Efficacy of Preoperative Electrocardiography
The Efficacy of Routine Preoperative Electrocardiography in Patients Undergoing Non-cardiac Surgery
1 other identifier
observational
N/A
1 country
1
Brief Summary
A preoperative electrocardiogram (ECG) is nearly routinely performed by anesthesiologists in elderly non-cardiac surgery patients as part of pre-anesthesia evaluation. However, the added value of this routine ECG beyond patient history and physical examination is questionable. The ECGtrial will investigate the efficacy of routine preoperative electrocardiography in patients undergoing non-cardiac surgery.
Trial Health
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 25, 2009
CompletedFirst Posted
Study publicly available on registry
June 26, 2009
CompletedJuly 31, 2013
July 1, 2013
June 25, 2009
July 30, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Cardiac death or perioperative myocardial infarction
2 days postoperatively
Secondary Outcomes (3)
Other major cardiovascular complications
2 days postoperatively
Death from other causes
2 days postoperatively
Long term quality of life
One year
Study Arms (2)
Regular preanesthesia evaluation
Patients are evaluated by the anesthesiologist according to current protocol, including routine preoperative ECG.
New preanesthesia evaluation
Patients are evaluated by the anesthesiologist according to a new protocol, in which a routine preoperative ECG is no longer provided.
Interventions
A new preanesthesia evaluation strategy without routine ECG. Initially, all patients in the participating centers are assessed following the regular strategy (with routine ECG). The new strategy (without routine ECG) is rolled out to the participating hospitals sequentially. At the end of the trial all participating centers will use the new preoperative strategy.
Eligibility Criteria
All patients aged over 60 years, or younger patients with cardiovascular risk factors, scheduled for non-cardiac surgery with an expected postoperative hospital length of stay of at least 2 days.
You may qualify if:
- All patients aged 60 years or older scheduled for noncardiac surgery with an expected hospital length of stay of at least 2 days
- Patients aged under 60 years but with risk factors for cardiovascular disease scheduled for noncardiac surgery with an expected hospital length of stay of at least 2 days
You may not qualify if:
- Patients refusing informed consent for obtaining blood samples (troponin measurement) at the first two days after surgery
- Patients refusing participation in long-term clinical and Quality of Life measurements
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- UMC Utrechtlead
Study Sites (1)
University Medical Center Utrecht
Utrecht, 3508 GA, Netherlands
Related Publications (1)
van Klei WA, Bryson GL, Yang H, Kalkman CJ, Wells GA, Beattie WS. The value of routine preoperative electrocardiography in predicting myocardial infarction after noncardiac surgery. Ann Surg. 2007 Aug;246(2):165-70. doi: 10.1097/01.sla.0000261737.62514.63.
PMID: 17667491BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Cor J Kalkman, MD PhD
UMC Utrecht
- PRINCIPAL INVESTIGATOR
Wilton A van Klei, MD PhD
UMC Utrecht
- PRINCIPAL INVESTIGATOR
Jurgen C de Graaff, MD PhD
UMC Utrecht
Study Design
- Study Type
- observational
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD PhD
Study Record Dates
First Submitted
June 25, 2009
First Posted
June 26, 2009
Last Updated
July 31, 2013
Record last verified: 2013-07