The Degree of Adherence of Pre-anesthetic Tests at Kasr Alaini Hospital to the NICE-Uk Guidelines

The Degree of Adherence of Pre-anesthetic Tests at Kasr Alaini Hospital to the NICE-Uk Guidelines, and Its Effect on Decision Making & Patient Outcome. Prospective Observational Study

The aim of this study is to assess the effectiveness and usefulness of the current practice of various examinations ordered by anesthesiologists during the pre-anesthetic evaluation in patients who are intended for elective surgery in our hospital. We will also evaluate the effect of delay & its value to predict postoperative complications.

Study Overview

• Status: Completed
• Conditions: Anesthesia
• Intervention / Treatment: Behavioral: degree of adherence of pre-anesthetic tests at kasr Alaini hospital to the NICE-Uk guidelines

Detailed Description

For each preoperative requested test, we will determine whether the test is indicated based on the National Institute for Health and Clinical Excellence (NICE) guidelines and whether it was effective for adverse effects management or unnecessarily requested.

An adherent test was defined as a test that followed NICE, while a non-adherent test was defined as a test that included an over or under test. Normal test results are based on the laboratory reference range of normal values.

• Study Type: Observational
• Enrollment (Actual): 185

Contacts and Locations

Study Locations

• Egypt
  • Cairo, Egypt, 11562
    • Faculty of Medicine

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

All adult patients that will be scheduled for an elective general surgical operation during our study time frame

Description

Inclusion Criteria:

• All adult patients that will be scheduled for an elective general surgical operation during our study time frame.

Exclusion Criteria:

• Patients that are operated on an emergency basis.
• Pregnant females.
• patients scheduled for cardiothoracic and neurosurgical procedures.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Percentage of adherence test to NiCE-UK guidelines	The degree of adherence of the current practices of our institute preoperative testing to the NICE-UK guidelines determined as a percentage	24 hours

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Percentage of overdone investigations	•The percentage of "overdone" (unnecessary) investigations not recommended by the NICE guidelines which resulted in operative delay & prolonged hospital stay	24 hours
Estimated cost of overdone investigations	• To assess the impact of requested non recommended investigations by NICE guidelines for preoperative testing on hospital resources (Ordering further investigation - Ordering elective ICU - Increasing hospital stay days)	1 month

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): September 10, 2020
• Primary Completion (Actual): July 10, 2021
• Study Completion (Actual): August 10, 2021

Study Registration Dates

• First Submitted: August 25, 2020
• First Submitted That Met QC Criteria: December 5, 2020
• First Posted (Actual): December 11, 2020

Study Record Updates

• Last Update Posted (Actual): November 16, 2021
• Last Update Submitted That Met QC Criteria: November 15, 2021
• Last Verified: November 1, 2021

More Information

Terms related to this study

• Keywords: preoperative; Investigation
• Additional Relevant MeSH Terms: Physiological Effects of Drugs; Central Nervous System Depressants; Anesthetics
• Other Study ID Numbers: MS-163-2020

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No