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CompletedNCT00693875Updated Jan 28, 2009

The Incidence of Intra-Operative Awareness in China and Analysis of Relevant Factors: a Multicentre Study

An observational study in Intra-Operative Awareness, sponsored by Capital Medical University. Completed at 25 sites in China. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2009-01-28.

Sponsored by Capital Medical University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
11,197
Ages
12 Years and older
Sex
All
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Study summary

Medical literature about awareness during general anesthesia is rare in China, and some small sampled studies in China showed a significantly higher incidence (1.5~6%) of intra-operative awareness compared with western countries. The investigators sponsored this multicenter, large sampled, prospective study to determine the incidence of intra-operative awareness in China, and the preservation effect of BIS monitor on the incidence of awareness.

Read the detailed description

Background: The incidence of awareness in patients undergoing general anesthesia has been reported in as many as 0.1~0.2% in western countries. But so far,medical literature about awareness during general anesthesia is still rare in China, and some small sampled studies in China showed a significantly higher incidence (1.5~6%) of intra-operative awareness. We believed that this multicenter, large sampled, prospective study would be very necessary for us to determine the incidence of intra-operative awareness in China, and analysis of the relevant factors would help us to understand why was the incidence of awareness in China much higher than that in western countries.

Methods: This is a prospective, nonrandomized descriptive cohort study that was conducted at 25 academic medical centers in China. 11,197 patients (age>12, intubation or LMA during anesthesia) form 25 medical centers were enrolled to be interviewed by research stuff for evaluation of awareness at the 1st and 4th day after their general anesthesia. The structured interview questions were:⑴What is the last thing you remembered before you went to sleep? ⑵What is the first thing you remembered when you woke up? ⑶Can you remember anything between these two periods? ⑷Did you dream during your operation? ⑸What was the worst thing about your operation? An evaluation committee independent from the research stuff was constituted to verify the data from the medical centers. And then the incidence of intra-operative awareness in China was determined. General condition and details of the anesthesia procedure of the patients were also recorded during the anesthesia for a binary logistic regression analysis.

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Conditions studied

  • Intra-Operative Awareness

Keywords

  • incidence
  • awareness
  • general anesthesia
  • relevant factor
  • the incidence of intra-operative awareness in China
  • the relevant factors
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In context

Intraoperative Awareness

51 studies on the registry are indexed under Intraoperative Awareness; 7 are open to participants now.

This study's enrollment of 11,197 is above the median of 108 across 26 observational studies indexed under Intraoperative Awareness.

Browse Intraoperative Awareness studies →

Lead sponsor

Capital Medical University is the lead sponsor of 283 studies on the registry; 92 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
12 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The subjects would be selected from the patients of the 24 hospitals who would undergo general anesthesia during different kinds of operations in different areas around China after the written informed consents obtained. Each hospital would continuously provide 500~600 subjects for the investigation.

Inclusion criteria

  • Patients received general anesthesia with tracheal intubation or LMA
  • Apparently normal mental status

Exclusion criteria

Exclusion Criteria:

  • Pediatric patients (\<12 yr)
  • Those who could not be interviewed in 24 hours after the operations
  • Those unable to communicate in common spoken Chinese
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
11,197 participants (actual)
06

