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Completed

NCT Number: NCT06203171

Preoperative Evaluation on Perioperative Complications

Failure to properly manage the perioperative period of patients is associated with increased morbidity and mortality. Preoperative evaluation in patients planned for surgery contributes to reviewing possible perioperative risks, optimizing the patient's functional and physiological status, and reducing the possibility of perioperative complications. Assessments made during the preoperative evaluation process can be used to educate the patient, organize resources for perioperative care, and formulate plans for intraoperative care, postoperative recovery, and perioperative pain management. However, the effect of preoperative evaluation on patient outcomes has not been clearly demonstrated. In this study, the effect of preoperative anesthesia evaluation on perioperative complications was investigated.

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Key information

Conditions

Perioperative Complication

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Samsun University

Samsun, 55090, Turkey (Türkiye)

About this study

Not managing patients well before, during, and after surgery can lead to more health problems and deaths. In wealthy countries, 3-16% of patients face major issues during this time, and 0.4-0.8% of them might end up permanently disabled or dead. Checking patients before surgery helps identify risks, improves their health and fitness, and lowers the chances of problems during this period.

On another note, even though the right surgeries can save lives and prevent injuries, the growing cost of healthcare is a big issue worldwide. In the United States, the rising cost is a concern for everyone, including insurance companies and drug makers. It's believed that treatments that don't really help could be causing about 30% of these high costs.

No matter the surgery, patient's health, or anesthesia plan, checking patients before surgery is key to safe anesthesia for people of all ages. A thorough check before surgery helps manage patient care during this period, prevents surgery cancellations due to patient issues, and helps keep the surgery schedule efficient and cost-effective.

There's no agreed-upon definition for checking patients before anesthesia in medical literature. This check involves looking at the patient's medical history, interviews, physical exams, and test results. Anesthesiologists might also talk to other healthcare workers for more information or help with anesthesia care during this period. The information gathered can help educate the patient, plan for care during and after surgery, and manage pain.

However, it's not clear how much these pre-surgery checks actually improve patient outcomes. A recent study found that seeing a doctor before surgery didn't reduce, but actually increased, the chances of problems after surgery. This study looks at how well pre-surgery anesthesia checks at our center help prevent problems during this period

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Elective surgery
  • ASA ≤ 3 patients
  • Patients over 18 years of age

Exclusion criteria

  • Emergency surgeries
  • ASA > 3 patients
  • Pregnant women
  • Age > 80
  • Age < 18

Treatment and study plan

Observational

Other

Routine laboratory parameters requested from patients; Direct lung Radiograph and Electrocardiography results were evaluated and preoperative consultations and recommendations requested from the patients were recorded. Type of anesthesia, operation performed, operation duration, intraoperative blood and fluid losses, intraoperative and postoperative complications that develop within the first 24 hours, additional problems that develop (pain, postoperative nausea and vomiting, hypothermia, change of consciousness, bleeding and unplanned transfer to the intensive care unit). postanesthesia recovery The length of stay in the room, length of hospital stay, and method of discharge were recorded. The effects of preoperative laboratory, imaging methods and required consultations on intraoperative and postoperative complications in the first 24 hours were evaluated.

Primary outcomes

  1. Perioperative hemodynamic complications

    Time frame: Up to 24 hours

    New developments in the perioperative period hemodynamic complications

    • Hypertension; systolic arterial pressure >160 mm Hg
    • Hypotension; mean arterial pressure < 65 mmHg
    • Cardiac arrhythmia
    • Acute Coronary syndrome; ECG changes and/or cardiac enzyme elevation accompanied by chest pain

  2. New developments in the perioperative period respiratuary complications

    Time frame: Up to 24 hours

    Respiratory Failure; Oxygen saturation < 90 or tachypnea (respiratory rate > 20/min

Secondary outcomes

  1. Time of hospital

    Time frame: 2 weeks

    Time in hospital after surgery

Sponsors and collaborators

Lead sponsor

Samsun University

Other

Registry information

Official study title

Preoperative Evaluation: Impact on Perioperative Complications

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
Jan 12, 2024
Registry last updated
Apr 19, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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