[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"preoperative-care\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:preoperative-care":32},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,11,0,[8,53,87,122,154,186,214,240,279,304,332],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":22,"conditions":23,"keywords":39,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":42,"lastUpdatePostDateStruct":43,"startDateStruct":46,"completionDateStruct":48,"leadSponsor":49,"locationsCount":52},"100642312","risk-factors-of-atrial-fibrillation-after-cardiac-surgery-100642312",false,"NCT07625033","Risk Factors of Atrial Fibrillation After Cardiac Surgery","PFAS","Inclusion Criteria:\n\n* age \\>18\n* having undergone a scheduled cardiac surgery in the study center\n* having agreed to the reuse of their hospital care data\n\nExclusion Criteria:\n\n* Atrial fibrillation at the admission in hospital.","ALL","18 Years",{"count":19,"type":20},918,"ESTIMATED","OBSERVATIONAL","Supraventricular arrhythmias complicate more than 40% of cardiac surgeries and are associated with an increased risk of bleeding, stroke, heart failure, and death. Preventing the occurrence of these arrhythmias is a major challenge. This study aims to investigate risk factors and protective factors regarding atrial fibrillation and other iatrogenic cardiac arrhythmias after cardiac surgery, particularly innovative anesthetic strategies such as stellar ganglion blockade which have been recently implemented in our center.",[24,25,26,27,28,29,30,31,32,33,34,35,36,37,38],"Cardiac Surgery","Peri Operative Medicine","Thoracic Surgery","Cardiopulmonary Bypass","Coronary Artery Bypass","Heart Valve Prosthesis Implantation","Aortic Valve Replacement","Perioperative Medicine","Preoperative Care","Intraoperative Care","Postoperative Care","Enhanced Recovery After Surgery","Anesthesia","Cardiac Anesthesia","Intensive Care Unit",[40],"Stellar Ganglion Blockade, SGB, cardiac surgery","NOT_YET_RECRUITING","2026-06-23",{"date":44,"type":45},"2026-06-25","ACTUAL",{"date":47,"type":20},"2026-07-01",{"date":47,"type":20},{"name":50,"class":51},"Centre Hospitalier Régional Metz-Thionville","OTHER",1,{"id":54,"slug":55,"hasResults":11,"nctId":56,"briefTitle":57,"officialTitle":58,"acronym":4,"eligibilityCriteria":59,"healthyVolunteers":11,"sex":16,"minAge":60,"maxAge":61,"enrollmentInfo":62,"targetDuration":4,"studyType":64,"phases":65,"briefSummary":67,"conditions":68,"keywords":72,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":79,"lastUpdatePostDateStruct":80,"startDateStruct":82,"completionDateStruct":83,"leadSponsor":85,"locationsCount":4},"100641617","virtual-reality-for-pediatric-perioperative-preparation-100641617","NCT07650695","Virtual Reality for Pediatric Perioperative Preparation","Preoperative Virtual Reality Intervention to Improve the Perioperative Experience in Children Undergoing Elective Surgery: A Pilot Randomized Controlled Trial","Inclusion Criteria:\n\n* Children aged 3 to 12 years.\n* Scheduled for elective surgery under anesthesia.\n* Parent or legal guardian owns a mobile phone.\n* Ability to understand simple instructions, according to clinical judgment and developmental level.\n* Sufficient Spanish language proficiency of the child and at least one parent or legal guardian.\n* Written informed consent from parents or legal guardians and child assent when applicable.\n\nExclusion Criteria:\n\n* Emergency or urgent surgery.\n* Moderate to severe neurodevelopmental disorder or intellectual disability limiting understanding of the intervention or study scales.\n* Severe visual or hearing impairment preventing use of virtual reality.\n* History of photosensitive epilepsy, severe vertigo, severe motion sickness, or other conditions that could worsen with virtual reality.\n* Severe decompensated psychiatric disorder.\n* Use of intense sedative premedication before baseline assessment that prevents evaluation of preoperative anxiety.","3 Years","12 Years",{"count":63,"type":20},56,"INTERVENTIONAL",[66],"NA","This pilot randomized controlled trial will evaluate whether a virtual reality (VR) preparation program can improve the perioperative experience of children aged 3 to 12 years undergoing elective surgery. Children scheduled for surgery at HM Hospital in Madrid, Spain, will be randomly assigned to receive either a VR-based educational experience (NixiKit) or the standard preoperative preparation routinely provided by nursing staff.