ClinicalTrials.gg
CompletedNCT07509255Updated Apr 8, 2026

Echocardiography-derived Pre-induction Hemodynamic Phenotypes and Post-induction Hypotension: an Exploratory Clustering Analysis

An observational study in Post-induction Hypotension (PIH), sponsored by Avicenna Military Hospital. Completed at 1 site in Morocco. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-04-08.

Sponsored by Avicenna Military Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
64
Ages
50 Years and older
Sex
All
01

Study summary

This study evaluated the occurrence of post-induction hypotension (PIH) in patients undergoing elective surgery under general anesthesia. PIH is a common perioperative complication associated with adverse outcomes.

Using previously collected clinical and echocardiographic data, the study explored the relationship between pre-induction hemodynamic status and the risk of developing PIH.

The findings may help improve preoperative risk stratification and support more individualized perioperative hemodynamic management.

Read the detailed description

Post-induction hypotension (PIH) was recognized as a common and clinically significant complication associated with adverse perioperative outcomes. This study was conducted as a retrospective analysis of prospectively collected data from adult patients undergoing elective surgery under general anesthesia.

The objective was to evaluate whether pre-induction hemodynamic status, assessed using echocardiographic parameters and routine clinical variables, was associated with the occurrence and timing of PIH. The analysis focused on identifying distinct hemodynamic profiles reflecting underlying cardiovascular physiology.

Unsupervised clustering (k-means) was applied to pre-induction variables to identify phenotypes, and principal component analysis was used to explore variable contributions. Latent profile analysis was performed as a sensitivity analysis. The association between phenotypes and PIH was assessed using time-to-event analysis.

No additional interventions were performed, and patient management was not influenced by the study. All analyses were conducted on anonymized data.

This study aimed to improve the understanding of variability in hemodynamic responses to anesthesia induction and to support future strategies for individualized perioperative care.

02

Conditions studied

  • Post-induction Hypotension (PIH)

Browse trials for

Keywords

  • General anaesthesia
  • Transthoracic echocardiography
  • Post-induction hypotension
  • Hemodynamic phenotypes
03

In context

Hypotension

885 studies on the registry are indexed under Hypotension; 195 are open to participants now.

This study's enrollment of 64 is below the median of 90 across 265 observational studies indexed under Hypotension.

Browse Hypotension studies →

Lead sponsor

Avicenna Military Hospital is the lead sponsor of 8 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients aged over 50 years scheduled for elective abdominal surgery under general anesthesia.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Patients scheduled for elective abdominal surgery under genral anesthesia.

Exclusion criteria

Exclusion Criteria:

  • patients with dyspnoea
  • unstable angina,
  • severe valvular heart disease
  • anticipated or unanticipated difficult airway management
  • suspected increased intra-abdominal pressure
  • poor echogenicity.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
64 participants (actual)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Overall Study Cohort

    Adult patients undergoing elective surgery under general anesthesia included in a retrospective analysis of prospectively collected data.

06

What researchers measure

Primary outcomes

  1. Pre-induction hemodynamic phenotype classification

    Pre-induction hemodynamic phenotypes were derived using unsupervised clustering of clinical and echocardiographic variables obtained prior to anesthesia induction.

    Time frame: pre-induction, before administration of general anesthesia: from admission to the operating to induction of general anesthesia

  2. Pre-induction hemodynamic phenotype classification

    Pre-induction hemodynamic phenotypes were derived using unsupervised clustering of clinical and echocardiographic variables obtained prior to anesthesia induction.

    Time frame: Baseline (pre-induction, before administration of general anesthesia)

07

Study locations

1 site
  • Cadi Ayyad University . Avicenna Military Hospital
    Marrakesh, Marrakech 10000, Morocco
08

References and documents

Publications

  • Aissaoui Y, Jozwiak M, Bahi M, Belhadj A, Alaoui H, Qamous Y, Serghini I, Seddiki R. Prediction of post-induction hypotension by point-of-care echocardiography: A prospective observational study. Anaesth Crit Care Pain Med. 2022 Aug;41(4):101090. doi: 10.1016/j.accpm.2022.101090. Epub 2022 May 1. PubMed 35508291 ↗

Individual participant data

Plan to share: Yes — De-identified individual participant data (including clinical and echocardiographic variables underlying the reported results) will be made available upon reasonable request from qualified healthcare providers or researchers. Data sharing will be subject to approval by the study investigators and compliance with institutional and ethical regulations. Requests must include a methodologically sound proposal and will be evaluated to ensure appropriate use of the data.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: April 30th, 2026

Access criteria: Qualified healthcare providers or researchers De-identified individual participant data (including clinical and echocardiographic variables underlying the reported results)

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07509255
Lead sponsor
Avicenna Military Hospital
Responsible party
Younes Aissaoui, MD (Professor of critical care and anesthesiology, Avicenna Military Hospital) — Principal investigator
First posted
Apr 3, 2026
Start date
Feb 1, 2020
Primary completion
Mar 30, 2020
Completion
Mar 30, 2020
Last update
Apr 8, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion