The Effect of Preoperative Assessment Clinic on Prognosis and Economic Results of Patients With Coexisting Disease.

NCT ID: NCT03665987

Last Updated: 2018-09-11

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

UNKNOWN

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-10-01

Study Completion Date

2022-06-30

Brief Summary

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To assess the effect of preoperative assessment clinic on prognosis and economic results of patients with coexisting diseases, the investigators designed a prospective cohort study. The investigators will recruit 250 patients preparing to undergo a selective epigastrium surgery with coexisting medical diseases which need an anesthetic consultation. The patients will be randomly assigned into two groups. The intervention group will be seen in the preoperative clinic before hospitalization, while the control group will get anesthetic consultation after hospitalization without clinic service. No additional interventions will be given during and after surgery. The length of stay, hospitalization expense, postoperative complication rate and mortality rate of the two groups will be compared. The investigator assume that consultation in preoperative assessment clinic will improve the prognosis and decrease the hospitalization expenses.

Detailed Description

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Conditions

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Length of Stay Postoperative Complications Morality

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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properative assessment clinic group

The treatment group will be seen in the preoperative clinic before hospitalization.

consultation in preoperative assessment clinic

Intervention Type BEHAVIORAL

The treatment group will be seen in the preoperative clinic before hospitalization, while the control group will get anesthetic consultation after hospitalization without clinic service. No additional interventions will be given during and after surgery.

Control group

The control group will get anesthetic consultation after hospitalization without clinic service.

No interventions assigned to this group

Interventions

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consultation in preoperative assessment clinic

The treatment group will be seen in the preoperative clinic before hospitalization, while the control group will get anesthetic consultation after hospitalization without clinic service. No additional interventions will be given during and after surgery.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* patients preparing to undergo a selective epigastrium surgery
* patients with coexisting medical diseases needing an anesthetic consultation
* over 60 years old
* ASA II-III
* patients with good compliance

Exclusion Criteria

* patients ubdergoing emergency operation
* ASA I, IV
* patients under 60 years old
* patients with bad compliance
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Zhongshan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jing Cang, Doctor

Role: STUDY_CHAIR

Shanghai Zhongshan Hospital

Central Contacts

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Fang Fang, Doctor

Role: CONTACT

86-13681972715

References

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van Klei WA, Moons KG, Rutten CL, Schuurhuis A, Knape JT, Kalkman CJ, Grobbee DE. The effect of outpatient preoperative evaluation of hospital inpatients on cancellation of surgery and length of hospital stay. Anesth Analg. 2002 Mar;94(3):644-9; table of contents. doi: 10.1097/00000539-200203000-00030.

Reference Type RESULT
PMID: 11867390 (View on PubMed)

Ferschl MB, Tung A, Sweitzer B, Huo D, Glick DB. Preoperative clinic visits reduce operating room cancellations and delays. Anesthesiology. 2005 Oct;103(4):855-9. doi: 10.1097/00000542-200510000-00025.

Reference Type RESULT
PMID: 16192779 (View on PubMed)

Other Identifiers

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B2018-112R

Identifier Type: -

Identifier Source: org_study_id

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