\n\nThe VR intervention includes an immersive virtual tour of the preoperative area, operating room, and recovery room, designed to familiarize children with the surgical process in an age-appropriate manner. The control group will receive the usual verbal explanation and support provided by nurses before surgery.\n\nThe study will assess children's fear, preoperative anxiety, cooperation during anesthesia induction, and postoperative pain. Parents' experience and satisfaction with care will also be evaluated. The results of this pilot study will help determine the feasibility and potential effectiveness of VR as a nursing-led preparation strategy for pediatric surgical patients.",[69,70,71,32],"Preoperative Anxiety","Fear","Pediatric Surgery",[73,71,74,75,76,77,78],"Virtual Reality","Perioperative Care","children","Nursing intervention","fear","anxiety","2026-06-12",{"date":81,"type":45},"2026-06-16",{"date":47,"type":20},{"date":84,"type":20},"2027-04-01",{"name":86,"class":51},"Fundación de investigación HM",{"id":88,"slug":89,"hasResults":11,"nctId":90,"briefTitle":91,"officialTitle":92,"acronym":93,"eligibilityCriteria":94,"healthyVolunteers":11,"sex":95,"minAge":17,"maxAge":4,"enrollmentInfo":96,"targetDuration":4,"studyType":64,"phases":98,"briefSummary":99,"conditions":100,"keywords":106,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":113,"lastUpdatePostDateStruct":114,"startDateStruct":116,"completionDateStruct":118,"leadSponsor":120,"locationsCount":52},"100640235","evaluating-the-feasibility-of-prehabilitation-delivery-models-for-patients-preparing-for-ovarian-cancer-surgery-100640235","NCT07609082","Evaluating the Feasibility of Prehabilitation Delivery Models for Patients Preparing for Ovarian Cancer Surgery","Assessing Delivery Approaches for Prehabilitation Trials in Ovarian Cancer: A Pilot Feasibility Patient-Preference Trial","ADAPT-OC","Inclusion Criteria:\n\n* Female\n* Aged ≥18 years\n* Scheduled for cytoreductive surgery for an ovarian mass suspected or confirmed of cancer\n* Surgery planned ≥3 weeks from time of booking\n* No contraindications to exercise on the CSEP Get Active Questionnaire\n* Able to provide written informed consent\n* Able to understand and communicate in English\n\nExclusion Criteria:\n\n* Pregnancy\n* Surgery scheduled \\\u003C3 weeks from booking\n* Receiving neoadjuvant chemotherapy\n* Positive contraindications to exercise on the CSEP Get Active Questionnaire\n* End-stage or advanced renal disease limiting safe protein supplementation\n* Malnutrition as assessed by a registered dietician","FEMALE",{"count":97,"type":20},36,[66],"The goal of this clinical trial is to learn whether high-dose multimodal prehabilitation, delivered either in person or remotely with coaching and web application support, is feasible and acceptable for women preparing for ovarian cancer surgery. It will also examine which delivery model patients prefer and the factors influencing patient preferences.\n\nThe main questions ADAPT-OC aims to answer are:\n\n1. Can participants achieve the prescribed aerobic exercise target of at least 10 MET-hours per week before surgery?\n2. Do patients prefer in-person prehabilitation, remote prehabilitation, or education-only care, and what factors influence that preference?\n\nThe researchers will compare in-person prehabilitation, remote prehabilitation, and education-only care to see which delivery approach is most feasible, acceptable, and practical for patients with suspected ovarian cancer.