What researchers measure

Primary outcomes

  1. evaluation of intra-operative awareness in all the patients investigated

    Time frame: within 4 days after the general anesthesia

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Study locations

25 sites
  • Department of Anesthesiology, Beijing Obstetrics Gynecology Hospital
    Beijing, Beijing 100006, China
  • Departmet of Anesthesiology, Beijing Chao Yang Hospital, Capital Medical University
    Beijing, Beijing 100020, China
  • Department of Anesthesiology, China-Japan Friendship Hospital
    Beijing, Beijing 100029, China
  • Department of Anesthesioly,Peking University First Hospital
    Beijing, Beijing 100034, China
  • Department of Anesthesiology, Beijing Friendship Hospital
    Beijing, Beijing 100050, China
  • Department of Anesthesiology, Xuanwu Hospital Capital Medical University
    Beijing, Beijing 100053, China
  • Department of Anesthesiology, Beijing Hangtian General Hospital
    Beijing, Beijing 100076, China
  • Department of Anesthesiology, Peking University Third Hospital
    Beijing, Beijing 100083, China
  • Department of Anesthesiology, Beijing Command General Hospital
    Beijing, Beijing 100700, China
  • Department of Anesthesiology, Beijing Hospital
    Beijing, Beijing 100730, China
  • Department of Anesthesiology, Beijing Tongren Hospital
    Beijing, Beijing 100730, China
  • Department of Anesthesiology, Fuzhou General Hospital
    Fuzhou, Fujian 354200, China
  • Department of Anesthesiology, Guangzhou first people ' s hospital
    Guangzhou, Guangdong 510180, China
  • Department of Anesthesiology, Nanfang Hospital
    Guangzhou, Guangdong 510515, China
  • Department of Anesthesiology, Wuhan Union Hospital
    Wuhan, Hubei 430022, China
  • Department of Anesthesiology, Xiangya Hospital of Central South University
    Changsha, Hunan 410078, China
  • Department of Anesthesiology, the First Hospital of Jilin University
    Changchun, Jilin 130021, China
  • Department of Anesthesiology, The First Hospital of China Medical University
    Shenyang, Liaoning 110001, China
  • Department of Anesthesiology, Shanghai Rui Jin Hospital
    Shanghai, Shanghai 200025, China
  • Department of Anesthesiology, Shanghai Zhongshan Hospital
    Shanghai, Shanghai 200032, China
  • Department of Anesthesiology, Shanghai Xinhua Hospital
    Shanghai, Shanghai 200092, China
  • Department of Anesthesiology, Second Affiliated Hospital of Medical College of Xi'an Jiaotong University
    Xi'an, Shanxi 710000, China
  • Department of Anesthesiology, Xijing Hospital, FMMU
    Xi'an, Shanxi 710032, China
  • Department of Anesthesiology, First Affiliated Hospital of Medical College of Xi'an Jiaotong University
    Xi'an, Shanxi 710061, China
  • Department of Anesthesiology, Ningbo Lihuili Hospital
    Ningbo, Zhejiang 315040, China
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References and documents

Publications

  • Xu L, Wu AS, Yue Y. The incidence of intra-operative awareness during general anesthesia in China: a multi-center observational study. Acta Anaesthesiol Scand. 2009 Aug;53(7):873-82. doi: 10.1111/j.1399-6576.2009.02016.x. Epub 2009 Jun 3. PubMed 19496761 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 28, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00693875
Lead sponsor
Capital Medical University
Collaborators
Beijing Chao Yang Hospital, Peking University First Hospital, Peking University Third Hospital, Beijing Friendship Hospital, Beijing Tongren Hospital, Xuanwu Hospital, Beijing, Beijing Hospital, China-Japan Friendship Hospital, Beijing Command General Hospital, Beijing Obstetrics and Gynecology Hospital, Beijing Hangtian General Hospital, Shanghai Rui Jin Hospital, Shanghai Zhongshan Hospital, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Guangzhou First People's Hospital, Nanfang Hospital, Southern Medical University, First Affiliated Hospital Xi'an Jiaotong University, Second Affiliated Hospital of Xi'an Jiaotong University, Xijing Hospital, Tang-Du Hospital, Xiangya Hospital of Central South University, Wuhan Union Hospital, China, Ningbo Medical Center Lihuili Hospital, First Hospital of China Medical University, The First Hospital of Jilin University, Fuzhou General Hospital
First posted
Jun 9, 2008
Start date
Apr 2007
Primary completion
Apr 2008
Completion
Jun 2008
Last update
Jan 28, 2009

Study contacts

Liang Xu, M.D.
principal investigator · Capital Medical University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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