Actively Recruiting

Age: 45Years +
All Genders
ID04973397

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

Led by Centre hospitalier de l'Université de Montréal (CHUM) · Updated on 2026-03-19

15000

Participants Needed

16

Research Sites

17 weeks

Total Duration

On this page

Sponsors

C

Centre hospitalier de l'Université de Montréal (CHUM)

Lead Sponsor

C

Canadian Institutes of Health Research (CIHR)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying the risks and outcomes of patients undergoing elective same-day noncardiac surgeries, focusing on major cardiovascular and other complications within 90 days after surgery. This large observational study aims to better understand how often these events occur, what factors increase risk, and to develop tools that help predict patient outcomes after same-day surgery. The study will also assess changes in quality of life and validate several questionnaires used to measure physical function and frailty in this context. The study follows 15,000 adults undergoing elective same-day noncardiac surgery lasting at least 60 minutes. These patients will be observed without receiving experimental treatments, allowing researchers to collect real-world data on postoperative complications such as heart attacks, strokes, infections, bleeding, and kidney injury. Quality of life and physical function will be evaluated using validated questionnaires like the EQ-5D-5L and Duke Activity Status Index. Pain will also be assessed using the Brief Pain Inventory score. Participants will be followed for 90 days after surgery through medical record reviews and questionnaires to capture unplanned healthcare visits, cardiovascular events, and other adverse outcomes. The study will measure functional capacity, frailty, and quality of life changes during this time. The main outcome is unplanned healthcare use within 90 days, including hospital admissions and emergency visits. This observational approach helps identify risk factors and improve patient selection and care planning for same-day surgeries.

CONDITIONS

Brief Title

Vascular Events In Patients Undergoing Same-day Noncardiac Surgery (VALIANCE) Study

Who Can Participate

Age: 45Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 45 to 64 years with at least one risk factor, or 65 years and older
  • Undergoing elective noncardiac same-day surgery
  • Planned surgery duration of 60 minutes or more in the operating room
  • Provided written consent to participate
Not Eligible

You will not qualify if you...

  • Procedures not requiring an anesthesiologist
  • Surgery performed by a nonsurgical specialty such as gastroenterology, pneumology, radio-oncology, or radiology
  • Ophthalmologic procedures
  • Previous enrollment in the VALIANCE study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit (in-person)

Surgery

Duration - Same day

Participants undergo elective same-day noncardiac surgery lasting 60 minutes or more.

1 day surgery visit (in-person)

Post-operative Follow-up

Duration - 90 days

Participants are followed for 90 days after surgery to monitor for major cardiovascular and other adverse postoperative complications, and to assess quality of life and functional capacity changes.

Follow-up assessments over 90 days including questionnaires and health status monitoring

Trial Site Locations

Total: 16 locations

1

Wake Forest Baptist Medical Centre

Winston-Salem, North Carolina, United States, 27157

Actively Recruiting

2

Cleveland Clinic Foundation Fairview Campus

Cleveland, Ohio, United States, 44111

Actively Recruiting

3

Cleveland Clinic Foundation Main Campus

Cleveland, Ohio, United States, 44195

Actively Recruiting

4

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

5

Memorial Hermann Texas Medical Center UT Health

Houston, Texas, United States, 77030

Actively Recruiting

6

St-Joseph's Healthcare Hamilton

Hamilton, Ontario, Canada, L8N 4A6

Active, Not Recruiting

7

Hamilton General Hospital

Hamilton, Ontario, Canada

Actively Recruiting

8

Juravinski Hospital and Cancer Centre

Hamilton, Ontario, Canada

Actively Recruiting

9

McMaster University Medical Centre

Hamilton, Ontario, Canada

Actively Recruiting

10

Mount Sinai Hospital

Toronto, Ontario, Canada, M5G 1X5

Actively Recruiting

11

Toronto Western Hospital

Toronto, Ontario, Canada, M5T 2S8

Actively Recruiting

12

St-Micheal's Hospital

Toronto, Ontario, Canada

Actively Recruiting

13

Centre Hospitalier de l'Université de Montréal (CHUM)

Montreal, Quebec, Canada, H2X0C1

Actively Recruiting

14

Centre Hospitalier Universitaire de Sherbrooke

Sherbrooke, Quebec, Canada

Active, Not Recruiting

15

Maasstad Ziekenhuis Rotterdam

Rotterdam, Netherlands

Actively Recruiting

16

Hospital Clinic Barcelona

Barcelona, Spain

Actively Recruiting

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Research Team

M

Melodie Fanay Boko, MSc

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

Incidence and Risk Factors of Chronic Postoperative Pain in Same-day Surgery: A Prospective Cohort Study.

Melodie Fanay Boko, Ashish K Khanna, Frederick D'Aragon...

https://pubmed.ncbi.nlm.nih.gov/38669010