Page last updated: 2024-10-26

donepezil and Complication, Postoperative

donepezil has been researched along with Complication, Postoperative in 7 studies

Donepezil: An indan and piperidine derivative that acts as a selective and reversible inhibitor of ACETYLCHOLINESTERASE. Donepezil is highly selective for the central nervous system and is used in the management of mild to moderate DEMENTIA in ALZHEIMER DISEASE.
donepezil : A racemate comprising equimolar amounts of (R)- and (S)-donepezil. A centrally acting reversible acetylcholinesterase inhibitor, its main therapeutic use is in the treatment of Alzheimer's disease where it is used to increase cortical acetylcholine.
2-[(1-benzylpiperidin-4-yl)methyl]-5,6-dimethoxyindan-1-one : A member of the class of indanones that is 5,6-dimethoxyindan-1-one which is substituted at position 2 by an (N-benzylpiperidin-4-yl)methyl group.

Research Excerpts

ExcerptRelevanceReference
"To determine whether donepezil hydrochloride can reduce the prevalence and severity of delirium in older adults undergoing hip fracture repair."9.15Pilot randomized trial of donepezil hydrochloride for delirium after hip fracture. ( Appleton, P; Davis, RB; Marcantonio, ER; Palihnich, K, 2011)
"This was a pilot, phase 2a study to assess methodological feasibility and the safety and efficacy of donepezil in preventing postoperative delirium after elective total hip replacement surgery in older people without pre-existing dementia."9.12A randomized, double-blind, placebo-controlled trial of donepezil hydrochloride (Aricept) for reducing the incidence of postoperative delirium after elective total hip replacement. ( Blanchard, MR; Blizard, R; Bruce, A; Garlick, N; Ndhlovu, PN; Raven, PR; Ritchie, CW; Sampson, EL; Vallance, A; Watts, J, 2007)
"This pilot study was unable to demonstrate a benefit for donepezil in preventing or treating delirium in a relatively young and cognitively-intact group of elderly patients undergoing elective orthopedic surgery."9.11Donepezil in the prevention and treatment of post-surgical delirium. ( Fingeroth, R; Garb, JL; Krushell, R; Laki, A; Liptzin, B, 2005)
"A severe intractable delirium caused by the basal forebrain vascular lesion and its dramatic recovery after donepezil administration were reported."7.72Severe delirium due to basal forebrain vascular lesion and efficacy of donepezil. ( Higashima, M; Kidani, T; Kobayashi, K; Koshino, Y; Mutou, K; Tachibana, O; Yamashita, J, 2004)
"To determine whether donepezil hydrochloride can reduce the prevalence and severity of delirium in older adults undergoing hip fracture repair."5.15Pilot randomized trial of donepezil hydrochloride for delirium after hip fracture. ( Appleton, P; Davis, RB; Marcantonio, ER; Palihnich, K, 2011)
"This was a pilot, phase 2a study to assess methodological feasibility and the safety and efficacy of donepezil in preventing postoperative delirium after elective total hip replacement surgery in older people without pre-existing dementia."5.12A randomized, double-blind, placebo-controlled trial of donepezil hydrochloride (Aricept) for reducing the incidence of postoperative delirium after elective total hip replacement. ( Blanchard, MR; Blizard, R; Bruce, A; Garlick, N; Ndhlovu, PN; Raven, PR; Ritchie, CW; Sampson, EL; Vallance, A; Watts, J, 2007)
"This pilot study was unable to demonstrate a benefit for donepezil in preventing or treating delirium in a relatively young and cognitively-intact group of elderly patients undergoing elective orthopedic surgery."5.11Donepezil in the prevention and treatment of post-surgical delirium. ( Fingeroth, R; Garb, JL; Krushell, R; Laki, A; Liptzin, B, 2005)
"A severe intractable delirium caused by the basal forebrain vascular lesion and its dramatic recovery after donepezil administration were reported."3.72Severe delirium due to basal forebrain vascular lesion and efficacy of donepezil. ( Higashima, M; Kidani, T; Kobayashi, K; Koshino, Y; Mutou, K; Tachibana, O; Yamashita, J, 2004)
"More donepezil-treated than placebo-treated patients experienced diarrhea, but other adverse effects and safety measures did not differ between groups."2.73Donepezil for cognitive decline following coronary artery bypass surgery: a pilot randomized controlled trial. ( Babyak, MA; Blumenthal, JA; Doraiswamy, PM; Hennig, T; Mathew, JP; Newman, MF; Trivedi, R; White, WD, 2007)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (14.29)18.2507
2000's4 (57.14)29.6817
2010's2 (28.57)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Seitz, DP1
Gill, SS1
Gruneir, A1
Austin, PC1
Anderson, G1
Reimer, CL1
Rochon, PA1
Marcantonio, ER1
Palihnich, K1
Appleton, P1
Davis, RB1
Kobayashi, K1
Higashima, M1
Mutou, K1
Kidani, T1
Tachibana, O1
Yamashita, J1
Koshino, Y1
Liptzin, B1
Laki, A1
Garb, JL1
Fingeroth, R1
Krushell, R1
Sampson, EL1
Raven, PR1
Ndhlovu, PN1
Vallance, A1
Garlick, N1
Watts, J1
Blanchard, MR1
Bruce, A1
Blizard, R1
Ritchie, CW1
Doraiswamy, PM1
Babyak, MA1
Hennig, T1
Trivedi, R1
White, WD1
Mathew, JP1
Newman, MF1
Blumenthal, JA1
Wengel, SP1
Burke, WJ1
Roccaforte, WH1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Supporting the Health of Adults Undergoing Orthopedic Surgery During the Recovery Period[NCT00586196]Phase 216 participants (Actual)Interventional2007-01-31Completed
Usefulness of Bright Light Therapy in the Prevention of Delirium in Patients Undergoing Hematopoietic Stem Cell Transplant (HSCT)[NCT01700816]40 participants (Actual)Interventional2012-10-31Terminated (stopped due to Low incidence of delirium.)
Namenda as Prevention for Post-Operative Delirium[NCT00303433]Phase 430 participants Interventional2006-03-31Terminated
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline and MDAS Scores Over Time