\n\nParticipants will:\n\n* Choose their preferred study group, or be randomly assigned if they have no preference\n* Complete physical assessments, questionnaires, and interviews at baseline, 1-3 days before surgery, and 4 weeks after surgery\n* If assigned to a prehabilitation group, complete aerobic exercise, protein supplementation, and daily breathing exercises before surgery\n* Attend weekly coaching sessions with a trained prehabilitation coach\n* Use the KingstonPrehab web application to track exercise, nutrition, breathing practice, and progress toward activity goals",[101,102,32,103,104,105],"Prehabilitation","Preoperative Aerobic Training","Ovarian Cancer","Exercise Therapy","Postoperative Outcomes",[107,108,109,110,111,112],"postoperative outcomes","prehabilitation","nutritional support","psychological support","exercise therapy","ovarian cancer","2026-05-19",{"date":115,"type":45},"2026-05-27",{"date":117,"type":20},"2026-05-14",{"date":119,"type":20},"2027-05-14",{"name":121,"class":51},"Jordan Leitch",{"id":123,"slug":124,"hasResults":11,"nctId":125,"briefTitle":126,"officialTitle":127,"acronym":128,"eligibilityCriteria":129,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":130,"targetDuration":4,"studyType":64,"phases":132,"briefSummary":133,"conditions":134,"keywords":138,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":144,"lastUpdatePostDateStruct":145,"startDateStruct":147,"completionDateStruct":149,"leadSponsor":151,"locationsCount":153},"100638709","prehabilitation-before-major-surgery-100638709","NCT07590141","Prehabilitation Before Major Surgery","PRehabilitation In Advance of Major Elective Surgery: A Pilot Randomized Controlled Trial (PRIME Pilot)","PRIME","Inclusion Criteria:\n\n* ≥ 18 years of age\n* Undergoing major elective intra-thoracic, intra-abdominal or orthopedic surgery. Major surgery is defined as any operation performed under general and\u002For spinal anesthesia requiring a skin incision extending beyond the subcutaneous tissue\n* More than 3 weeks from the date of scheduled operation\n\nExclusion Criteria:\n\n* Emergency Surgery\n* Operation in less than 3 weeks from time of initial research contact\n* Patients who are pregnant\n* Unable\u002Funwilling to sign written informed consent\n* Physical, cognitive or psychological impairment\n* Unable to understand\u002Fcommunication in English.",{"count":131,"type":20},120,[66],"The goal of this clinical trial is to learn if a virtually monitored, home-based prehabilitation program is feasible and acceptable for adults undergoing major elective surgery. The main questions it aims to answer are:\n\n1. Can researchers successfully recruit and retain participants across multiple sites?\n2. Will participants adhere to the prehabilitation program at a high enough rate to justify a larger trial?\n\nResearchers will compare the prehabilitation program to standard preoperative care to see if the intervention is feasible to implement and whether it may help reduce postoperative complications.\n\nParticipants will:\n\n* Be randomly assigned to receive either the prehabilitation program or usual care\n* Complete questionnaires and physical assessments before and after the intervention\n* (For those in the intervention group) Receive exercise, nutrition, and mindfulness guidance, protein supplements, and use the CloudDX virtual care platform to support their activities",[101,32,135,136,137],"Elective Surgical Procedures","Postoperative Complications","Surgical Procedures, Operative",[139,140,141,104,142,143,105],"Home-based Care","Virtual Care","Remote Health Monitoring","Nutritional Support","Psychological Support","2026-05-10",{"date":146,"type":45},"2026-05-15",{"date":148,"type":20},"2026-06-01",{"date":150,"type":20},"2028-01-31",{"name":152,"class":51},"Queen's University",3,{"id":155,"slug":156,"hasResults":11,"nctId":157,"briefTitle":158,"officialTitle":159,"acronym":160,"eligibilityCriteria":161,"healthyVolunteers":11,"sex":16,"minAge":162,"maxAge":4,"enrollmentInfo":163,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":165,"conditions":166,"keywords":169,"overallStatus":175,"whyStopped":4,"lastUpdateSubmitDate":176,"lastUpdatePostDateStruct":177,"startDateStruct":179,"completionDateStruct":181,"leadSponsor":183,"locationsCount":185},"100437217","vascular-events-in-patients-undergoing-same-day-noncardiac-surgery-valiance-study-100437217","NCT04973397","Vascular Events In Patients Undergoing Same-day Noncardiac Surgery (VALIANCE) Study","Vascular Events In Patients Undergoing Same-day Noncardiac Surgery (VALIANCE) Study - A Prospective Observational Cohort Study Evaluating Major Cardiovascular and Adverse Events in Patients Undergoing Elective Same-day Noncardiac Surgery","VALIANCE","Inclusion Criteria:\n\n* 45-64 years of age with at least one risk factor, or ≥65 years of age;\n* undergoing elective noncardiac same-day surgery;\n* planned duration in the operating room 60 minutes or more;\n* provided written consent.