Not_yet_recruitingNANCT07692503

PERLHS: How Institutional Guidelines for Urgent Inpatient Surgeries Affect Intensity of Perioperative Cardiovascular Testing: A PrePost Study

Sponsor: Johns Hopkins University

Trial Details

Condition	Major Adverse Cardiovascular Events, Cardiovascular Testing and Consultation Intensity
Intervention	Educational Clinical Decision Support Tool
Phase	NA
Status	Not_yet_recruiting
Participants	3,000
Est. Completion	1 Dec 2027
Last Updated	14 July 2026

Primary Outcome

Rate of preoperative tests and consult orders

Eligibility Criteria

Inclusion Criteria

Inclusion Criteria: * Adults age 18 years or older * Admitted through the Emergency Department at Johns Hopkins Hospital or Johns Hopkins Bayview Medical Center Undergoing urgent inpatient surgery during the index hospitalization Exclusion Criteria: * Elective surgeries, * Outpatient procedures, * Procedures followed only by observation or extended-stay recovery rather than inpatient admission, * Patients younger than 18 years old

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Related Analysis

Pre-Post Trial Launches: Can a Clinical Decision Support Tool Reduce Unnecessary Cardiac Testing Before Urgent Surgery? — What Clinicians Need to Know

The PERLHS trial at Johns Hopkins is testing whether an Epic-integrated clinical decision support tool can standardise perioperative cardiovascular evaluation for urgent surgical patients, reducing unnecessary cardiac testing and consultation without delaying time to theatre. Enrolling 3,000 patients across two academic medical centres, this pre-post observational study addresses a critical gap in urgent surgical care. Australian perioperative clinicians should watch this space closely.

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