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 type | Observational |
|---|---|
| Ages | 45 Years and up |
| Sex | All |
| Enrollment | 15000 (estimated) |
| Sponsor | Centre hospitalier de l'Université de Montréal (CHUM) Academic / other |
| Locations | 16 sites (Winston-Salem, North Carolina and 15 other locations) |
| Status | Recruiting |
| Started | November 17, 2021 |
| Main results expected | December 2026 |
| Study ends | April 2027 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT04973397 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
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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
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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
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.