CClinicalTrials.gg
RecruitingNCT06175650F-ERASUpdated Dec 19, 2023

Towards a Sex-specific "Female Enhanced Recovery After Cardiac Surgery'' (F-ERAS) Pathway:

An observational study in Female, Male and Surgery,Cardiac, sponsored by Jennifer Breel. Recruiting at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-12-19.

Sponsored by Jennifer Breel · Observational

From the registry’s dates

  • Primary completion was expected by Nov 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Nov 2023; still recruiting 2 years 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
5,500
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this study is to evaluate the differences between men and women undergoing cardiac surgery. We will look at perioperative factors such as body weight, body surface area, previous medical history, pharmacokinetics, transfusion, coagulation, cardiopulmonary bypass (CPB) related factors, cardiac function, inotropic requirements, risk, and outcome scores as well as morbidity and mortality at 30 and 90 days, 1, 5, and 10 years.

Read the detailed description

Observational, multicentre, retrospective data collection from the mandatory Quality Assurance database (the Netherlands Heart Registry, (NHR), supplemented with data from the electronic patient files (EPIC). The retrospective data is already available.

In addition, we will continue the retrospective study into a prospective registry of data after the analysis of the retrospective data. Patients will be approached one, five and ten years after the operation and a questionnaire will be sent to document quality of life. No research-related interventions other than questionnaires will be performed

02

Conditions studied

  • Female
  • Male
  • Surgery,Cardiac

Keywords

  • Anesthesia
  • Quality of Life
03

In context

Lead sponsor

Jennifer Breel is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

The study population will consist of male and female patients, 18 years and older. The study group consists of all patients who underwent cardiac surgery from 1 January 2016 onwards, in either of the centres (AMC or VUmc). The registry will continue for at least 10 years after the inclusion of the last patient.

Inclusion criteria

  • Patients > 18 years
  • All patients who underwent cardiac surgery from 1 January 2016 to the start of the study, in either of the centres (AMC or VUmc) (retrospective)
  • All patients undergoing cardiac surgery from the start of the study (\~March 2022) until approximately 2032

Exclusion criteria

Exclusion Criteria:

  • Patients who object to the re-use of their care data or do not give consent
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
5,500 participants (estimated)
Patient registry
No

Groups and cohorts

  • Female

    Female patients undergoing cardiac surgery

    Procedure: Cardiac surgery

  • Male

    Male patients undergoing cardiac surgery

    Procedure: Cardiac surgery

Interventions

  • ProcedureCardiac surgery

    Cardiac surgery of all types

06

What researchers measure

Primary outcomes

  1. Primary endpoint

    Incidence of mortality (number of patients) specific (coagulation), transfusion products, anesthesia, surgery and cross-clamp times, etc

    Time frame: up to 30 days post-surgery

  2. Primary endpoint

    incidence of cerebrovascualar accident with neurological sequelae (number of patients)

    Time frame: up to 30 days post-surgery

  3. Primary endpoint

    incidence of acute kidney injury (number of patients)

    Time frame: up to 30 days post-surgery

  4. Primary endpoint

    incidence of low cardiac output syndrome, pulmonary and other complications (requiring ventilation \> 48 hours post-operatively)

    Time frame: up to 30 days post-surgery

  5. Primary endpoint

    Number of specific (coagulation), transfusion products,

    Time frame: up to 30 days post-surgery

  6. Primary outcome

    Times: surgical, cross-clamp, bypass, anesthetic, intensive care admission, hospital admission, etc.

    Time frame: up to 30 days post-surgery or if still in hospital, until discharge

Secondary outcomes

  1. Morbidity and mortality

    peroperative and post-operative complications

    Time frame: At 30, 90, 365 days

  2. Survival

    Long term survival

    Time frame: At 5 and 10 years

  3. Health related Quality of life measured by PROMS

    Long term quality of life after cardiac surgery, measured by Seattle Angina Questionaire (SAQ), EuroQol Quality of life (EQ-5D-5L) and Coronary Revascularisation Outcome Questionnaire (CROQ) or other appropriate questionnaire

    Time frame: At 1, 5 and 10 years

07

Study locations

1 of 1 sites recruiting
  • Academic Medical Center
    Amsterdam, North Holland 1105 AZ, Netherlands
    • Jennifer S Breel, MPA,MSc. · Contact · j.s.breel@amsterdamumc.nl · +316 1001 9257
    • Susanne Eberl, MD, PhD · Contact · s.eberl@amsterdamumc.nl · +31205669111
    • Jennifer S Breel, MPA,MSc. · Sub investigator
    • Susanne Eberl, MD,PhD · Principal investigator
    Recruiting
08

References and documents

Publications

  • Cho L, Kibbe MR, Bakaeen F, Aggarwal NR, Davis MB, Karmalou T, Lawton JS, Ouzounian M, Preventza O, Russo AM, Shroyer AW, Zwischenberger BA, Lindley KJ. Cardiac Surgery in Women in the Current Era: What Are the Gaps in Care? Circulation. 2021 Oct 5;144(14):1172-1185. doi: 10.1161/CIRCULATIONAHA.121.056025. Epub 2021 Oct 4. PubMed 34606298 ↗
  • Dixon LK, Di Tommaso E, Dimagli A, Sinha S, Sandhu M, Benedetto U, Angelini GD. Impact of sex on outcomes after cardiac surgery: A systematic review and meta-analysis. Int J Cardiol. 2021 Nov 15;343:27-34. doi: 10.1016/j.ijcard.2021.09.011. Epub 2021 Sep 11. PubMed 34520795 ↗
  • Nanegrungsunk D, Patel S, Jan T, Ngai JY. Preoperative Care Practice for Female Cardiac Patients: A Survey From the Society of Cardiovascular Anesthesiologists. J Cardiothorac Vasc Anesth. 2022 Mar;36(3):920-921. doi: 10.1053/j.jvca.2021.09.054. Epub 2021 Oct 3. No abstract available. PubMed 34776353 ↗
  • Peters SAE, Kluin J. Why do women do worse after coronary artery bypass grafting? Eur Heart J. 2021 Dec 28;43(1):29-31. doi: 10.1093/eurheartj/ehab617. No abstract available. PubMed 34524421 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 19, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06175650
Lead sponsor
Jennifer Breel
Responsible party
Jennifer Breel (Investigator, Amsterdam University Medical Centers (UMC), Location Academic Medical Center (AMC)) — Sponsor-investigator
First posted
Dec 19, 2023
Start date
Nov 21, 2023
Primary completion
Nov 21, 2025 (estimated)
Completion
Nov 21, 2026 (estimated)
Last update
Dec 19, 2023

Study contacts

Jennifer S Breel, MSc
Contact
j.s.breel@amsterdamumc.nl
+31610019257
Susanne Eberl, PhD
Contact
s.eberl@amsterdamumc.nl
+31610019257
Markus W Hollmann, Professor
principal investigator · Anesthesiology and Pain Medicine, Amsterdam Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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