Registry of Cardio/Neurovascular Anesthesia Including the Database of Biological Signals During Anesthesia, Preoperative Assessment and Prognosis in Patients

Yonsei University10,000 enrolled

Overview

The purpose of this study is to establish a registry database for patients undergoing anesthesia for cardiovascular surgery or procedures in our operating or hybrid room. The following information will be collected: 1. Preoperative patient assessment 2. All monitored perioperative biosignal data 3. Intraoperative and immediate postoperative hemodynamic information, input/output balance, and medication usage 4. Short- and long-term prognosis from electronic medical records This database will be used to develop a vigilant monitoring system that integrates multiple biosignal data simultaneously, contributing to the improvement of anesthesia care.

Study Type

OBSERVATIONAL

Enrollment

10,000

Conditions

Cardiac Anaesthesia

Eligibility

Sex: ALLMin age: 19 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Adults age 19 and older 2. Patients scheduled for anesthesia at a cardiovascular hospital for cardiovascular surgery or procedures Exclusion Criteria: 1\) Emergency (surgery/procedure room transfer within 1 hour of visit) where there is insufficient time for the subject (adult 19 years of age or older) or his/her representative (adult incapable of consent) to decide whether to participate in the study

Locations (1)

Yonsei University Health System, Severance Hospital

Seoul, South Korea

Outcomes

Primary Outcomes

all cause mortality

All-cause mortality within one year after surgery

Time frame: one year after surgery

Secondary Outcomes

Postprocedural myocardial infarction

Defined by an increase in CK-MB or cardiac troponin (cTn) levels.

Time frame: within 2days after surgery

Acute kidney injury

The definition of AKI refers to the Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group's KDIGO Clinical Practice Guideline for Acute Kidney Injury.

Time frame: within 7days after surgery

surgical re-exploration

require a return to the operating room for bleeding with or without tamponade, graft occlusion, valve dysfunction, or other cardiac reason

Time frame: within 30 days (±3 days) after surgery

deep sternal wound infection

infection involving muscle, bone, or mediastinum requiring operative intervention

Time frame: within 30 days (±3 days) after surgery

prolonged mechanical ventilation

intubation required for more than 24 hours

Time frame: within 30 days (±3 days) after surgery

stroke/cerebrovascular accident

Confirmed neurological deficit caused by a blood supply disturbance to the brain lasting more than 24 hours

Time frame: within 30 days (±3 days) after surgery

Readmission rate

readmission to an acute care hospital within 30 days of discharge from the cardiac surgery hospitalization

Time frame: within 30days of the date of discharge from the index cardiac surgery hospitalization

Registry of Cardio/Neurovascular Anesthesia Including the Database of Biological Signals During Anesthesia, Preoperative Assessment and Prognosis in Patients

Overview

Conditions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts