Routine Preoperative Evaluation in Surgical Patient

NCT04196166 | Completed

• 1 other identifier: 4226-Sur-ERC-16
• Study Type: observational
• Target: 1,000
• Locations: 0 countries
• Sites: N/A

Brief Summary

The "routine" pre-operative tests in healthy orthopaedic patients undergoing intermediate/ major surgery are not justified. In this study of 670 healthy orthopedic patients with 7610 preoperative tests, investigators found that surgical plan was influenced in \<1% of patients. Surgeons should be sensitized to reconsider this practice particularly with limited resources.

Conditions

Orthopedic Disorder

Keywords

preoperative evaluation; orthopedic surgery

Outcome Measures

Primary Outcomes (1)

• preoperative blood tests compliance rate with institutional guidelines

  compliance rate (%) with institutional and international guidelines measured by a questionnaire including whether participant was advised preoperative lab tests in compliance with the institutional guidelines or not.

  2014-2019

Secondary Outcomes (1)

• Cost difference in local currency

  2014-2019

Study Arms (2)

Cases

nested from on going retrospective cohort study. Participants who had change in their surgical plan after hospitalization.

Other: preoperative blood tests

Controls

nested from on going retrospective cohort study. Participants who didn't have change in their surgical plan after hospitalization.

Other: preoperative blood tests

Interventions

preoperative blood tests OTHER

Cases; Controls

Eligibility Criteria

• Age: 1 Year - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients irrespective of age and gender who were classified as ASA-1 and ASA-2 by the anesthesia team and who underwent minor, intermediate and major primary elective orthopedic procedures

You may qualify if:

• Participants irrespective of age and gender.
• ASA-1 and ASA-2 status.
• Primary elective orthopedic procedures.
• Blood lab tests done at the institution only.

You may not qualify if:

• Ambulatory care procedures
• Revision surgery.
• Participants admitted to other services, high care or intensive care units.

Sponsors & Collaborators

• Aga Khan University: lead

MeSH Terms

Conditions

Musculoskeletal Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Study Record Dates

• First Submitted: December 3, 2019
• First Posted: December 12, 2019
• Study Start: January 1, 2014
• Primary Completion: October 31, 2019
• Study Completion: October 31, 2019
• Last Updated: December 12, 2019

Record last verified: 2019-12

Data Sharing

• IPD Sharing: Will not share