Pre-anesthetic Evaluation and Cost Reduction

NCT ID: NCT01130610

Last Updated: 2010-05-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-09-30

Study Completion Date

2009-11-30

Brief Summary

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Study conducted in large Brazilian hospital, with the main objective of evaluating the impact of pre-anesthetic in reducing costs related to the preoperative preparation of patients admitted to undergo surgery or diagnostic procedures under anesthesia.

Detailed Description

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The pre-anesthetic evaluation is essential in the care of surgical patients. Among its benefits stands the reduction of costs related to preoperative preparation. However, most studies evaluating costs was performed in hospitals abroad, whose reality does not always apply to our environment. The aim of this study is to compare the costs of preoperative evaluation performed by the surgeon (conventional tillage), with the cost of preparation performed by the anesthesiologist (pre-anesthetic evaluation). Two hundred patients scheduled for surgical or diagnostic procedures under anesthesia form included in the study. After admission patients were assessed by physician anesthesiologists. In Form 1 (conventional tillage), it was noted tests or specialist consultations made in the preoperative period. In Form 2 (pre-anesthetic evaluation) was noted comorbidities, physical examination and complementary examinations given in accordance with the guidelines adopted by the Anesthesiology Department of the institution. Form data were compared with a data form 2. Besides the costs, we compared the number of tests considered unnecessary and disagreements in the classification of physical status according to the American Society Anesthesiology (ASA).

Conditions

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Surgical Procedures Anesthesia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* patients over the age of one year and admitted for surgery or diagnostic procedures under anesthesia
* patient did not undergo pre-anesthetic evaluation prior to admission to hospital

Exclusion Criteria

* Emergency surgery
* Major surgery with hospitalization on a date prior to the operation
Minimum Eligible Age

1 Year

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Santa Casa de Misericórdia de Belo Horizonte

OTHER

Sponsor Role lead

Responsible Party

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Santa Casa de Misericórdia de Belo Horizonte

Principal Investigators

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Issa Márcia, graduate

Role: STUDY_DIRECTOR

Santa Casa de Misericórdia de Belo Horizonte

Magda Fernandes, Master

Role: PRINCIPAL_INVESTIGATOR

Santa Casa de Misericórdia de Belo Horizonte

Locations

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Santa Casa de Misericórdia de Belo Horizonte

Belo Horizonte, Minas Gerais, Brazil

Site Status

Countries

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Brazil

References

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Power LM, Thackray NM. Reduction of preoperative investigations with the introduction of an anaesthetist-led preoperative assessment clinic. Anaesth Intensive Care. 1999 Oct;27(5):481-8. doi: 10.1177/0310057X9902700508.

Reference Type RESULT
PMID: 10520388 (View on PubMed)

Fischer SP. Development and effectiveness of an anesthesia preoperative evaluation clinic in a teaching hospital. Anesthesiology. 1996 Jul;85(1):196-206. doi: 10.1097/00000542-199607000-00025. No abstract available.

Reference Type RESULT
PMID: 8694365 (View on PubMed)

Pasternak LR. Preoperative laboratory testing: general issues and considerations. Anesthesiol Clin North Am. 2004 Mar;22(1):13-25. doi: 10.1016/S0889-8537(03)00115-9.

Reference Type RESULT
PMID: 15109688 (View on PubMed)

Other Identifiers

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CEP 089/2009

Identifier Type: -

Identifier Source: org_study_id

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