Comparison of Postoperative Outcomes Between Surgeries Anaesthetized With Propofol and Inhalational Anaesthetics

Study Overview
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Brief Summary
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Propofol used as anaesthesia in surgery had shown small postoperative analgesic benefits over inhalational anaesthetics in some meta-analyses. It was also associated with reduced risk of postoperative nausea and vomiting. Small sample of studies together with high heterogeneity prevented some meta-analyses to confirm propofol's effect for postoperative morphine consumption and other outcomes. Acute Pain Service data bank can provide an alternative way of evaluating postoperative outcomes of propofol anaesthetics through supplying a very large sample size in a more homogeneous setting. Retrospective study comparing propofol and inhalational anaesthetics on postoperative pain matched on patients' demographic and clinical data had been done for liver surgery. Propofol's benefits for postoperative pain and morphine consumption was confirmed but not for adverse effects. This study plans to analyze the postoperative outcome data from an Acute Pain Service data bank in years 2015-17 to compare the anaesthetics of propofol and inhalational anaesthetics. Comprehensive regression adjustment for confounders are performed using all available patients' demographic, clinical and anaesthetic data. All major surgery types are included. Results will provide postoperative outcome differences between propofol and inhalational anaesthetics for all surgeries and for specific type of surgeries. The large sample bank will provide higher probability for detecting outcome difference between the anaesthetics for all the major surgical types.

Detailed Description
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Objective: To compare the postoperative outcomes between surgeries anaesthetized with propofol and inhalational anaesthetics in the Acute Pain Service records of Queen Mary Hospital for years 2015-17 Methods: Retrospective Data collection Demographic data; Type of surgery; Type of anaesthetic techniques; Postoperative NRS pain scores (Rest and Moving) for Postop Days 1, 2 & 3; Accumulated amount of patient controlled analgesia (PCA) used in Postop Days 1, 2 & 3; Postoperative incidence of nausea, vomitting, dizziness and pruritus.

Official Title
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Comparison of Postoperative Outcomes Between Surgeries Anaesthetized With Propofol and Inhalational Anaesthetics With Regression Controls for Confounders

Conditions
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Acute Pain

Intervention / Treatment
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* Drug: Propofol
* Drug: inhalation anaesthetics


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Postoperative outcomes from Acute Pain Service data bank between Jan 2015 and Dec 2017 in Queen Mary Hospital would be retrieved; Surgeries with general anaesthesia by either propofol or inhalational anaesthetics. Exclusion Criteria: Essential data missed; Surgical types with small sample size below 30 for the data collection period.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group propofol<br>Patients who had surgeries and were anaesthetized with propofol at Queen Mary Hospital, Hong Kong from Jan 2015 to Dec 2017 | Drug: Propofol<br>* Patients who had surgeries and were anaesthetized with propofol at Queen Mary Hospital, Hong Kong from Jan 2015 to Dec 2017<br>|
| Group inhalation anaesthetics<br>Patients who had surgeries and were anaesthetized via inhalation at Queen Mary Hospital, Hong Kong from Jan 2015 to Dec 2017 | Drug: inhalation anaesthetics<br>* Patients who had surgeries and were anaesthetized via inhalation at Queen Mary Hospital, Hong Kong from Jan 2015 to Dec 2017<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain score | NRS (0-10) for both rest and moving | up to postoperative day 3 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| analgesic consumption | amount of accumulated patient controlled analgesia (PCA) of morphine use | up to postoperative day 3 | 
| Amount of patients with adverse events in post-operation | nausea and vomit, dizziness and pruritus | up to postoperative day 3 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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propofol, inhalation anaesthetics, postoperative outcomes, regression control