Prospective Evaluation of a RIsk Score for Postoperative Pulmonary COmPlications in Europe

European Society of Anaesthesiology5,450 enrolled

Overview

Prospective Evaluation of a RIsk Score for postoperative pulmonary COmPlications in Europe (PERISCOPE) is a multi-centre, international observational study of a random-sample cohort of patients undergoing a nonobstetric in-hospital surgical procedure under general or regional anaesthesia during a continued 7-day period of recruitment. Participating centres throughout Europe will contribute routine clinical data describing all eligible patients who undergo surgery during a continuous week (7-days) at convenience of every department within a period of two months from May 1st to July 1st 2011. A questionnaire of around 50 items will be filled during the pre, intra and postoperative periods. The follow-up will end at discharge. The aim of the PERISCOPE study is to validate a simple score to predict postoperative pulmonary complications(PPCs). This score has recently been published in Anesthesiology and you can access linking to: http://journals.lww.com/anesthesiology/Fulltext/2010/12000/Prediction\_of\_Postoperative\_Pulmonary.20.aspx TIMEFRAME Participants will be followed for the duration of in-hospital stay, an expected average of maximum 5 weeks.

Study Type

OBSERVATIONAL

Enrollment

5,450

Conditions

Complication of Surgical Procedure Acute Respiratory Failure, Adult Postoperative Respiratory Complications

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: Patients undergoing a non-obstetric in-hospital surgical procedure, elective or emergent, under general anaesthesia (alone or in combination with regional/neuraxial anaesthesia), neuraxial anaesthesia or plexus block (with and without sedation). Exclusion Criteria: 1. age \<18 years 2. obstetric procedures or any procedure during pregnancy 3. regional anaesthesia alone, except to neuroaxial and plexus anaesthesia 4. procedures outside the operating room 5. procedures related to a previous postoperative complication 6. transplantation 7. patients with preoperatively intubated trachea 8. outpatient procedures, defined as those requiring less than one day's stay for a patient alive at discharge.

Locations (63)

University Hospital centre "Mother Theresa" Anesthesia & critical Care

Tirana, Albania

Cliniques Universitaires Saint Luc

Brussels, Belgium

General Hospital "Prim.dr Abdulah Nakas" Departement of Anaesthesia and intensive care

Sarajevo, Bosnia and Herzegovina

Heart Center

Sarajevo, Bosnia and Herzegovina

University Hospital Rijeka Anaesthesiology and Intensive care

Rijeka, Croatia

Outcomes

Primary Outcomes

The Main Outcome, Defined as a Postoperative Pulmonary Complications (PPC), Will be a Composite of the In-hospital Fatal or Non-fatal Postoperative Events.

Will include:Mild respiratory failure;Severe respiratory failure;acute lung injury(ALI)/Acute respiratory distress syndrome(ARDS);Suspected pulmonary infection;Pulmonary infiltrate;Pleural effusion;Atelectasis;Pneumothorax;Bronchospasm;Aspiration Pneumonitis;Cardiopulmonary edema.Investigators will not modify centre usual patient management. Patients with PPCs will identify by consulting medical records and looking for events fulfilling PPCdefinition. Diagnosis date for every complication will be recorded.Participants will be followed during in-hospital stay up to 5 weeks.

Time frame: Postoperative in-hospital stay up to 5 weeks

Secondary Outcomes

a) Postoperative Length of Stay

Participants will be followed for the duration of in-hospital stay up to 90 days

Time frame: Postoperative in-hospital stay up to 90 days

b) In-hospital Mortality

Participants will be followed for the duration of in-hospital stay up to 90 days

Time frame: Postoperative in-hospital stay up to 90 days