The Degree of Adherence of Pre-anesthetic Tests at Kasr Alaini Hospital to the NICE-Uk Guidelines

Anesthesia Clinical Trial

Official title:

The Degree of Adherence of Pre-anesthetic Tests at Kasr Alaini Hospital to the NICE-Uk Guidelines, and Its Effect on Decision Making & Patient Outcome. Prospective Observational Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04663711
• Other study ID #: MS-163-2020
• Status: Completed
• Start date: September 10, 2020
• Est. completion date: August 10, 2021

Study information

• Verified date: November 2021
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The aim of this study is 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 our hospital. We will also evaluate the effect of delay & its value to predict postoperative complications.

Description:

For each preoperative requested test, we will determine whether the test is indicated based on the National Institute for Health and Clinical Excellence (NICE) guidelines and whether it was effective for adverse effects management or unnecessarily requested. An adherent test was defined as a test that followed NICE, while a non-adherent test was defined as a test that included an over or under test. Normal test results are based on the laboratory reference range of normal values.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 185
• Est. completion date: August 10, 2021
• Est. primary completion date: July 10, 2021
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• All adult patients that will be scheduled for an elective general surgical operation during our study time frame.

Exclusion Criteria:

• Patients that are operated on an emergency basis.
• Pregnant females.
• patients scheduled for cardiothoracic and neurosurgical procedures.

Related Conditions & MeSH terms

• Anesthesia

Intervention

Behavioral:
• degree of adherence of pre-anesthetic tests at kasr Alaini hospital to the NICE-Uk guidelines
The anesthesiologist, whom is in charge of preoperative assessment at each unit, will assess patients who are scheduled for elective surgery, and will inform senior anesthesiologists with a minimum 3 years of experience. preoperative investigations will be divided into: First part will be on patient's gender, ASA classification, medical history and examination. Second part will be on Grade of surgery - Minor/ Intermediate/ Major or complex. Third part is requested investigation(s), its rationale, the hierarchy of anesthesiologist requested, and the planned date for surgery. Fourth part is about whether that investigation(s) is adherent with NICE-UK guidelines or not.

Locations

Country	Name	City	State
Egypt	Faculty of Medicine	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percentage of adherence test to NiCE-UK guidelines	The degree of adherence of the current practices of our institute preoperative testing to the NICE-UK guidelines determined as a percentage	24 hours
Secondary	Percentage of overdone investigations	•The percentage of "overdone" (unnecessary) investigations not recommended by the NICE guidelines which resulted in operative delay & prolonged hospital stay	24 hours
Secondary	Estimated cost of overdone investigations	• To assess the impact of requested non recommended investigations by NICE guidelines for preoperative testing on hospital resources (Ordering further investigation - Ordering elective ICU - Increasing hospital stay days)	1 month