Measures severity of 10 delirium symptoms items (0 not present, 1 mild, 2 moderate, 3 severe) yielding a total score of 0 to 30, with 30 most severe. (NCT00586196)
Timeframe: Baseline, hospital discharge, weeks 2, 4 and 6

,
Interventionunits on a scale (Mean)
BaselineChange at Hospital DischargeChange at Week 2Change at week 4Change at week 6
Donepezil : 5 mg Each Day for 30 Days6.31.3-0.1-1.2-0.6
Placebo : Encapsulated Cornstarch8.41.6-2.2-2.0-2.0

Percentage of Participants With Delirium Using the CAM Over Time

Confusion Assessment Method (CAM)-Measure of the presence or absence of delirium. Requires 1) acute change with fluctuating course, 2) inattention, and either 3) disorganized thinking or 4) altered level of consciousness. (NCT00586196)
Timeframe: Baseline, hospital interviews, weeks 2, 4 and 6

,
Interventionpercentage of participants (Number)
baslinehospital interviewsWeek 2week 4week 6
Donepezil : 5 mg Each Day for 30 Days1464431750
Placebo : Encapsulated Cornstarch4464434350

Hematocrit (HCT)

Lab values at latest available follow-up date per participant. These tests are performed as part of routine clinical care on patients undergoing HSCT. (NCT01700816)
Timeframe: From admission to hospital to discharge, an expected average of 28 days post-transplant

Interventionvolume percentage (vol%) of red blood ce (Median)
Bright Light Therapy28.20
Sham Light26.70

Hemoglobin (HGB)

Lab values at latest available follow-up date per participant. These tests are performed as part of routine clinical care on patients undergoing HSCT. (NCT01700816)
Timeframe: From admission to hospital to discharge, an expected average of 28 days post-transplant

Interventiong/dl (Median)
Bright Light Therapy9.70
Sham Light9.55

Hospital Length of Stay

(NCT01700816)
Timeframe: From admission to hospital to discharge, an expected average of 28 days post-transplant

Interventiondays (Median)
Bright Light Therapy18
Sham Light18.5

Number of Participants Who Developed Delirium Based on Meeting Criteria on the Delirium Rating Scale and/or Memorial Delirium Assessment Scale

Monday, Wednesday, and Friday assessments will begin after beginning light therapy and include the Delirium Rating Scale-Revised-98 (DRS-98)and Memorial Delirium Assessment Scale (MDAS) (NCT01700816)
Timeframe: From hospital admission until the date of first documented delirium, assessed up to 28 days post-transplant

InterventionParticipants (Count of Participants)
Bright Light Therapy1
Sham Light0

Platelet Count

Lab values at latest available follow-up date per participant. These tests are performed as part of routine clinical care on patients undergoing HSCT. (NCT01700816)
Timeframe: From admission to hospital to discharge, an expected average of 28 days post-transplant

Interventionthousand cells/uL (Median)
Bright Light Therapy39
Sham Light33.5

Red Blood Cells (RBC)

Lab values at latest available follow-up date per participant. These tests are performed as part of routine clinical care on patients undergoing HSCT. (NCT01700816)
Timeframe: From admission to hospital to discharge, an expected average of 28 days post-transplant

