Pre-anesthetic Evaluation and Cost Reduction

This study has been completed.
Sponsor:
Information provided by:
Santa Casa de Misericórdia de Belo Horizonte
ClinicalTrials.gov Identifier:
NCT01130610
First received: May 24, 2010
Last updated: NA
Last verified: May 2010
History: No changes posted
  Purpose

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.


Condition
Surgical Procedures
Anesthesia

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Pre-anesthetic Evaluation and Cost Reduction Perioperative

Further study details as provided by Santa Casa de Misericórdia de Belo Horizonte:

Enrollment: 200
Study Start Date: September 2009
Study Completion Date: November 2009
Primary Completion Date: November 2009 (Final data collection date for primary outcome measure)
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

Ages Eligible for Study:   1 Year to 90 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

patients admitted to the institution to undergo elective surgery or diagnostic procedures with anesthesia.

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
  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01130610

Locations
Brazil
Santa Casa de Misericórdia de Belo Horizonte
Belo Horizonte, Minas Gerais, Brazil, 30150-221
Sponsors and Collaborators
Santa Casa de Misericórdia de Belo Horizonte
Investigators
Study Director: Issa Márcia, graduate Santa Casa de Misericórdia de Belo Horizonte
Principal Investigator: Magda Fernandes, Master Santa Casa de Misericórdia de Belo Horizonte
  More Information

Publications:
Responsible Party: Magda Lourenço Fernandes, Santa Casa de Misericórdia de Belo Horizonte
ClinicalTrials.gov Identifier: NCT01130610     History of Changes
Other Study ID Numbers: CEP 089/2009
Study First Received: May 24, 2010
Last Updated: May 24, 2010
Health Authority: Brazil: National Health Surveillance Agency

Keywords provided by Santa Casa de Misericórdia de Belo Horizonte:
preoperative period
preoperative care
anesthesia
program evaluation

Additional relevant MeSH terms:
Anesthetics
Central Nervous System Depressants
Physiological Effects of Drugs
Pharmacologic Actions
Central Nervous System Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on August 20, 2014