The Efficacy of Routine Preoperative Electrocardiography in Patients Undergoing Non-cardiac Surgery
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- UMC Utrecht
- 试验地点
- 1
- 主要终点
- Cardiac death or perioperative myocardial infarction
研究概览
简要总结
A preoperative electrocardiogram (ECG) is nearly routinely performed by anesthesiologists in elderly non-cardiac surgery patients as part of pre-anesthesia evaluation. However, the added value of this routine ECG beyond patient history and physical examination is questionable. The ECGtrial will investigate the efficacy of routine preoperative electrocardiography in patients undergoing non-cardiac surgery.
详细描述
Objective:
A routine ECG is performed as part of the standard diagnostic workup before non-cardiac surgery. However, the added value of this test beyond patient history and physical examination is questionable. The proposed study therefore aims to determine whether preoperative assessment without ECG is more cost-effective.
Study design:
Prospective stepped wedge design multicenter trial including 40,000 patients.
Study population:
研究设计
- 研究类型
- Observational
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients aged 60 years or older scheduled for noncardiac surgery with an expected hospital length of stay of at least 2 days
- •Patients aged under 60 years but with risk factors for cardiovascular disease scheduled for noncardiac surgery with an expected hospital length of stay of at least 2 days
排除标准
- •Patients refusing informed consent for obtaining blood samples (troponin measurement) at the first two days after surgery
- •Patients refusing participation in long-term clinical and Quality of Life measurements
结局指标
主要结局
Cardiac death or perioperative myocardial infarction
时间窗: 2 days postoperatively
次要结局
- Other major cardiovascular complications(2 days postoperatively)
- Death from other causes(2 days postoperatively)
- Long term quality of life(One year)