Morbidity and Mortality: Surgery and Standardized Transmission in Operating Room (HIATUS)

Assistance Publique - Hôpitaux de Paris

Status

Enrolling

Conditions

Major Surgery

Treatments

Other: Training with AnesList©

Study type

Observational

Funder types

Other

Identifiers

NCT05440331

2022-A01109-34 (Registry Identifier)

APHP210992

Details and patient eligibility

About

The primary objective of the study is to evaluate the efficacy of standard handover with AnesList© between physician anesthesists in operating room, for a complete transmission for a patient, on the occurence of event as death, serious complications or rehospitalization in month of postoperative after major surgery.

Full description

The secondary objectives are:

to analysis the impact of the transmission on:

the occurence of different events: re-hospitalization, serious complications, death at one month; the duration of initial ICU stay and of hospitalization; the duration of the transmission; the quality of the transmission by the physician leaving operating room. to evaluate the condition of the transmission to study the persistence of the use of the AnesList© at 6 months after the end of inclusions in the center to evaluate the satisfaction on AnesList© and on the training with the tool and the obstacles of its utilization to evaluate the morbility-mortality in the centers of the centers before, during and 6 months after the beginning of the study.

Enrollment

1,120 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patient aged > 18 years;
Patients with score ASA I-IV;
Requiring urgent or planned surgery;
Major surgery (duration of surgery > 2 hours, requiring a hospital stay of at least 1 night): orthopedics, cardiac, vascular, thoracic, visceral, ENT, plastic surgery;
Handover between two anesthesists defined as a definitive relay between one physician anaesthesist and another in operating room;
Intensive care anesthesists and nurse anaesthetist working in investigator center during the study;
Affiliated to a social security system;
No-opposition to participating to the study.

Exclusion criteria

Transmission between physician anaesthesist and nurse anaesthetist;
Medical transmission occurs out of anesthesia care out of operating room;
Medical transmission occurs in transitory manner (for example: coffee time, lunch time);
Patients enrolled in an another ongoing study of surgical intervention.