Impact of prevalent practice of preoperative investigation and interdepartmental referral of patients posted for elective non-cardiac surgery in a tertiary-care teaching hospital: A prospective hospital-based cohort study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- 1.To estimate the percentage of unindicated preoperative tests (according to NICE guidelines) conducted for preoperative PAC fitness.
研究概览
简要总结
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.
-
total no of patient referred to various speciality and their positive findings.
-
cost analysis of indicated and unindicated test.
4.average no of pac to get fitness
- cancellation of surgery due to inadequate optimization on the day of surgery.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •ALL PATIENT POSTED FOR ELECTIVE NON CARDIAC SURGERY ASA GRADE 1,2,3,4,.
排除标准
- •PATIENT POSTED FOR CARDIAC AND NEUROSURGERY PATIENT POSTED FOR EMERGENCY SURGERY PREGNANT WOMEN.
结局指标
主要结局
1.To estimate the percentage of unindicated preoperative tests (according to NICE guidelines) conducted for preoperative PAC fitness.
时间窗: 6 month
2.To estimate the percentage of inter-departmental referrals with positive findings.
时间窗: 6 month
3.To do a cost analysis of unindicated tests and its financial implication on patients/Institution.
时间窗: 6 month
次要结局
- 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.)