\n\nExclusion Criteria:\n\n* intervention does not require the presence of an anesthesiologist;\n* procedure is performed by a nonsurgical specialty (e.g., gastroenterology, pneumology, radio-oncology or radiology);\n* intervention is an ophthalmologic procedure;\n* previously enrolled in the VALIANCE study.","45 Years",{"count":164,"type":20},15000,"The proportion of noncardiac surgeries performed as same-day surgery is increasing worldwide, with more complex surgeries being performed on higher risk patients in the outpatient setting. Little is known on the risk factors, incidence and prognosis of patients undergoing same-day noncardiac surgery. The main objective of this study is to inform on the incidence and risk factors of cardiovascular and other adverse events after same-day surgery and to develop risk prediction tools to better inform on the risk and selection of patients undergoing same-day surgery.",[32,167,168],"Surgery--Complications","Myocardial Infarction",[32,170,171,172,173,174],"Surgery","Postoperative complications","Same-day surgery","Ambulatory surgery","Outpatient surgery","RECRUITING","2026-03-17",{"date":178,"type":45},"2026-03-19",{"date":180,"type":45},"2021-11-17",{"date":182,"type":20},"2027-04",{"name":184,"class":51},"Centre hospitalier de l'Université de Montréal (CHUM)",16,{"id":187,"slug":188,"hasResults":11,"nctId":189,"briefTitle":190,"officialTitle":191,"acronym":4,"eligibilityCriteria":192,"healthyVolunteers":193,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":194,"targetDuration":4,"studyType":64,"phases":196,"briefSummary":197,"conditions":198,"keywords":202,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":205,"lastUpdatePostDateStruct":206,"startDateStruct":208,"completionDateStruct":210,"leadSponsor":212,"locationsCount":4},"100625803","effect-of-podcast-based-education-on-preoperative-nursing-competency-and-evidence-based-knowledge-in-nursing-students-100625803","NCT07427381","Effect of Podcast-Based Education on Preoperative Nursing Competency and Evidence-Based Knowledge in Nursing Students","The Use of Podcasts in Nursing Education: Evaluating the Acquisition of Competency and Evidence-Based Knowledge in Preoperative Preparation","Inclusion Criteria:\n\n* Age 18 years or older\n* Undergraduate nursing student enrolled in the course (second-year nursing students in the Faculty of Nursing)\n* Willing to participate and provides written and verbal informed consent\n\nExclusion Criteria:\n\n* Does not agree to participate or declines consent\n* Withdraws from the study at any time after enrollment",true,{"count":195,"type":20},80,[66],"This study aims to evaluate the effectiveness of podcast-based education on nursing students' competency in preoperative patient care and their knowledge of evidence-based nursing practices. Preoperative care is a critical component of perioperative nursing and plays a key role in patient safety and surgical outcomes. Improving students' competency in this area is essential for maintaining quality care.\n\nIn this quasi-experimental controlled study, undergraduate nursing students will be randomly assigned to either a control group receiving standard classroom education or an intervention group receiving standard education supplemented with structured podcast materials focusing on preoperative patient preparation and assessment. Outcomes will be measured using validated competency and knowledge assessment tools administered before and four weeks after the educational intervention.