Clinical trial Recruiting at 11 sites Observational Ages 45 and up

Understanding risks of same-day noncardiac surgery

Official title: 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

Run by Centre hospitalier de l'Université de Montréal (CHUM) · NCT04973397 · Data updated 2026-11-12

This study looks at the risks and complications that may happen to adults having same-day noncardiac surgery to help doctors better understand how to keep patients safe and improve their quality of life.

Quick facts

Study typeObservational
Ages45 Years and up
SexAll
Enrollment15000 (estimated)
SponsorCentre hospitalier de l'Université de Montréal (CHUM)
Academic / other
Locations16 sites (Winston-Salem, North Carolina and 15 other locations)
StatusRecruiting
StartedNovember 17, 2021
Main results expectedDecember 2026
Study endsApril 2027
Registry record updatedNovember 4, 2026
Trial IDNCT04973397 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 45-64 with at least one risk factor or those aged 65 and older, who are undergoing elective noncardiac same-day surgery.

Probably not a fit

Patients undergoing procedures that do not require an anesthesiologist or those with nonsurgical specialties may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The VALIANCE Study is a large-scale observational cohort involving 15,000 adults undergoing elective same-day noncardiac surgery, followed for 90 days post-surgery. The study aims to identify the incidence of major cardiovascular complications and other adverse events, while also assessing changes in quality of life. It will develop risk prediction tools based on various validated assessments, including the Duke Activity Status Index and Clinical Frailty Scale, to better inform patient selection and risk stratification. This research addresses a growing trend in outpatient surgery, particularly among higher-risk patients.

Why it matters

Potential benefit: If successful, this study could enhance patient safety and outcomes by improving risk assessment for same-day surgeries.

How similar studies have gone: Other studies have shown success in identifying risks associated with outpatient surgeries, but this specific approach is novel in its scale and focus on same-day noncardiac procedures.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 45-64 years of age with at least one risk factor, or ≥65 years of age;
* undergoing elective noncardiac same-day surgery;
* planned duration in the operating room 60 minutes or more;
* provided written consent.

Exclusion Criteria:

* intervention does not require the presence of an anesthesiologist;
* procedure is performed by a nonsurgical specialty (e.g., gastroenterology, pneumology, radio-oncology or radiology);
* intervention is an ophthalmologic procedure;
* previously enrolled in the VALIANCE study.

Where it's running

  • Wake Forest Baptist Medical Centre
    Winston-Salem, North Carolina, United States
    Recruiting
  • Cleveland Clinic Foundation Fairview Campus
    Cleveland, Ohio, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • Memorial Hermann Texas Medical Center UT Health
    Houston, Texas, United States
    Recruiting
  • Hamilton General Hospital
    Hamilton, Ontario, Canada
    Recruiting
  • Juravinski Hospital and Cancer Centre
    Hamilton, Ontario, Canada
    Recruiting
Show 10 more locations
  • Mount Sinai Hospital
    Toronto, Ontario, Canada
    Recruiting
  • Toronto Western Hospital
    Toronto, Ontario, Canada
    Recruiting
  • Centre Hospitalier de l'Université de Montréal (CHUM)
    Montreal, Quebec, Canada
    Recruiting
  • Maasstad Ziekenhuis Rotterdam
    Rotterdam, Netherlands
    Recruiting
  • Hospital Clinic Barcelona
    Barcelona, Spain
    Recruiting
  • Cleveland Clinic Foundation Main Campus
    Cleveland, Ohio, United States
    Active not recruiting
  • St-Joseph's Healthcare Hamilton
    Hamilton, Ontario, Canada
    Active not recruiting
  • McMaster University Medical Centre
    Hamilton, Ontario, Canada
    Active not recruiting
  • St-Micheal's Hospital
    Toronto, Ontario, Canada
    Active not recruiting
  • Centre Hospitalier Universitaire de Sherbrooke
    Sherbrooke, Quebec, Canada
    Active not recruiting

Study contacts

  • Principal investigator: Emmanuelle Duceppe, MD, PhD — Centre hospitalier de l'Université de Montréal (CHUM)
  • Study coordinator: Melodie Fanay Boko, MSc
  • Email: valiance.chum@ssss.gouv.qc.ca
  • Phone: 514-890-8000

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.