To assess the practices of investigation and referral before elective surgery

Completed

Brief Summary: This is the prospective obserevational hospital-based cohort study. our aim is to estimate preoperative unindicated test out of total number of pre operative investigation conducted for pac fitness , to estimate the percentage of interdepartmental transfer with positive finding, to do a cost analysis of unindicated test. The practice of routine preoperative investigation and referrals is widely prevalent in india, with raising cost the healthcare industry need to minimize additional expenses incurred through this investigation, therefore this study will be conducted to assess the preoperative investigation and referrals practice in tertiary care teaching hospital in central india.

various outcome parameters are

1.preoperative investigation done by the surgeon and anesthesiologist and its comparision with standard guidelines.

2. total no of patient referred to various speciality and their positive findings.

3. cost analysis of indicated and unindicated test.

4.average no of pac to get fitness

5. cancellation of surgery due to inadequate optimization on the day of surgery.

Recruitment & Eligibility

Inclusion Criteria

ALL PATIENT POSTED FOR ELECTIVE NON CARDIAC SURGERY ASA GRADE 1,2,3,4,.

Exclusion Criteria

PATIENT POSTED FOR CARDIAC AND NEUROSURGERY PATIENT POSTED FOR EMERGENCY SURGERY PREGNANT WOMEN.

Primary Outcome Measures

Name	Time	Method
1.To estimate the percentage of unindicated preoperative tests (according to NICE guidelines) conducted for preoperative PAC fitness.	6 month
2.To estimate the percentage of inter-departmental referrals with positive findings.	6 month
3.To do a cost analysis of unindicated tests and its financial implication on patients/Institution.	6 month

Secondary Outcome Measures

Name	Time	Method
To estimate the percentage of patients with abnormal findings on investigations leading to delay in acquiring PAC fitness.	2.To estimate the percentage of referrals with positive finding requiring further intervention for optimization of patients.

Locations (1): AIIMS BHOPAL
🇮🇳
Bhopal, MADHYA PRADESH, India
AIIMS BHOPAL
🇮🇳Bhopal, MADHYA PRADESH, India
DR POOJA SINGH
Principal investigator
9340969292
pooja.anesth@aiimsbhopal.edu.in