\n\nThe study is designed as a minimal-risk educational intervention and seeks to determine whether podcast-based learning can enhance competency and evidence-based knowledge in nursing education.",[32,199,200,201],"Nursing Education","Podcast","Evidence Based Nursing",[203,200,204],"Preoperative education","Nursing student","2026-02-20",{"date":207,"type":45},"2026-02-23",{"date":209,"type":20},"2026-02-28",{"date":211,"type":20},"2026-04-28",{"name":213,"class":51},"Gamze BULUT",{"id":215,"slug":216,"hasResults":11,"nctId":217,"briefTitle":218,"officialTitle":219,"acronym":220,"eligibilityCriteria":221,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":222,"enrollmentInfo":223,"targetDuration":4,"studyType":64,"phases":225,"briefSummary":226,"conditions":227,"keywords":228,"overallStatus":175,"whyStopped":4,"lastUpdateSubmitDate":231,"lastUpdatePostDateStruct":232,"startDateStruct":234,"completionDateStruct":236,"leadSponsor":238,"locationsCount":52},"100623280","preoperative-optimization-before-total-hip-or-knee-replacement-surgery-100623280","NCT07394582","Preoperative Optimization Before Total Hip or Knee Replacement Surgery","Preoperative Optimization Before Total Hip or Knee Replacement Surgery - a Controlled, Randomized, Single-blind Study","PrOpE","Inclusion Criteria:\n\n* American Society of Anesthesiologists (ASA) physical status classification ≥ 3\n* Age between 18 and 99 years\n* All sexes\n* Elective total hip or knee replacement with a waiting period of ≥ 8 weeks between surgical indication and surgery\n* Ability to understand the nature, content, and procedures of the study and to provide written informed consent\n* Written informed consent obtained prior to any study-related procedure\n\nExclusion Criteria:\n\n* Pregnancy or active breastfeeding\n* Severe trauma or major blood loss within 14 days prior to enrollment\n* Participation in another pharmacological or interventional clinical study\n* Contraindications to physical training\n* Pre-existing diagnosis of moderate to severe dementia","99 Years",{"count":224,"type":20},180,[66],"Preoperative Optimisation prior to Hip and Knee Arthroplasty (PrOpE) Many patients scheduled for planned hip or knee replacement surgery have health conditions that may affect recovery, such as reduced physical fitness, nutritional problems, multiple medications, or increased stress and anxiety. These factors can increase the risk of complications and delay recovery after surgery.\n\nThe PrOpE study examines whether a structured preparation programme before surgery, known as preoperative optimization or prehabilitation, can be safely implemented and may support recovery after hip or knee replacement.\n\nAim of the study The main aim is to assess the feasibility of a comprehensive preoperative optimisation programme and to explore its potential effects on recovery and health outcomes. The results will help improve future care for patients undergoing major orthopaedic surgery.\n\nWho can participate? Adult patients scheduled for elective total hip or knee replacement surgery who are classified as ASA \\>2, aged between 18 and 99 years old and without a severe cognitive impairment. Participation is voluntary.\n\nStudy design\n\nA total of 180 participants will be included and randomly assigned to one of two groups:\n\n• Standard Care Group: Participants receive usual medical care before and after surgery.\n\n• Intervention Group:\n\nIn addition to standard care, participants receive an individualised preparation programme over several weeks before surgery. This programme may include:\n\n* Personalised physical exercise\n* Nutritional assessment and advice\n* Support for stress, pain, and mental well-being\n* Review of regular medications Some elements may be delivered at home or via telemedicine, depending on individual needs.\n\nWhat information is collected? The study evaluates recovery after surgery, including complications, length of hospital stay, physical function, quality of life, and use of health care services. Questionnaires, physical tests, and blood samples are used to better understand health status before and after surgery.