InterventionM/uL (Median)
Bright Light Therapy3.21
Sham Light2.93

Severity of Delirium Episodes: Memorial Delirium Assessment Scale (MDAS)

"Monday, Wednesday, and Friday assessments of the Memorial Delirium Assessment Scale (MDAS); Patients will receive assessments after beginning light therapy until day 28 post-transplant or discharge, whichever comes first.~10 item scale Items are rated on a four-point scale from 0 (none) to 3 (severe) depending on the level of impairment, rendering a maximum possible score of 30.~A score of 13 has been recommended as a cut-off for establishing the diagnosis of delirium" (NCT01700816)
Timeframe: From first documented episode of delirium until discharge from the hospital, assessed up to 28 days post-transplant

Interventionunits on a scale (Number)
Bright Light Therapy18

White Blood Cells (WBC)

Lab values at latest available follow-up date per participant. These tests are performed as part of routine clinical care on patients undergoing HSCT. (NCT01700816)
Timeframe: From admission to hospital to discharge, an expected average of 28 days post-transplant

InterventionK/uL (Median)
Bright Light Therapy2.30
Sham Light4.75

Serum Creatinine and Blood Urea Nitrogen (BUN)

Lab values at latest available follow-up date per participant. These tests are performed as part of routine clinical care on patients undergoing HSCT. (NCT01700816)
Timeframe: From admission to hospital to discharge, an expected average of 28 days post-transplant

,
Interventionmg/dl (Median)
Serum CreatinineBlood Urea Nitrogen (BUN)
Bright Light Therapy0.669
Sham Light0.758.5

Sodium (Na), Potassium (K), Chloride (Cl), and Carbon Dioxide (CO2)

Lab values at latest available follow-up date per participant. These tests are performed as part of routine clinical care on patients undergoing HSCT (Hematopoietic Stem Cell Transplantation). (NCT01700816)
Timeframe: From admission to hospital to discharge, an expected average of 28 days post-transplant

,
Interventionmmol/L (Median)
Sodium (Na)Potassium (K)Chloride (Cl)Carbon Dioxide (CO2)
Bright Light Therapy1393.610524.9
Sham Light138.03.80103.025.10

Trials

4 trials available for donepezil and Complication, Postoperative

ArticleYear
Pilot randomized trial of donepezil hydrochloride for delirium after hip fracture.
    Journal of the American Geriatrics Society, 2011, Volume: 59 Suppl 2

    Topics: Aged; Aged, 80 and over; Cholinesterase Inhibitors; Delirium; Donepezil; Double-Blind Method; Female

2011
Donepezil in the prevention and treatment of post-surgical delirium.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2005, Volume: 13, Issue:12

    Topics: Aged; Aged, 80 and over; Cholinesterase Inhibitors; Delirium; Donepezil; Double-Blind Method; Female

2005
A randomized, double-blind, placebo-controlled trial of donepezil hydrochloride (Aricept) for reducing the incidence of postoperative delirium after elective total hip replacement.
    International journal of geriatric psychiatry, 2007, Volume: 22, Issue:4

    Topics: Aged; Aged, 80 and over; Arthroplasty, Replacement, Hip; Delirium; Donepezil; Double-Blind Method; E

2007
Donepezil for cognitive decline following coronary artery bypass surgery: a pilot randomized controlled trial.
    Psychopharmacology bulletin, 2007, Volume: 40, Issue:2

    Topics: Aged; Cardiopulmonary Bypass; Cognition Disorders; Coronary Artery Bypass; Donepezil; Dose-Response

2007

Other Studies

3 other studies available for donepezil and Complication, Postoperative

ArticleYear
Effects of cholinesterase inhibitors on postoperative outcomes of older adults with dementia undergoing hip fracture surgery.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2011, Volume: 19, Issue:9

    Topics: Aged; Aged, 80 and over; Anesthesia, General; Cholinesterase Inhibitors; Cohort Studies; Critical Ca

2011
Severe delirium due to basal forebrain vascular lesion and efficacy of donepezil.
    Progress in neuro-psychopharmacology & biological psychiatry, 2004, Volume: 28, Issue:7

    Topics: Aged; Basal Ganglia Cerebrovascular Disease; Basal Nucleus of Meynert; Craniopharyngioma; Delirium;

2004
Donepezil for postoperative delirium associated with Alzheimer's disease.
    Journal of the American Geriatrics Society, 1999, Volume: 47, Issue:3

    Topics: Aged; Alzheimer Disease; Delirium; Donepezil; Geriatric Assessment; Humans; Indans; Male; Nootropic

1999