Adherence Degree of Kasr-Alaini Hospital Pre-anesthetic Tests to the NICE-UK Guidelines

NCT04519268 | Completed

• 1 other identifier: ADPAT-KAH-NICEUKG
• Study Type: observational
• Target: 185
• Locations: 1 country
• Sites: 1

Brief Summary

Routine preoperative tests aim to identify asymptomatic diseases that can't be recognized by history and examination. Identification and management of these diseases is thought to help minimizing perioperative morbidity and mortality. A large number of routine screening tests increase the cost of perioperative care. Also unneeded tests may harm the patient due to overtreatment for borderline / false positive results. Therefore, the routine use of such examinations remains controversial. The National Institute of Health and Clinical Excellence (NICE-UK) guidelines for preoperative examination are the assessment standard developed by NICE in collaboration with the National Collaboration Center for Acute Care in the UK; in order to reduce unnecessary tests by recommending which tests should be offered to people before minor and major operations. The aim of this study is to assess the degree of adherence of the current preoperative tests at Kasr Alaini hospital to the NICE guidelines, 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 the hospital and to also evaluate the cause of delay \& its effect to predict postoperative complications.

Conditions

Anesthesia; Surgery; Exanimation

Keywords

Pre-anesthetic tests; NICE-UK guidlines; Kasr Alaini hospital

Outcome Measures

Primary Outcomes (1)

• Degree of Adherence to NICE-UK Guidelines

  The degree of adherence of the current practices at Kasr Alaini hospital preoperative testing to the NICE-UK guidelines, determined as a "percentage".

  one week

Study Arms (1)

Elective Surgical Adult Patients

Adult patients scheduled for an elective general surgical operation.

Diagnostic Test: Adult patients scheduled for an elective general surgical operation.

Interventions

Adult patients scheduled for an elective general surgical operation. DIAGNOSTIC_TEST

The anesthesiologist, who is in charge of preoperative assessment at each hospital unit, will assess patients who are scheduled for elective surgery; and will inform senior anesthesiologists (with a minimum 3 years of experience) \& consultant anesthesiologists, about the patients' data. Patients data with all requested preoperative investigations \& required preparations, peri-operative course and post-operative outcome will be collected.

Elective Surgical Adult Patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Adult patients that will be scheduled for an elective surgical operation at Kasr Alaini hospital during the study period.

You may qualify if:

• All adult patients scheduled for elective surgical operations.

You may not qualify if:

• Patients operated upon an emergency basis.
• Pregnant females.
• Patients scheduled for cardio-thoracic and neurosurgical procedures.

Sponsors & Collaborators

• Nazmy Edward Seif: lead

Study Sites (1)

Cairo University Hospitals

Cairo, Egypt

Location

MeSH Terms

Conditions

Coma

Condition Hierarchy (Ancestors)

Unconsciousness; Consciousness Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Beshoy A Naguib, MBBCh

  Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University

  PRINCIPAL INVESTIGATOR

• Nazmy S Michael, MD

  Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University

  STUDY DIRECTOR

• Manar M Elkholy, MD

  Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Clinical Professor

Study Record Dates

• First Submitted: August 17, 2020
• First Posted: August 19, 2020
• Study Start: August 20, 2020
• Primary Completion: February 1, 2021
• Study Completion: February 1, 2021
• Last Updated: March 16, 2021

Record last verified: 2021-03

Locations

EG (1)