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NCT Number: NCT04663711

The Degree of Adherence of Pre-anesthetic Tests at Kasr Alaini Hospital to the NICE-Uk Guidelines

The aim of this study is to assess the effectiveness and usefulness of the current practice of various examinations ordered by anesthesiologists during the pre-anesthetic evaluation in patients who are intended for elective surgery in our hospital. We will also evaluate the effect of delay & its value to predict postoperative complications.

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Key information

Conditions

Anesthesia

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Faculty of Medicine

Cairo, 11562, Egypt

About this study

For each preoperative requested test, we will determine whether the test is indicated based on the National Institute for Health and Clinical Excellence (NICE) guidelines and whether it was effective for adverse effects management or unnecessarily requested.

An adherent test was defined as a test that followed NICE, while a non-adherent test was defined as a test that included an over or under test. Normal test results are based on the laboratory reference range of normal values.

Who can participate

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

Inclusion criteria

  • All adult patients that will be scheduled for an elective general surgical operation during our study time frame.

Exclusion criteria

  • Patients that are operated on an emergency basis.
  • Pregnant females.
  • patients scheduled for cardiothoracic and neurosurgical procedures.

Treatment and study plan

degree of adherence of pre-anesthetic tests at kasr Alaini hospital to the NICE-Uk guidelines

Behavioral

The anesthesiologist, whom is in charge of preoperative assessment at each unit, will assess patients who are scheduled for elective surgery, and will inform senior anesthesiologists with a minimum 3 years of experience.

preoperative investigations will be divided into: First part will be on patient's gender, ASA classification, medical history and examination.

Second part will be on Grade of surgery - Minor/ Intermediate/ Major or complex.

Third part is requested investigation(s), its rationale, the hierarchy of anesthesiologist requested, and the planned date for surgery.

Fourth part is about whether that investigation(s) is adherent with NICE-UK guidelines or not.

Primary outcomes

  1. Percentage of adherence test to NiCE-UK guidelines

    Time frame: 24 hours

    The degree of adherence of the current practices of our institute preoperative testing to the NICE-UK guidelines determined as a percentage

Secondary outcomes

  1. Percentage of overdone investigations

    Time frame: 24 hours

    •The percentage of "overdone" (unnecessary) investigations not recommended by the NICE guidelines which resulted in operative delay & prolonged hospital stay

  2. Estimated cost of overdone investigations

    Time frame: 1 month

    • To assess the impact of requested non recommended investigations by NICE guidelines for preoperative testing on hospital resources (Ordering further investigation - Ordering elective ICU - Increasing hospital stay days)

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

The Degree of Adherence of Pre-anesthetic Tests at Kasr Alaini Hospital to the NICE-Uk Guidelines, and Its Effect on Decision Making & Patient Outcome. Prospective Observational Study

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Dec 11, 2020
Registry last updated
Nov 16, 2021

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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