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

• Conditions: Length of Stay; Postoperative Complications; Morality
• Interventions: Behavioral: consultation in preoperative assessment clinic

• Registration Number: NCT03665987
• Lead Sponsor: Shanghai Zhongshan Hospital

Brief 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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2018-09
• Study First Submitted: 2018-09-01
• Study First Submitted QC: 2018-09-08
• Last Update Submitted: 2018-09-08
• Study First Posted: 2018-09-11
• Last Update Posted: 2018-09-11
• Study Start: 2018-10-01
• Primary Completion: 2022-01-31
• Study Completion: 2022-06-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 250

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
properative assessment clinic group	consultation in preoperative assessment clinic	The treatment group will be seen in the preoperative clinic before hospitalization.

Primary Outcome Measures

Name	Time	Method
length of stay	an average of 5 days

Secondary Outcome Measures

Name	Time	Method
hospitalization expense	an average of 5 days	The expense patients cost during hospitalization