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| Name | Class |
|---|---|
| Goethe University | OTHER |
| Charite University, Berlin, Germany | OTHER |
| Asklepios Kliniken Hamburg GmbH | OTHER |
| Fraunhofer Institute for Digital Medicine MEVIS |
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The study investigates a novel anaesthesiological clinical decision support (CDS) application, that integrates risk evaluation tools and updated clinical guidelines guided by artificial intelligence in the setting of preoperative anaesthesiological assessment. It will be compared to the current standard preoperative assessment workflow with participants being actual patients. 480 participants will be randomly assigned to either the CDS group (preoperative assessment using the CDS application) or the Control group (standard preoperative assessment workflow).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Clinical Decision Support Application guided Anaesthesiological Assessment | Active Comparator | Preoperative anaesthesiological assessment and risk evaluation using a clinical decision support application. |
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| Standard Anaesthesiological Assessment | Sham Comparator | Preoperative anaesthesiological assessment using standard procedures of the hospital and a sham clinical decision support application. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electronic Clinical Decision Support Application | Other | Preoperative anaesthesiological assessment and risk evaluation using a clinical decision support application, that calculates perioperative risks for the patient and informs the anaesthesiologist on indicated diagnostics and procedures according to clinical guidelines in real-time. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of clinically not indicated preoperative diagnostic procedures ordered by the anaesthesiologist | Preoperative diagnostic procedures ordered by the anaesthesiologist are defined as ECG, echocardiography, carotid (Duplex) ultrasound, chest X-ray and functional non-invasive tests for coronary artery disease (e.g. stress echocardiography) | preoperative assessment until operative procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Number of documented items from a predefined set of relevant cardiovascular symptoms and conditions during the anaesthesiological assessment | Completeness of medical documentation will be measured by the number of documented items from a predefined list of relevant cardiovascular symptoms and conditions during the preoperative anaesthesiological asssessment. | preoperative assessment until operative procedure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patrick Meybohm, M.D. | Wuerzburg University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Wuerzburg | Würzburg | Bavaria | 97080 | Germany |
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| UNKNOWN |
| Technical University of Munich | OTHER |
| RWTH Aachen University | OTHER |
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| Standard procedures of the hospital and Sham Clinical Decision Support Application | Other | Preoperative anaesthesiological assessment using standard procedures of the hospital. In addition a sham clinical decision support application will be used. Information on perioperative risks and indicated diagnostic procedures according to clinical guidelines is not given to the physician. |
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| Incidence of intra- and postoperative complications | operative procedure until hospital discharge, assessed up to 4 weeks |
| Incidence of 30-Day unplanned All-cause Hospital Readmission | hospital discharge until 30th postoperative day |
| Length of Hospital Stay | hospital admission until hospital discharge, assessed up to 4 weeks |