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

NCT04519268 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 185

Last updated 2021-03-16

No results posted yet for this study

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

Interventions

DIAGNOSTIC_TEST

Adult patients scheduled for an elective general surgical operation.

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.

Sponsors & Collaborators

  • Nazmy Edward Seif

    lead OTHER

Principal Investigators

  • Beshoy A Naguib, MBBCh · Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University

  • Nazmy S Michael, MD · Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University

  • Manar M Elkholy, MD · Kasr Al-Ainy Hospital, Faculty of Medicine, Cairo University

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2020-08-20
Primary Completion
2021-02-01
Completion
2021-02-01

Countries

  • Egypt

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT04519268 on ClinicalTrials.gov