Registry of Patients Subjected to the Perioperative Care of the Anesthesia Service of Clinica Alemana of Santiago Chile
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Perioperative Complication
- Sponsor
- Clinica Alemana de Santiago
- Enrollment
- 10000
- Locations
- 1
- Primary Endpoint
- All-cause mortality rate in the postoperative period
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
To assess mortality and morbidity associated to anesthesia interventions
Detailed Description
Currently evidence-based medicine is one of the most important tools guiding our medical practice. Part of this evidence has been generated from clinical records, which has allowed access to large databases from which relevant information has been obtained for perioperative risk stratification, searching for complications, having specific information on procedures, among others. A clear example, especially useful daily in anesthesia work, is the NSQIP score, a tool that allows calculating perioperative risk according to the conditions of the patient and the surgery. NSQIP score is considered to make decisions in both the American and the European guidelines for preoperative evaluation for surgery. Latin-American or Chilean databases are not available at the present time. Chile lacks of population perioperative databases, methodology and practice of medicine outcomes records, thus making necessary the generation of a retrospective/prospective registry. The investigators expect that this registry will allow the collection of perioperative information appropriate to characterize the Chilean population, observe its evolution, and detect risk factors. Moreover, this registry will grant the investigators the means to design new research studies that may allow them to gather medical evidence of superior quality, thus benefiting patients with the best and safest interventions and procedures.
Investigators
Eligibility Criteria
Inclusion Criteria
- •All individuals
- •Individuals agreeing to participate in the study by signing a consent
Exclusion Criteria
- •The subjects who had insufficient data in their files
Outcomes
Primary Outcomes
All-cause mortality rate in the postoperative period
Time Frame: 30 days
Posoperative mortality of individuals exposed to any anesthesia related intervention or event
Number of patients who needed rehospitalization in the posoperative period
Time Frame: 7 days after primary discharge
Posoperative rehospitalization rate of individuals exposed to any anesthesia related intervention or event, after primary discharge
All-cause mortality rate in the posoperative period
Time Frame: one year
Posoperative mortality of individuals exposed to any anesthesia related intervention or event
Number of patients presenting a complication in the posoperative period
Time Frame: 30 days
Perioperative morbidity of individuals exposed to any anesthesia related intervention or event.
Number of deaths in the postoperative period after readmission
Time Frame: up to 30 days
In-hospital mortality of patients that were readmitted after primary discharge
Secondary Outcomes
- Number of patients that develops postoperative Major Acute Cardiac Events (MACE), as defined by the American Heart Association(7 and 30 days)
- Change from baseline in pain, as measured by the visual analog scale (VAS)(Baseline pre-intervention VAS, postoperative/intervention 1 hour VAS, postoperative/intervention 24 hour VAS)
- Number of patients that develops postoperative acute kidney injury, as measured by Kidney Disease Improving Global Outcomes (KIDGO)-2012 serum creatinine criteria(7 and 30 days)
- Number of patients that develop posoperative chronic pain as measured by visual analog scale(3, 6, and 12 months)