Registry of Patients Subjected to the Perioperative Care of the Anesthesia Service of Clinica Alemana of Santiago Chile
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 10,000
- 试验地点
- 1
- 主要终点
- All-cause mortality rate in the postoperative period
研究概览
简要总结
To assess mortality and morbidity associated to anesthesia interventions
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Other
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All individuals
- •Individuals agreeing to participate in the study by signing a consent
排除标准
- •The subjects who had insufficient data in their files
结局指标
主要结局
All-cause mortality rate in the postoperative period
时间窗: 30 days
Posoperative mortality of individuals exposed to any anesthesia related intervention or event
Number of patients who needed rehospitalization in the posoperative period
时间窗: 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
时间窗: one year
Posoperative mortality of individuals exposed to any anesthesia related intervention or event
Number of patients presenting a complication in the posoperative period
时间窗: 30 days
Perioperative morbidity of individuals exposed to any anesthesia related intervention or event.
Number of deaths in the postoperative period after readmission
时间窗: up to 30 days
In-hospital mortality of patients that were readmitted after primary discharge
次要结局
- 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)
