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Not yet recruitingNCT07786753Updated Sep 16, 2026

Impact of Intraoperative Perfusion Variability on Postoperative Troponin Elevation in Geriatric Patients Undergoing Major Oncologic Surgery

An observational study in Postoperative Troponin Elevation and Intraoperative Perfusion, sponsored by Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
70
Ages
65 Years and older
Sex
All
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Study summary

This prospective observational study aims to evaluate the association between intraoperative perfusion variability and postoperative troponin elevation in geriatric patients undergoing major oncologic surgery. Intraoperative hemodynamic and perfusion-related parameters will be recorded, and postoperative troponin levels will be assessed to investigate whether intraoperative perfusion changes are associated with myocardial injury. Troponin measurements will be obtained preoperatively and at 24 hours after surgery

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Conditions studied

  • Postoperative Troponin Elevation
  • Intraoperative Perfusion

Keywords

  • Postoperative Troponin Elevation
  • Geriatric Patients
  • Major Oncologic Surgery
  • Intraoperative Perfusion
  • Troponin
  • Hemodynamic Variability
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In context

Lead sponsor

Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital is the lead sponsor of 75 studies on the registry; 18 are open to participants now.

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

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Who can participate

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

Study population

Geriatric patients aged 65 years or older undergoing major abdominal oncologic surgery who meet the predefined eligibility criteria and have preoperative and 24-hour postoperative troponin measurements. Intraoperative hemodynamic and perfusion parameters, including PI, PVI, and cerebral oxygen saturation measured by NIRS, will be monitored throughout surgery and recorded at 15-minute intervals.

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Inclusion criteria

  • Age 65 years or older
  • Undergoing major abdominal oncologic surgery
  • Availability of preoperative and 24-hour postoperative troponin measurements
  • Complete intraoperative and postoperative patient monitoring records
  • Provision of written

Exclusion criteria

Exclusion Criteria:

  • Age younger than 65 years
  • Absence of preoperative or 24-hour postoperative troponin measurements
  • Incomplete intraoperative or postoperative patient monitoring records
  • Undergoing emergency surgery
  • Advanced heart failure
  • ASA Physical Status IV
  • Pulmonary artery pressure >40 mmHg
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
70 participants (estimated)
Patient registry
No

Groups and cohorts

  • Geriatric Patients Undergoing Major Oncologic Surgery

    Geriatric patients undergoing elective major oncolojic surgery will be prospectively observed.Intraoperative hemodynamic and perfusion-related parameters will be recorded, and serum troponin levels will be measured preoperatively and 24 hours after surgery to evaluate the association between intraoperative perfusion variability and postoperative troponin elevation.

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What researchers measure

Primary outcomes

  1. Change in Serum Troponin Concentration From Preoperative Baseline to 24 Hours After Surgery

    Postoperative troponin elevation will be assessed by comparing serum troponin levels measured preoperatively and 24 hours after surgery. Its association with intraoperative perfusion variability will be evaluated.

    Time frame: Preoperatively and 24 hours after surgery

Secondary outcomes

  1. Association Between Intraoperative Perfusion Index and Postoperative Troponin Elevation

    Perfusion Index (PI) will be continuously monitored intraoperatively and recorded at 15-minute intervals. The association between intraoperative PI values and postoperative troponin elevation at 24 hours after surgery will be evaluated.

    Time frame: Intraoperative monitoring from the start to the end of surgery; troponin measured preoperatively and at 24 hours postoperatively

  2. Association Between Intraoperative Pleth Variability Index and Postoperative Troponin Elevation

    Pleth Variability Index (PVI) will be continuously monitored intraoperatively and recorded at 15-minute intervals. The association between intraoperative PVI values and postoperative troponin elevation at 24 hours after surgery will be evaluated.

    Time frame: Intraoperative monitoring from the start to the end of surgery; troponin measured preoperatively and at 24 hours postoperatively.

  3. Association Between Intraoperative Cerebral Oxygen Saturation and Postoperative Troponin Elevation

    Cerebral oxygen saturation measured by near-infrared spectroscopy (NIRS) will be continuously monitored intraoperatively and recorded at 15-minute intervals. The association between intraoperative cerebral oxygen saturation values and postoperative troponin elevation at 24 hours after surgery will be evaluated.

    Time frame: Intraoperative monitoring from the start to the end of surgery; troponin measured preoperatively and at 24 hours postoperatively.

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Study locations

1 site
  • Ankara Dr. Abdurrahman Yurtaslan Oncolgy Training and Research Hospital
    Yenimahalle, Ankara 06200, Turkey (Türkiye)
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2026, 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
NCT07786753
Lead sponsor
Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital
Responsible party
Özlem Kapusuz (Principal Investigator, Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital) — Principal investigator
First posted
Aug 26, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Nov 2, 2026 (estimated)
Completion
Nov 2, 2026 (estimated)
Last update
Sep 16, 2026

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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