RecruitingNCT07491185

Effect of Glycemic Control on Intraoperative NIRS and Postoperative Recovery in Diabetic Patients

Effects of Intraoperative Near-Infrared Spectroscopy and Postoperative Recovery on Glycemic Control Levels in Patients With Diabetes Mellitus: A Prospective Study


Sponsor

Ege University

Enrollment

80 participants

Start Date

Nov 1, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

This prospective observational study aims to evaluate the effect of glycemic control level on intraoperative cerebral oxygenation measured by near-infrared spectroscopy (NIRS) and postoperative recovery in patients with diabetes mellitus undergoing elective urologic surgery under general anesthesia. Patients will be grouped according to HbA1c levels to assess the relationship between long-term glycemic control and intraoperative regional cerebral oxygen saturation, hemodynamic parameters, and postoperative recovery scores.


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Age ≥18 years
  • Patients scheduled for elective urologic surgery under general anesthesia
  • ASA physical status I-III
  • Patients with diabetes mellitus or non-diabetic control patients
  • Availability of preoperative HbA1c measurement
  • Written informed consent obtained

Exclusion Criteria8

  • Age \<18 years
  • ASA physical status \>III
  • Emergency surgery
  • History of cerebrovascular disease or neurological disorder
  • Previous brain or neurological surgery
  • Inability to communicate or refusal to participate
  • Intraoperative hemodynamic instability
  • Inadequate NIRS monitoring data

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Locations(1)

Ege University Faculty of Medicine Hospital

Izmir, Turkey (Türkiye)

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NCT07491185


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