"responsibleParty":29,"collaborators":33,"id":36,"slug":17,"hasResults":37,"nctId":38,"briefTitle":39,"officialTitle":40,"acronym":41,"eligibilityCriteria":42,"healthyVolunteers":37,"sex":43,"minAge":44,"maxAge":17,"enrollmentInfo":45,"targetDuration":17,"studyType":48,"phases":17,"briefSummary":49,"conditions":50,"keywords":52,"overallStatus":59,"whyStopped":17,"lastUpdateSubmitDate":60,"lastUpdatePostDateStruct":61,"startDateStruct":64,"completionDateStruct":66,"leadSponsor":68,"locationsCount":17},{"fullName":5,"class":6},"Akdeniz University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":17},[9],{"measure":10,"description":11,"timeFrame":12},"Incidence of postoperative delirium","Postoperative delirium will be assessed using validated screening tools (Confusion Assessment Method or Nursing Delirium Screening Scale) during the first three postoperative days.","During the first 3 postoperative days",[14],{"measure":15,"description":16,"timeFrame":12},"Duration of postoperative delirium","The duration of postoperative delirium will be recorded based on daily delirium assessments during the first three postoperative days.",null,{"allocation":17,"interventionModel":17,"interventionModelDescription":17,"primaryPurpose":17,"observationalModel":19,"timePerspective":20,"maskingInfo":17},"COHORT","PROSPECTIVE","This is a prospective, observational, multicenter study designed to investigate the association between preoperative and postoperative fasting durations and the occurrence of postoperative delirium in adult surgical patients.\n\nAdult patients (≥18 years) undergoing elective or emergency surgery under general or regional anesthesia will be included. Patients with pre-existing delirium, advanced dementia, postoperative intensive care unit admission, or inability to complete delirium assessments will be excluded.\n\nPreoperative fasting duration will be defined as the time from the last oral intake to the induction of anesthesia. Postoperative fasting duration will be defined as the time from the end of surgery to the first oral intake. Fasting durations will be recorded for each participant.\n\nPostoperative delirium will be assessed using validated screening tools (Confusion Assessment Method or Nursing Delirium Screening Scale) twice daily during the first three postoperative days. Routine perioperative management will not be altered for study purposes, and no study-specific interventions will be applied.\n\nDemographic data, comorbidities, type of surgery, and perioperative clinical parameters will be collected as part of standard care. The primary objective is to evaluate the relationship between fasting durations and postoperative delirium. Secondary analyses will explore factors associated with delirium development.","The study population consists of adult patients aged 18 years and older who undergo elective or emergency surgical procedures under general or regional anesthesia. Participants are hospitalized for postoperative follow-up and are assessed prospectively for fasting durations and postoperative delirium as part of routine perioperative care.",[24],{"name":25,"role":26,"phone":27,"phoneExt":17,"email":28},"emel gündüz, md","CONTACT","+902422496000","dregunduz@hotmail.com",{"type":30,"investigatorFullName":31,"investigatorTitle":32,"investigatorAffiliation":5,"oldNameTitle":17,"oldOrganization":17},"PRINCIPAL_INVESTIGATOR","Emel Gunduz","Associate Professor of Anesthesiology, Akdeniz University, Antalya, Turkey",[34],{"name":35,"class":6},"Turkish Society of Anesthesiology and Reanimation","100623053",false,"NCT07391631","Preoperative and Postoperative Fasting and Delirium","The Relationship Between Preoperative and Postoperative Fasting Durations and Postoperative Delirium","FAST-POD","Inclusion Criteria:Adults aged 18 years or older\n\nPatients undergoing elective or emergency surgery under general or regional anesthesia\n\nAbility to communicate and cooperate with postoperative delirium assessments\n\nExpected postoperative hospital stay of at least 72 hours\n\nProvision of written informed consent\n\n\\-\n\nExclusion Criteria:Presence of preoperative delirium (positive CAM or Nu-DESC ≥2)\n\nAdvanced dementia or severe cognitive impairment\n\nPlanned postoperative intensive care unit admission\n\nActive alcohol or benzodiazepine withdrawal\n\nInability to complete delirium assessments due to severe hearing, vision, or speech impairment\n\nLack of postoperative follow-up availability\n\nPlanned cardiac surgery\n\n\\-","ALL","18 Years",{"count":46,"type":47},1000,"ESTIMATED","OBSERVATIONAL","Postoperative delirium is a common and serious complication after surgery, especially in older patients, and is associated with prolonged hospital stay and worse recovery. Fasting before and after surgery is a routine part of perioperative care; however, prolonged fasting may negatively affect recovery and brain function.\n\nThis prospective, observational, multicenter study aims to evaluate the relationship between preoperative and postoperative fasting durations and the development of postoperative delirium in adult patients undergoing elective or emergency surgery under general or regional anesthesia.\n\nFasting times before and after surgery will be recorded. Patients will be assessed for postoperative delirium during the first three postoperative days using validated screening tools. No additional interventions will be applied, and all patients will receive standard perioperative care.\n\nThe results of this study may help identify whether prolonged fasting is associated with a higher risk of postoperative delirium and may contribute to improving perioperative fasting practices and patient safety.",[51],"Postoperative Delirium Perioperative Fasting",[53,54,55,56,57,58],"Postoperative Delirium","Preoperative Fasting","Postoperative Fasting","Surgical Patients","Observational Study","Multicenter Study","NOT_YET_RECRUITING","2026-01-30",{"date":62,"type":63},"2026-02-06","ACTUAL",{"date":65,"type":47},"2026-03",{"date":67,"type":47},"2027-12",{"name":5,"class":6}]