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N/A N=1,584 Health Services Research

Volatile Anesthetic Choice and Duration of Hospitalization: A Quality Improvement and Cost-control Project

Duration of Hospitalization

Enrolled (actual)
1,584
Serious AEs
0.0%
Results posted
Apr 2017
Primary outcome: Primary: Hospital Length of Stay — 4.9; 4.4 Days — p=0.24

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Isoflurane (Drug); Sevoflurane (Drug)
Age
Pediatric, Adult, Older Adult
Sex
All
Sponsor
The Cleveland Clinic
Primary completion
Apr 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Hospital Length of Stay
4.9; 4.4 0.24
SECONDARY
Time-weighted Average Verbal Rating Pain Score
3.6; 3.6 0.87
SECONDARY
Total Intraoperative Opioid Consumption
32; 33 0.74

Summary

Preliminary retrospective data suggest that the relatively soluble but inexpensive volatile anesthesia isoflurane prolongs the duration of hospitalization compared to the less soluble but more expensive anesthetic sevoflurane. Even a small reduction in the duration of hospitalization would easily compensate for the modest additional cost of sevoflurane. The investigators therefore propose to test the primary hypothesis that duration of hospitalization is longer with isoflurane than sevoflurane. The investigators will also test the secondary hypotheses that: 1) pain scores are greater in patients recovering from isoflurane than sevoflurane anesthesia; and, 2) opioid consumption is greater after isoflurane than sevoflurane anesthesia. All statistical analyses will be adjusted for age, gender, race, baseline risk, 9 and procedure.

Eligibility Criteria

Inclusion Criteria

  • Must have surgery in G operating room suite
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01379664). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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