Routine postsurgical anesthesia visit to improve patient outcome

Routine postsurgical anesthesia visit to improve patient outcome - TRACE study

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON46201

Enrollment

5600

Registered

2016-06-29

Start date

2016-10-29

Completion date

Unknown

Last updated

2024-04-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postoperative complications surgical outcome

Interventions

Interventions: Postoperative visit by an anesthesia professional on day 1 and 3 following the surgical procedure. The postoperative visit will be standardized based on the Modified Early Warning Sco

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: * Adult patients undergoing elective surgery with an indication for postoperative hospital stay * Meets at least one of the following BonnScore criteria: o Postoperative pain therapy with follow up by an Acute Pain Service (APS) o Patients older than 60 years o Patients older than 45 years and a rCRI greater than 2 o Patients with a sAPGAR smaller than 5 rCRI: The revised Cardiac Risk Index (rCRI) is a clinical prediction tool to estimate the risk of a patient for perioperative cardiac complications. The risk is determined based on the presence of ischemic heart disease, congestive heart failure, cerebrovascular disease (stroke or transient ischemic attack), diabetes requiring preoperative insulin use, chronic kidney disease (creatinine > 2 mg/dL), and/or undergoing suprainguinal vascular, intraperitoneal, or intrathoracic surgery. The risk for cardiac death, nonfatal myocardial infarction, and nonfatal cardiac arrest is 0.4% in case of 0 predictors, 0.9% in case of 1 predictor, 6.6% in case of 2 predictors and 11% in case of 3 or more predictors. Surgical APGAR score: The surgical APGAR score is used to predict perioperative and postoperative morbidity and mortality based on predicted perioperative blood loss, intraoperative blood pressure and intraoperative heart rate. The score is calculated at the end of a surgical procedure.

Exclusion criteria

Exclusion criteria: * Cardiac surgery * Preoperative indication for medium care or intensive care admission * No informed consent

Design outcomes

Primary

Measure	Time frame
30-day postoperative mortality, including cost effectiveness research.	—

Secondary

Measure	Time frame
n.v.t.	—

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)