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Peri-operative Care Study

Data Collection for study March 2010 to March 2011
Publication date: 9th December 2011

NCEPOD is examining remediable factors in the peri-operative care of patients aged 16 or over, who undergo inpatient surgery (both elective and emergency). This national, prospective study was held from 1-7 March inclusive 2010.
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We asked anaesthetists to complete a form for all patients they had anaesthetised in the chosen week. If the patient had surgery more than once in the study week, we asked for multiple forms per patient. Day cases, obstetrics, and cardiac, transplant and neurosurgical patients, were excluded. We based the "day case" definition on a planned overnight stay (please see the adjacent FAQs). We excluded all cardiac procedures performed by a cardiac surgeon, but included thoracic surgery and non-cranium surgery.

We then asked our local reporters at each participating hospital, for a data collection spreadsheet with details on the surgical activity and outcome at 30 days. Our clinical advisors are currently assessing casenotes on a selection of patients.

Downloads related to this study:

  • For the organisational questionnaire, please click here. Printouts should be of good quality, and on A4 paper (single or double sided). NB: the header margins on each corner of a page, and barcode, must be visible.

  • For the study protocol, please click here.

  • For the clinical questionnaire please click here
    For the supporting instructions for the questionnaire please click here.

  • For the data collection spreadsheet, please click here.

  • The specialty codes are available click here

  • The ICD-10 codes are available click here

  • An organisational questionnaire is currently in draft and will be made available.

  • For OPCS codes, please refer to your OPCS book, or ask your coding department for advice.

This work is supported by The Intensive Care Society, the Royal College of Anaesthetists, and the Royal College of Surgeons.

The report launch for this study will be held on the 9th Decmeber 2011 at The Royal College of Surgeons - London, WC2A 3PE. For further information and booking details on how to attend the event please click here

This webpage is updated regularly, so please check back for more information shortly.

Further questions about the study may be directed to:periopcare@ncepod.org.uk

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Frequently Asked Questions

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What time does the study period start and end?
Please include all patients whose anaesthetic commences just after midnight, going into the 1st and those whose anaesthetic commences by 23:59 on the March, 7th (and all those inbetween).
How do you define day cases?
If the patients do not have a planned overnight stay, they are considered to be day cases. If the patient is admitted, with the operation having been delayed for a few days, then has the operation, and goes home immediately thereafter, we are considering that to be a day case. The inpatient stay needs to occur after surgery.
Are patients receiving anaesthesia for electro-convulsive therapy or cardioversions included?
If these are surgical inpatients with a planned overnight stay, and if they meet the rest of our inclusion/exclusion criteria, we are including them in the study.
Are patients included if they only have a local or regional anaesthetic, or nerve block?
If these are surgical inpatients with a planned overnight stay, and if they meet the rest of our inclusion/exclusion criteria, we are including them in the study.
On the clinical questionnaire, question 13a, what measurement should we report creatinine in?
mmol/L
Should locum anaesthetists complete the clinical forms?
Yes.
More..FAQs.
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