The Degree of Adherence of Pre-anesthetic Tests at Kasr Alaini Hospital to the NICE-Uk Guidelines

Completed

• Conditions: Anesthesia

• Registration Number: NCT04663711
• Lead Sponsor: Cairo University

Brief Summary

The aim of this study is 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 our hospital. We will also evaluate the effect of delay \& its value to predict postoperative complications.

Detailed Description

For each preoperative requested test, we will determine whether the test is indicated based on the National Institute for Health and Clinical Excellence (NICE) guidelines and whether it was effective for adverse effects management or unnecessarily requested.

An adherent test was defined as a test that followed NICE, while a non-adherent test was defined as a test that included an over or under test. Normal test results are based on the laboratory reference range of normal values.

Study Timeline

• Study First Submitted: 2020-08-25
• Study Start: 2020-09-10
• Study First Submitted QC: 2020-12-05
• Study First Posted: 2020-12-11
• Primary Completion: 2021-07-10
• Study Completion: 2021-08-10
• Status Verified: 2021-11
• Last Update Submitted: 2021-11-15
• Last Update Posted: 2021-11-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 185

Inclusion Criteria

• All adult patients that will be scheduled for an elective general surgical operation during our study time frame.

Exclusion Criteria

• Patients that are operated on an emergency basis.
• Pregnant females.
• patients scheduled for cardiothoracic and neurosurgical procedures.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Percentage of adherence test to NiCE-UK guidelines	24 hours	The degree of adherence of the current practices of our institute preoperative testing to the NICE-UK guidelines determined as a percentage

Secondary Outcome Measures

Name	Time	Method
Percentage of overdone investigations	24 hours	•The percentage of "overdone" (unnecessary) investigations not recommended by the NICE guidelines which resulted in operative delay \& prolonged hospital stay
Estimated cost of overdone investigations	1 month	• To assess the impact of requested non recommended investigations by NICE guidelines for preoperative testing on hospital resources (Ordering further investigation - Ordering elective ICU - Increasing hospital stay days)

Trial Locations

Locations (1)

Faculty of Medicine; 🇪🇬 Cairo, Egypt