Perioperative medicine & outcomes
Peri‐operative Replacement of Exogenous Steroids ( PREdS ): a national audit of current peri‐operative prescribing for patients taking therapeutic steroids
Authors' conclusion
Despite 125/277 (45%) of anaesthetists reporting Association of Anaesthetists' guidelines use, compliance remained low, with adherence in only 27/125 (22%) patients.
Study context
- Population
- Patients taking therapeutic corticosteroids undergoing procedures under the care of an anaesthetist, UK21,731 patients audited
- Participants
- 277 patients
- Comparison
- ≥ 5 mg vs < 5 mg oral prednisolone equivalents pre-operatively
- ≥ 5 mgn = 219
- < 5 mgn = 58reference
- Outcome
- Compliance with the Association of Anaesthetists' 2020 consensus guideline on peri-operative glucocorticoid management
Methodological detailsmulticentre, 59 Trusts, 14 consecutive days
- Multicentre
- 59 Trusts
- 14 consecutive days
Main finding
As reported in the abstract
Peri-operative prescribing compliant
19 of 219
9%
Further findings
Pre-operative glucocorticoid supplementation (patients prescribed ≥ 5 mg oral prednisolone equivalents)
- Received pre-operative supplementation
- 186/219 (85%)
- Received pre-operative supplementation according to the guidelines
- 67/219 (31%)
Postoperative glucocorticoid supplementation (patients prescribed ≥ 5 mg oral prednisolone equivalents)
- Received postoperative supplementation
- 97/219 (42%)
- Received postoperative supplementation according to the guidelines
- 43/219 (20%)
No glucocorticoid supplementation (patients prescribed ≥ 5 mg oral prednisolone equivalents)
- Received no supplementation
- 30/219 (14%)
Inappropriate supplementation (patients taking < 5 mg oral prednisolone equivalents)
- Received inappropriate supplementation
- 28/58 (48%)
Adherence where anaesthetists reported Association of Anaesthetists' guidelines use
- Anaesthetists reporting guideline use
- 125/277 (45%)
- Adherence
- 27/125 (22%)
Original publication
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