Teleconsultation compared with face-to-face consultation in the context of pre-anesthesia evaluation: TELANESTH, a randomized controlled single-blind non-inferiority study.
J Clin Anesth
; 92: 111318, 2024 02.
Article
in En
| MEDLINE
| ID: mdl-37944402
ABSTRACT
STUDY OBJECTIVE:
During the COVID crisis, pre-anesthesia teleconsultations were widely used leading to savings in time and money. However, the non-inferiority of this system has not yet been evaluated.DESIGN:
Prospective, randomized, controlled, single-blind non-inferiority study.SETTING:
University hospital. PATIENTS Patients scheduled for surgery requiring a single pre-anesthesia consultation (PAC). INTERVENTION Pre-anesthesia teleconsultation (PATC) from patient's home. MEASUREMENTS Primaryoutcome:
concordance between the pre-anesthesia visit (PAV), performed on the day of surgery, and PAC or PATC on Secondaryoutcomes:
cancellation rate, immediate perioperative complications, patient satisfaction, organization, and economic and ecological costs. MAINRESULTS:
Out of 172 patients included, 149 were analyzed. PATC was no less effective than PAC in terms of the primary outcome or each of its components the difference between groups was - 0.044[90% CI -0.135; 0.047] (p = 0.0002). There was no difference in cancellation rates (PAC 1.99% vs. PATC 1.27%, p = 0.6) or in immediate perioperative complications (none). Satisfaction was 9.48 (±1.45) in the PAC group and 8.96 (±1.68) in the PATC group (p = 0.0006). In the PATC group, the mean savings per patient were 30 km (± 29), 36 min (± 27), and 18 (± 18) euros, respectively.CONCLUSIONS:
According to our criteria, PATC was not inferior to PAC for preoperative patient evaluation and may be an interesting economical, ecological alternative.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Remote Consultation
/
Anesthesia
Limits:
Humans
Language:
En
Journal:
J Clin Anesth
Journal subject:
ANESTESIOLOGIA
Year:
2024
Document type:
Article