Length of Stay, Morality, Postoperative Complications
Conditions
Brief summary
To assess the effect of preoperative assessment clinic on prognosis and economic results of patients with coexisting diseases, the investigators designed a prospective cohort study. The investigators will recruit 250 patients preparing to undergo a selective epigastrium surgery with coexisting medical diseases which need an anesthetic consultation. The patients will be randomly assigned into two groups. The intervention group will be seen in the preoperative clinic before hospitalization, while the control group will get anesthetic consultation after hospitalization without clinic service. No additional interventions will be given during and after surgery. The length of stay, hospitalization expense, postoperative complication rate and mortality rate of the two groups will be compared. The investigator assume that consultation in preoperative assessment clinic will improve the prognosis and decrease the hospitalization expenses.
Interventions
BEHAVIORALconsultation in preoperative assessment clinic
The treatment group will be seen in the preoperative clinic before hospitalization, while the control group will get anesthetic consultation after hospitalization without clinic service. No additional interventions will be given during and after surgery.
Sponsors
Shanghai Zhongshan Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients preparing to undergo a selective epigastrium surgery * patients with coexisting medical diseases needing an anesthetic consultation * over 60 years old * ASA II-III * patients with good compliance
Exclusion criteria
* patients ubdergoing emergency operation * ASA I, IV * patients under 60 years old * patients with bad compliance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| length of stay | an average of 5 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hospitalization expense | an average of 5 days | The expense patients cost during hospitalization |
Other
| Measure | Time frame |
|---|---|
| postoperative complication rate | an average of 5 days |
| mortality rate | an average of 5 days |
Contacts
Primary ContactFang Fang, Doctor
Outcome results
None listed