EuPreCHO: European study on perioperative management and outcome following Preoperative Transthoracic Echocardiography in noncardiac surgery patients.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 8,089
- 试验地点
- 1
研究概览
简要总结
According to current guidelines [1], a relevant proportion of European patients planned for intermediate or high-risk noncardiac surgery procedure are supposed to undergo preoperative TTE. The risk-benefit balance of this approach is unknown and may result in delayed surgery from limited TTE availability and the inherent burdening of institutions without known clinical benefits. Further, European anaesthesiologists are currently confronted with a guideline that they may not be willing to implement due to knowledge gaps or not be able to implement due to logistical barriers. Therefore, before considering reorganizing preoperative TTE logistics is an urgent need to generate knowledge on the outcome impact of TTE prior to noncardiac surgery and to establish criteria that may result in a more targeted use of preoperative TTE.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 90.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients planned to undergo elective, in-hospital intermediate or high-risk noncardiac surgery procedures
- •aged more than or equal to 65 years OR
- •presenting more than or equal to 2 cardiovascular risk factors (hypertension, smoking, dyslipidaemia, diabetes, family history of CVD) OR
- •with known cardiovascular disease.
排除标准
- •under 18 years of age
- •day surgery
- •urgent or emergency procedures
- •current ICU patient (i.e. in ICU on day-1 or the day of the index surgery (day 0)),
- •cardiac surgery within the last month prior to the index noncardiac procedure (of note this does not include cardiological interventions like TAVI or valvuloplasty),
- •unwilling or unable to provide informed consent,
- •unable to complete the WHODAS questionnaire (literacy or language barrier)
- •Previous enrollment in EuPreCHO (in case of repeated surgery).
研究者
Dr Atul Kulkarni
Tata Memorial Hospital