Routine postsurgical anesthesia visit to improve patient outcome

Completed

• Conditions: 10043413; Postoperative complications; surgical outcome

• Registration Number: NL-OMON46201
• Lead Sponsor: Vrije Universiteit Medisch Centrum

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Last Update Posted: 23 April 2024

Recruitment & Eligibility

• Status: Completed
• Sex: Not specified
• Target Recruitment: 5600

Inclusion Criteria

* Adult patients undergoing elective surgery with an indication for postoperative hospital stay
* Meets at least one of the following BonnScore criteria:
o Postoperative pain therapy with follow up by an Acute Pain Service (APS)
o Patients older than 60 years
o Patients older than 45 years and a rCRI greater than 2
o Patients with a sAPGAR smaller than 5
rCRI: The revised Cardiac Risk Index (rCRI) is a clinical prediction tool to estimate the risk of a patient for perioperative cardiac complications. The risk is determined based on the presence of ischemic heart disease, congestive heart failure, cerebrovascular disease (stroke or transient ischemic attack), diabetes requiring preoperative insulin use, chronic kidney disease (creatinine > 2 mg/dL), and/or undergoing suprainguinal vascular, intraperitoneal, or intrathoracic surgery. The risk for cardiac death, nonfatal myocardial infarction, and nonfatal cardiac arrest is 0.4% in case of 0 predictors, 0.9% in case of 1 predictor, 6.6% in case of 2 predictors and 11% in case of 3 or more predictors.
Surgical APGAR score: The surgical APGAR score is used to predict perioperative and postoperative morbidity and mortality based on predicted perioperative blood loss, intraoperative blood pressure and intraoperative heart rate. The score is calculated at the end of a surgical procedure.

Exclusion Criteria

* Cardiac surgery
* Preoperative indication for medium care or intensive care admission
* No informed consent

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>30-day postoperative mortality, including cost effectiveness research.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>n.v.t.</p><br>