\n\nRisks and benefits The study involves low additional risk. All measures are adapted to individual abilities and supervised by trained professionals. The main burden is the additional time required for participation. Participants in the optimisation group may benefit from improved preparation for surgery. The study also contributes to improving care for future patients.",[101,32],[229,230],"Preoperative Optimization","orthopedic surgery","2026-02-09",{"date":233,"type":45},"2026-02-11",{"date":235,"type":20},"2026-02-05",{"date":237,"type":20},"2034-02-05",{"name":239,"class":51},"Medical University Innsbruck",{"id":241,"slug":242,"hasResults":11,"nctId":243,"briefTitle":244,"officialTitle":245,"acronym":4,"eligibilityCriteria":246,"healthyVolunteers":11,"sex":16,"minAge":247,"maxAge":4,"enrollmentInfo":248,"targetDuration":250,"studyType":21,"phases":4,"briefSummary":251,"conditions":252,"keywords":262,"overallStatus":175,"whyStopped":4,"lastUpdateSubmitDate":270,"lastUpdatePostDateStruct":271,"startDateStruct":273,"completionDateStruct":275,"leadSponsor":277,"locationsCount":52},"100617738","smartwatch-accuracy-for-measuring-vitals-and-anxiety-before-disc-surgery-100617738","NCT07322523","Smartwatch Accuracy for Measuring Vitals and Anxiety Before Disc Surgery","Validation of Smartwatch Technology for Preoperative Monitoring of Sleep Quality, Anxiety, and Vital Signs in Patients Undergoing Disc Herniation Surgery","Inclusion Criteria:\n\n* 22 years and older\n* Currently receiving preoperative care\u002Fassessment for disc herniation surgery.\n* No history of any cardiovascular disease other than controlled hypertension.\n* Willingness to wear the smartwatch for a minimum of 8 consecutive hours during the night before surgery.\n* Ability to follow all instructions related to the smartwatch operation and data collection independently.\n* No known allergy to nickel.\n\nExclusion Criteria:\n\n* Patients who are currently receiving prescribed medication specifically for sleep in the clinical setting.\n* Refusal or unwillingness to participate in the study.\n* The participant fails to wear the smartwatch correctly or appropriately as per study instructions, leading to incomplete or unreliable data collection.","22 Years",{"count":249,"type":20},60,"3 Months","This study aims to verify the accuracy of blood pressure, heart rate, blood oxygen saturation, anxiety level, and sleep cycle data measurements obtained from Samsung smartwatches compared to the currently accepted method used in patients with disc herniation undergoing the preoperative period.",[253,254,255,256,257,32,258,259,260,261],"Disc Herniations","Disc Herniation, Lumbar","Cervical Disc Herniation","Preoperative Anxiety Score","Sleep Quality","Vital Signs Monitoring","Smart Watch","Wearable Devices","Surgical Nursing",[263,264,265,266,267,78,268,269],"Disc herniations","wearable devices","smart watch","vital signs monitoring","sleep quality","surgical nursing,","preoperative","2025-12-22",{"date":272,"type":45},"2026-01-07",{"date":274,"type":45},"2025-11-01",{"date":276,"type":20},"2026-03-30",{"name":278,"class":51},"Halil Kalaycı",{"id":280,"slug":281,"hasResults":11,"nctId":282,"briefTitle":283,"officialTitle":283,"acronym":4,"eligibilityCriteria":284,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":285,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":287,"conditions":288,"keywords":289,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":295,"lastUpdatePostDateStruct":296,"startDateStruct":298,"completionDateStruct":300,"leadSponsor":302,"locationsCount":52},"100615287","prospective-validation-of-an-artificial-intelligence-tool-for-pre-anesthetic-assessment-100615287","NCT07290647","Prospective Validation of an Artificial Intelligence Tool for Pre-Anesthetic Assessment","Inclusion Criteria:\n\n* Patients aged 18 years or older\n* Patients scheduled for elective non-cardiac surgeries\n\nExclusion Criteria:\n\n* Patients undergoing diagnostic procedures with isolated sedation or local anesthesia\n* If a patient undergoes more than one surgical intervention during the same hospitalization, only the major procedure will be considered (i.e., additional procedures during the same admission are not eligible for separate inclusion).",{"count":286,"type":20},270,"This prospective observational cohort study aims to validate an artificial intelligence (AI) tool designed for pre-anesthetic assessment in Portuguese, tailored to the Brazilian healthcare context. Conducted at a single tertiary hospital, the study will enroll 270 adult patients (aged \\>18 years) scheduled for elective non-cardiac surgeries. Participants will use the AI