Routine Preoperative Evaluation in Surgical Patient

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-01-01

Study Completion Date

2019-10-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The "routine" pre-operative tests in healthy orthopaedic patients undergoing intermediate/ major surgery are not justified. In this study of 670 healthy orthopedic patients with 7610 preoperative tests, investigators found that surgical plan was influenced in \<1% of patients. Surgeons should be sensitized to reconsider this practice particularly with limited resources.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

Pre-operative Blood Lipid Level and Post-operative Major Adverse Cardiac Event

NCT03344224

Lipid Metabolism Disorders Postoperative Complications

COMPLETED

Does Fluid Replacement From Preoperative NPO Status Improve Postoperative Recovery

NCT02638623

Osteoarthritis

COMPLETED NA

Study on Postoperative Adrenal Function Assessment in Patients With Primary Aldosteronism

NCT06534268

Primary Aldosteronism

NOT_YET_RECRUITING

The Noninvasive Blood Pressure Measurement Effect on the Hypotension

NCT05993481

Hypotension During Surgery

ENROLLING_BY_INVITATION NA

Effect of Preoperative Oral Carbohydrate on Hypotension After Anesthesia Induction in Elderly Patients With Joint Replacement

NCT05749328

Carbohydrates Aged Post-induction Hypotension

UNKNOWN NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Background: Routine preoperative tests in healthy patients not only cause extra anxiety, but may delay treatment without influencing surgical plan. This has worse impact in resource-constrained settings where fee for service rather than health insurance is the usual norm. Investigators aim to determine if "routine" pre-operative tests are justified in healthy orthopedic patients.

Methods: Investigators conducted a non-commercialized, non-funded matched case control study in tertiary care university hospital and a level-1 trauma centre for healthy patients (ASA-1\&2) admitted from January 2014-December 2016 for elective orthopedic intermediate and major procedures. Cases (patient who had a change in his/her surgical plan after admission) and controls were selected independently of the exposure of interest then matched randomly to cases on age, gender and procedure type. Primary exposure was the routine preoperative lab tests, as defined by the American Society of Anesthesiologist, which included 13 blood tests. Analysis was done using Principle Component Analysis and Conditional logistic regression at univariate and multivariable levels reporting matched adjusted Odds Ratios. The data will bereported in line with STROBE criteria.

.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Orthopedic Disorder

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Cases

nested from on going retrospective cohort study. Participants who had change in their surgical plan after hospitalization.

preoperative blood tests

Intervention Type OTHER

Controls

nested from on going retrospective cohort study. Participants who didn't have change in their surgical plan after hospitalization.

preoperative blood tests

Intervention Type OTHER

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

preoperative blood tests

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Participants irrespective of age and gender.
* ASA-1 and ASA-2 status.
* Primary elective orthopedic procedures.
* Blood lab tests done at the institution only.