Pre-anesthetic Evaluation and Cost Reduction

Anesthesia Clinical Trial

Official title:

Pre-anesthetic Evaluation and Cost Reduction Perioperative

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01130610
• Other study ID #: CEP 089/2009
• Status: Completed
• Phase: N/A
• First received: May 24, 2010
• Last updated: May 24, 2010
• Start date: September 2009
• Est. completion date: November 2009

Study information

• Verified date: May 2010
• Source: Santa Casa de Misericórdia de Belo Horizonte
• Contact: n/a
• Is FDA regulated: No
• Health authority: Brazil: National Health Surveillance Agency
• Study type: Observational

Clinical Trial Summary

Study conducted in large Brazilian hospital, with the main objective of evaluating the impact of pre-anesthetic in reducing costs related to the preoperative preparation of patients admitted to undergo surgery or diagnostic procedures under anesthesia.

Description:

The pre-anesthetic evaluation is essential in the care of surgical patients. Among its benefits stands the reduction of costs related to preoperative preparation. However, most studies evaluating costs was performed in hospitals abroad, whose reality does not always apply to our environment. The aim of this study is to compare the costs of preoperative evaluation performed by the surgeon (conventional tillage), with the cost of preparation performed by the anesthesiologist (pre-anesthetic evaluation). Two hundred patients scheduled for surgical or diagnostic procedures under anesthesia form included in the study. After admission patients were assessed by physician anesthesiologists. In Form 1 (conventional tillage), it was noted tests or specialist consultations made in the preoperative period. In Form 2 (pre-anesthetic evaluation) was noted comorbidities, physical examination and complementary examinations given in accordance with the guidelines adopted by the Anesthesiology Department of the institution. Form data were compared with a data form 2. Besides the costs, we compared the number of tests considered unnecessary and disagreements in the classification of physical status according to the American Society Anesthesiology (ASA).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: November 2009
• Est. primary completion date: November 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 1 Year to 90 Years

Eligibility

Inclusion Criteria:

• patients over the age of one year and admitted for surgery or diagnostic procedures under anesthesia

• patient did not undergo pre-anesthetic evaluation prior to admission to hospital

Exclusion Criteria:

• Emergency surgery

• Major surgery with hospitalization on a date prior to the operation

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Anesthesia
• Surgical Procedures

Locations

Country	Name	City	State
Brazil	Santa Casa de Misericórdia de Belo Horizonte	Belo Horizonte	Minas Gerais

Sponsors (1)

Lead Sponsor	Collaborator
Santa Casa de Misericórdia de Belo Horizonte

Country where clinical trial is conducted

Brazil, 

References & Publications (3)

Fischer SP. Development and effectiveness of an anesthesia preoperative evaluation clinic in a teaching hospital. Anesthesiology. 1996 Jul;85(1):196-206. — View Citation

Pasternak LR. Preoperative laboratory testing: general issues and considerations. Anesthesiol Clin North America. 2004 Mar;22(1):13-25. Review. — View Citation

Power LM, Thackray NM. Reduction of preoperative investigations with the introduction of an anaesthetist-led preoperative assessment clinic. Anaesth Intensive Care. 1999 Oct;27(5):481-8. — View Citation