The Effect of Preoperative Assessment Clinic on Prognosis and Economic Results of Patients With Coexisting Disease.

Postoperative Complications Clinical Trial

Official title:

The Effect of Preoperative Assessment Clinic on Prognosis and Economic Results of Patients With Coexisting Diseases.

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03665987
• Other study ID #: B2018-112R
• Status: Not yet recruiting
• Start date: October 1, 2018
• Est. completion date: June 30, 2022

Study information

• Verified date: September 2018
• Source: Shanghai Zhongshan Hospital
• Contact: Fang Fang, Doctor
• Phone: 86-13681972715
• Email: jerryfang81[@]hotmail.com
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

To assess the effect of preoperative assessment clinic on prognosis and economic results of patients with coexisting diseases, the investigators designed a prospective cohort study. The investigators will recruit 250 patients preparing to undergo a selective epigastrium surgery with coexisting medical diseases which need an anesthetic consultation. The patients will be randomly assigned into two groups. The intervention group will be seen in the preoperative clinic before hospitalization, while the control group will get anesthetic consultation after hospitalization without clinic service. No additional interventions will be given during and after surgery. The length of stay, hospitalization expense, postoperative complication rate and mortality rate of the two groups will be compared. The investigator assume that consultation in preoperative assessment clinic will improve the prognosis and decrease the hospitalization expenses.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 250
• Est. completion date: June 30, 2022
• Est. primary completion date: January 31, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 60 Years and older

Eligibility

Inclusion Criteria:

• patients preparing to undergo a selective epigastrium surgery

• patients with coexisting medical diseases needing an anesthetic consultation

• over 60 years old

• ASA II-III

• patients with good compliance

Exclusion Criteria:

• patients ubdergoing emergency operation

• ASA I, IV

• patients under 60 years old

• patients with bad compliance

Related Conditions & MeSH terms

• Length of Stay
• Morality
• Postoperative Complications

Intervention

Behavioral:
• consultation in preoperative assessment clinic
The treatment group will be seen in the preoperative clinic before hospitalization, while the control group will get anesthetic consultation after hospitalization without clinic service. No additional interventions will be given during and after surgery.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Shanghai Zhongshan Hospital

References & Publications (2)

Ferschl MB, Tung A, Sweitzer B, Huo D, Glick DB. Preoperative clinic visits reduce operating room cancellations and delays. Anesthesiology. 2005 Oct;103(4):855-9. — View Citation

van Klei WA, Moons KG, Rutten CL, Schuurhuis A, Knape JT, Kalkman CJ, Grobbee DE. The effect of outpatient preoperative evaluation of hospital inpatients on cancellation of surgery and length of hospital stay. Anesth Analg. 2002 Mar;94(3):644-9; table of — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	postoperative complication rate		an average of 5 days
Other	mortality rate		an average of 5 days
Primary	length of stay		an average of 5 days
Secondary	hospitalization expense	The expense patients cost during hospitalization	an average of 5 days