Preoperative Evaluation on Perioperative Complications

NCT06203171 | Completed

• 1 other identifier: SUKAEK-2023 17/16
• Study Type: observational
• Target: 1,000
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Perioperative Complication

Keywords

Anesthesia; preoperative assesment; Perioperative complications

Outcome Measures

Primary Outcomes (2)

• Perioperative hemodynamic complications

  New developments in the perioperative period hemodynamic complications 1. Hypertension; systolic arterial pressure \>160 mm Hg 2. Hypotension; mean arterial pressure \< 65 mmHg 3. Cardiac arrhythmia 4. Acute Coronary syndrome; ECG changes and/or cardiac enzyme elevation accompanied by chest pain

  Up to 24 hours

• New developments in the perioperative period respiratuary complications

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

  Up to 24 hours

Secondary Outcomes (1)

• Time of hospital

  2 weeks

Study Arms (2)

Group C

Patients with perioperative complications

Other: Observational

Group non-C

Patients with no perioperative complications

Other: Observational

Interventions

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.

Group C; Group non-C

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients who will undergo elective surgery have been evaluated by an anesthesiologist at the anesthesia clinic before surgery and have completed the examinations and necessary consultations requested by the anesthesiologist.

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Samsun University: lead

Study Sites (1)

Samsun University

Samsun, Samsun, 55090, Turkey (Türkiye)

Location

Related Publications (5)

• Rose J, Weiser TG, Hider P, Wilson L, Gruen RL, Bickler SW. Estimated need for surgery worldwide based on prevalence of diseases: a modelling strategy for the WHO Global Health Estimate. Lancet Glob Health. 2015 Apr 27;3 Suppl 2(Suppl 2):S13-20. doi: 10.1016/S2214-109X(15)70087-2.

  PMID: 25926315 BACKGROUND

• Siddaiah H, Patil S, Shelvan A, Ehrhardt KP, Stark CW, Ulicny K, Ridgell S, Howe A, Cornett EM, Urman RD, Kaye AD. Preoperative laboratory testing: Implications of "Choosing Wisely" guidelines. Best Pract Res Clin Anaesthesiol. 2020 Jun;34(2):303-314. doi: 10.1016/j.bpa.2020.04.006. Epub 2020 Apr 22.

  PMID: 32711836 BACKGROUND

• Colla CH, Morden NE, Sequist TD, Schpero WL, Rosenthal MB. Choosing wisely: prevalence and correlates of low-value health care services in the United States. J Gen Intern Med. 2015 Feb;30(2):221-8. doi: 10.1007/s11606-014-3070-z. Epub 2014 Nov 6.

  PMID: 25373832 BACKGROUND

• Beckerleg W, Kobewka D, Wijeysundera DN, Sood MM, McIsaac DI. Association of Preoperative Medical Consultation With Reduction in Adverse Postoperative Outcomes and Use of Processes of Care Among Residents of Ontario, Canada. JAMA Intern Med. 2023 May 1;183(5):470-478. doi: 10.1001/jamainternmed.2023.0325.

  PMID: 36972037 BACKGROUND

• Komurcu O, Genc C, Kurt BC, Demir O, Akbas A, Akyurt D, Kusderci HS, Tulgar S, Suren M. Preoperative evaluation: Impact on early perioperative hemodynamic and respiratory complications. BMC Anesthesiol. 2024 Nov 27;24(1):435. doi: 10.1186/s12871-024-02821-1.

  PMID: 39604844 DERIVED

MeSH Terms

Interventions

Watchful Waiting

Intervention Hierarchy (Ancestors)

Outcome Assessment, Health Care; Outcome and Process Assessment, Health Care; Quality of Health Care; Health Services Administration

Study Officials

• OZGUR KOMURCU, 1

  Samsun University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 14 Days
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 2, 2024
• First Posted: January 12, 2024
• Study Start: October 15, 2023
• Primary Completion: April 1, 2024
• Study Completion: April 1, 2024
• Last Updated: April 19, 2024

Record last verified: 2024-04

Locations

TU (1)