Perioperative medicine & outcomes

The Anesthesia Preparedeness Clinic (APC) triage score tool: an integrated electronic health record tool for improving resource allocation for preoperative care clinics

J Clin Monit ComputPublished Retrospective cohort study

Authors' conclusion

Our study demonstrated that implementation of the tool was associated with improved preoperative allocations.

Study context

Population
Surgical patients allocated to in-person, telehealth or nursing phone preoperative evaluations
Participants
10,487 vs 9,986
Exposure
Post-APC vs Pre-APC
  • Post-APCn = 10,487
  • Pre-APCn = 9,986reference
Outcome
APC Triage Score by visit type
Methodological detailsbefore-after implementation
  • Before-after implementation

Main finding

As reported in the abstract

  • In-person visit: median (quartiles) score Post-APC 17.0 (12.0, 25.5) vs Pre-APC 10.0 (6.0, 19.5), P < 0.001
  • Telehealth visit: median (quartiles) score Post-APC 8.0 (5.0, 13.5) vs Pre-APC 7.0 (3.5, 13.0), P < 0.001
  • Phone visit: median (quartiles) score Post-APC 3.0 (1.0, 7.0) vs Pre-APC 4.0 (1.0, 8.5), P < 0.001

Observational data: associations, not effects.

Further findings

Correlation of APC Triage Score with ASA PS (Spearman)

Correlation coefficient (P < 0.001)
0.59
Median (quartiles) score, ASA PS 1
0 (0, 1.5)
Median (quartiles) score, ASA PS 2
3.0 (1.0, 6.0)
Median (quartiles) score, ASA PS 3
9.5 (4.5, 17.0)
Median (quartiles) score, ASA PS 4
21.0 (11.5, 29.5)

Original publication

The Anesthesia Preparedeness Clinic (APC) triage score tool: an integrated electronic health record tool for improving resource allocation for preoperative care clinics. J Clin Monit Comput. Published 16 April 2026. doi:10.1007/s10877-026-01438-8

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