tool to complete a self-assessment, generating general patient guidance and a detailed medical evaluation (the latter withheld from the anesthesiologist). A standard pre-anesthetic evaluation will then be performed by an anesthesiologist blinded to the AI results. A third blinded anesthesiologist will compare the assessments for accuracy, consistency, and risk identification (e.g., ASA classification and perioperative risk models). Primary outcome is concordance between AI and human assessments using Cohen's Kappa. Secondary outcomes include anesthesiologist perceptions of the tool's utility, impact on assessment quality, and patient usability challenges. The study poses minimal risks, with data collected over 24 months, and aims to enhance perioperative safety and efficiency in Brazil.",[32],[290,291,292,74,293,294],"Artificial Intelligence","Large Language Model","Preoperative Evaluation","Risk Assessment","Observational Study","2025-12-05",{"date":297,"type":45},"2025-12-18",{"date":299,"type":20},"2026-03-01",{"date":301,"type":20},"2028-06-30",{"name":303,"class":51},"Hospital Nossa Senhora da Conceicao",{"id":305,"slug":306,"hasResults":11,"nctId":307,"briefTitle":308,"officialTitle":309,"acronym":310,"eligibilityCriteria":311,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":312,"targetDuration":4,"studyType":64,"phases":314,"briefSummary":315,"conditions":316,"keywords":320,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":323,"lastUpdatePostDateStruct":324,"startDateStruct":326,"completionDateStruct":328,"leadSponsor":330,"locationsCount":52},"100598181","telenursing-in-the-immediate-preoperative-period-of-elective-surgeries-100598181","NCT07068152","TELENURSING IN THE IMMEDIATE PREOPERATIVE PERIOD OF ELECTIVE SURGERIES","COST-EFFECTIVENESS ANALYSIS OF \"PIGGYBACK\" TELENURSING IN THE IMMEDIATE PREOPERATIVE PERIOD OF ELECTIVE SURGERIES: RANDOMIZED CLINICAL TRIAL PROTOCOL","TIPPES","Inclusion Criteria:\n\n* Patient recruitment will be conducted using the hospital's general surgical center surgical map. The participating population will consist of:\n* All patients 18 years of age or older, of both sexes, in the immediate preoperative period;\n* Admitted on the day of elective surgery;\n* Coming from their home.\n\nExclusion Criteria:\n\n* Inpatients;\n* Ophthalmology, obstetrics, and pediatrics specialties;\n* Exams performed in the surgical center, such as endoscopy, colonoscopy, video hysteroscopy, and others.",{"count":313,"type":20},352,[66],"Introduction: Telenursing encompasses Nursing Consultation, Interconsultation, Consulting, Monitoring, Health Education and Reception of Spontaneous Demand mediated by Information and Communication Technology. Objective: To perform a cost-effectiveness analysis of telenursing in the immediate preoperative period of adult patients undergoing elective surgeries in a university hospital of the SUS. Materials and method: Cost-effectiveness analysis nested in a clinical trial or empirical economic analysis of the piggyback evaluation type. Divided into 2 phases: a) Experimental research - randomized clinical trial to be carried out in a university hospital located in Rio de Janeiro and part of the SUS, with two parallel groups - intervention and control - with 1:1 allocation. The inclusion criteria will be adult patients, of both sexes, in the immediate preoperative period who are admitted on the day of elective surgery from their home. Patients who are hospitalized, patients in ophthalmology and obstetrics specialties, and those who will undergo examinations in the surgical center will be excluded. The sample size calculation was performed with a 95% confidence level and a sample loss of 5%, totaling 352 patients. The sampling will be random. Randomization and allocation concealment will be performed by the independent researcher. Patients in the GI will receive telenursing on the day before surgery with an anamnesis script for telenursing by the main researcher. On the day of surgery, all patients on the surgical map who came from their residence will be directed to the nursing assessment room where the auxiliary researcher will apply the in-person anamnesis script. The data will be processed by two