Adherence Degree of Kasr-Alaini Hospital Pre-anesthetic Tests to the NICE-UK Guidelines

Study Overview
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Brief Summary
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Routine preoperative tests aim to identify asymptomatic diseases that can't be recognized by history and examination. Identification and management of these diseases is thought to help minimizing perioperative morbidity and mortality. A large number of routine screening tests increase the cost of perioperative care. Also unneeded tests may harm the patient due to overtreatment for borderline / false positive results. Therefore, the routine use of such examinations remains controversial. The National Institute of Health and Clinical Excellence (NICE-UK) guidelines for preoperative examination are the assessment standard developed by NICE in collaboration with the National Collaboration Center for Acute Care in the UK; in order to reduce unnecessary tests by recommending which tests should be offered to people before minor and major operations. The aim of this study is to assess the degree of adherence of the current preoperative tests at Kasr Alaini hospital to the NICE guidelines, 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 the hospital and to also evaluate the cause of delay & its effect to predict postoperative complications.

Official Title
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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

Conditions
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Anesthesia, Surgery, Exanimation

Intervention / Treatment
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* Diagnostic Test: Adult patients scheduled for an elective general surgical operation.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All adult patients scheduled for elective surgical operations. Exclusion Criteria: Patients operated upon an emergency basis. Pregnant females. Patients scheduled for cardio-thoracic and neurosurgical procedures.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Elective Surgical Adult Patients<br>Adult patients scheduled for an elective general surgical operation. | Diagnostic Test: Adult patients scheduled for an elective general surgical operation.<br>* The anesthesiologist, who is in charge of preoperative assessment at each hospital unit, will assess patients who are scheduled for elective surgery; and will inform senior anesthesiologists (with a minimum 3 years of experience) & consultant anesthesiologists, about the patients' data. Patients data with all requested preoperative investigations & required preparations, peri-operative course and post-operative outcome will be collected.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Degree of Adherence to NICE-UK Guidelines | The degree of adherence of the current practices at Kasr Alaini hospital preoperative testing to the NICE-UK guidelines, determined as a percentage. | one week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pre-anesthetic tests, NICE-UK guidlines, Kasr Alaini hospital