Clinical trial NCT01130610: Pre-anesthetic Evaluation and Cost Reduction
Official title: Pre-anesthetic Evaluation and Cost Reduction Perioperative
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Surgical Procedures
Anesthesia
Keywords: preoperative period
preoperative care
anesthesia
program evaluation
Lead sponsor: Santa Casa de Misericórdia de Belo Horizonte
Sponsor class: OTHER
First posted: 2010-05-26
Enrollment: 200
Sex: ALL
Minimum age (years): 1
Maximum age (years): 90
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: patients admitted to the institution to undergo elective surgery or diagnostic procedures with anesthesia.

Brief summary: Study conducted in large Brazilian hospital, with the main objective of evaluating the impact of pre-anesthetic in reducing costs related to the preoperative preparation of patients admitted to undergo surgery or diagnostic procedures under anesthesia.

Detailed description: The pre-anesthetic evaluation is essential in the care of surgical patients. Among its benefits stands the reduction of costs related to preoperative preparation. However, most studies evaluating costs was performed in hospitals abroad, whose reality does not always apply to our environment. The aim of this study is to compare the costs of preoperative evaluation performed by the surgeon (conventional tillage), with the cost of preparation performed by the anesthesiologist (pre-anesthetic evaluation). Two hundred patients scheduled for surgical or diagnostic procedures under anesthesia form included in the study. After admission patients were assessed by physician anesthesiologists. In Form 1 (conventional tillage), it was noted tests or specialist consultations made in the preoperative period. In Form 2 (pre-anesthetic evaluation) was noted comorbidities, physical examination and complementary examinations given in accordance with the guidelines adopted by the Anesthesiology Department of the institution. Form data were compared with a data form 2. Besides the costs, we compared the number of tests considered unnecessary and disagreements in the classification of physical status according to the American Society Anesthesiology (ASA).

Eligibility criteria: Inclusion Criteria:

* patients over the age of one year and admitted for surgery or diagnostic procedures under anesthesia
* patient did not undergo pre-anesthetic evaluation prior to admission to hospital

Exclusion Criteria:

* Emergency surgery
* Major surgery with hospitalization on a date prior to the operation

Primary outcomes:
Secondary outcomes:
Other outcomes:
Locations:
city: Belo Horizonte
country: Brazil
facility: Santa Casa de Misericórdia de Belo Horizonte
state: Minas Gerais
Study officials:
affiliation: Santa Casa de Misericórdia de Belo Horizonte
name: Issa Márcia, graduate
role: STUDY_DIRECTOR
affiliation: Santa Casa de Misericórdia de Belo Horizonte
name: Magda Fernandes, Master
role: PRINCIPAL_INVESTIGATOR
References:
citation: Power LM, Thackray NM. Reduction of preoperative investigations with the introduction of an anaesthetist-led preoperative assessment clinic. Anaesth Intensive Care. 1999 Oct;27(5):481-8. doi: 10.1177/0310057X9902700508.
citation: Fischer SP. Development and effectiveness of an anesthesia preoperative evaluation clinic in a teaching hospital. Anesthesiology. 1996 Jul;85(1):196-206. doi: 10.1097/00000542-199607000-00025. No abstract available.
citation: Pasternak LR. Preoperative laboratory testing: general issues and considerations. Anesthesiol Clin North Am. 2004 Mar;22(1):13-25. doi: 10.1016/S0889-8537(03)00115-9.