independent researchers in an electronic spreadsheet and will be analyzed using descriptive and inferential statistics. The research will respect all legal and ethical frameworks necessary for its implementation; b) Prospective analysis of complete economic evaluation - in the piggyback evaluation modality - of the cost-effectiveness type. The effectiveness of telenursing will be verified by the outcome of surgical cancellation. A decision tree model will be used with a view to analyzing the SUS user at the local level (microcosting). The time horizon will be two days. The cost-effectiveness threshold will be 1 GDP per capita and the data analysis will include deterministic and probabilistic sensitivity. Expected results: It is expected to prove that telenursing can be a safe and efficient method for guiding patients before surgery, generating greater patient satisfaction, increasing access to information about health care for users through remote communication with nurses, reducing the waiting list by reducing surgical cancellations and possible incorporation of telenursing as a consolidated practice in the university hospital studied.",[32,317,318,135,319],"Telenursing","Patient Safety","Hospitals",[135,321,322,32,319],"telenursing","patient safety","2025-07-16",{"date":325,"type":45},"2025-07-20",{"date":327,"type":20},"2025-08-01",{"date":329,"type":20},"2027-02",{"name":331,"class":51},"Rio de Janeiro State University",{"id":333,"slug":334,"hasResults":11,"nctId":335,"briefTitle":336,"officialTitle":337,"acronym":4,"eligibilityCriteria":338,"healthyVolunteers":193,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":339,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":341,"conditions":342,"keywords":4,"overallStatus":41,"whyStopped":4,"lastUpdateSubmitDate":344,"lastUpdatePostDateStruct":345,"startDateStruct":347,"completionDateStruct":349,"leadSponsor":351,"locationsCount":52},"100566259","integrating-chatgpt-in-anesthesia-100566259","NCT06652854","Integrating ChatGPT in Anesthesia","Implementation of Large Language Models in Anesthesia to Answer Patients' Questions During Pre-Anesthesia Visits: A Prospective, Observational Study","Inclusion Criteria:\n\nPatients\n\n* 1\\. Age \\> 18 years 2. Elective non-cardiac surgery 3. In-person preoperative anesthesiology consultation 4. Ability to participate and provide informed consent independently.\n\nExclusion Criteria:\n\n* 1\\. Unable to communicate in English or French 2. Nurse consultation only\n\nPhysicians\n\nInclusion Criteria:\n\nAnesthesiology residents or staff providing service at the PAU at TOH\n\nExclusion Criteria:\n\nAnesthesiology residents or staff unwilling to participate in the research study.",{"count":340,"type":20},190,"Patients are waiting for surgery longer than ever before. While hospitals are trying to get patients access to surgery as quickly as possible, a shortage of anesthesia doctors (called anesthesiologists) prevents this. Every surgery needs an anesthesiologist, but anesthesiologists also assess patients beforehand to ensure they can safely undergo surgery and help patients understand what to expect and the risks involved. Ensuring that patients move through surgery as safely and efficiently as possible requires that the limited number of anesthesiologists in Canada work as efficiently as possible. Technology like Artificial Intelligence (AI), in programs such as ChatGPT, might assist by answering common questions patients have, allowing anesthesiologists to focus their limited time on addressing complex and personalized issues for each patient. However, studies conducted so far on how well AI can answer questions about anesthesia and surgery have been poorly designed and have not included patients as members of the research team. This study will determine whether AI can answer patients' questions before surgery as effectively as both patients and expert anesthesiologists would expect, which could be beneficial to patients and the healthcare system.",[32,343,36,290],"Patient Education","2024-10-18",{"date":346,"type":45},"2024-10-22",{"date":348,"type":20},"2024-12-09",{"date":350,"type":20},"2025-06-30",{"name":352,"class":51},"Ottawa Hospital Research Institute"]