New study aims to predict and prevent deadly surgery risks in seniors
NCT ID NCT06042413
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 4 times
Summary
This study will create a computer tool to predict which older adults are at high risk for serious problems after heart or blood vessel surgery. It will also test if special programs before and during surgery can help prevent confusion, heart issues, and death. About 1,200 people aged 65 and older will take part.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Part I Inclusion Criteria: * 65 years of age and older * Identified as higher risk (≥2.5%) for 30-day mortality and MACCE based on the UPMC's Perioperative Model (EHR risk prediction algorithm) * Scheduled for major cardiac surgeries including coronary artery bypass and valvular repair and/or vascular surgeries including carotid endarterectomy, aortic aneurysm repair, and major vascular surgeries * RAI score ≥ 30 * Informed consent * English speaking patients Part II Inclusion Criteria: * Enrolled in Aim 1 / Part I Preoperative Intervention Trial * Scheduled for high-risk, cardiac or vascular surgery requiring intraoperative neurophysiological monitoring (IONM) * Moderate and high risk for mortality based on Society of Thoracic Surgery score (score \>4) Part I Exclusion Criteria: * Children (\<18 years) * Patients unable to provide consent * Participants undergoing same day procedures or operations (discharged same day) * Patients with severe preoperative medical diseases such as blindness or significant visual impairment, unresolved motor weakness, or any other perioperative events or complications that would have a bearing on the patient's ability to perform study tasks, neuropsychological tests, and proposed interventions Part II Exclusion Criteria: * Pregnant women * Patients do not provide consent. * Patients are unable to participate in cognitive and other behavioral assessment due to physical limitations * Patients refuse any blood transfusions during surgery
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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UPMC Mercy Hospital
Pittsburgh, Pennsylvania, 15219, United States
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UPMC Montefiore Hospital
Pittsburgh, Pennsylvania, 15213, United States
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UPMC Passavant Hospital
Pittsburgh, Pennsylvania, 15237, United States
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UPMC Presbyterian Hospital
Pittsburgh, Pennsylvania, 15213, United States
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UPMC Shadyside Hospital
Pittsburgh, Pennsylvania, 15213, United States
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