RecruitingNCT05859620

Implementation of a Clinical Screening and Response System for Cardiac Complications After Noncardiac Surgery

Implementation of a Clinical Screening and Response System for the Early Detection of Cardiac Complications After Noncardiac Surgery: Feasibility and Medicoeconomic Impact

Sponsor

University Hospital, Basel, Switzerland

Enrollment

900 participants

Start Date

Jul 1, 2021

Study Type

OBSERVATIONAL

Conditions

Myocardial Injury Myocardial Infarction Perioperative Complication

Summary

The investigators aim to show the feasibility and medicoeconomic impact of implementing a clinical screening and response system for the early detection of perioperative cardiac complications in high-risk patients. Specifically, the investigators aim to: 1) evaluate the feasibility of implementation of a PMI-screening; 2) evaluate the medicoeconomic impact of implementing a PMI-screening; 3) identify barriers to implementation; 4) generate data for a future randomized controlled trial on outcomes by exploring opportunities to improve care following PMI, the occurrence and timing of major adverse cardiac events (MACE), and the treatment effect associated with PMI-screening.

Eligibility

Min Age: 40 YearsMax Age: 85 Years

Inclusion Criteria6

Consecutive patients fulfilling the institutional criteria for inclusion into the routine PMI-screening
aged 40-85 years
at increased cardiovascular risk
undergoing inpatient, noncardiac, elective or emergent surgery
postoperative stay of ≥2 nights at the participating institution
orthopaedic, traumatology, vascular, spinal, thoracic, neurosurgical, and visceral surgery.

Exclusion Criteria6

patients with cardiac surgery or interventions in the last 14 days
chronic renal failure under dialysis, renal transplant surgery
moderate-to-severe dementia
previous inclusion within 5 days
documented refusal to use of their data for research purposes or refusal of further use during follow-up
Patients declining consent for follow-up will be excluded from follow-up analyses.

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Interventions

OTHERPatient assessment and follow-up

There is no study-specific intervention. The investigators will record data generated by clinical activity before, during and after implementation of the PMI-screening. Follow-up data and the final PMI event adjudication will be the only data generated specifically for this study.