Evaluation of the Quality of Preoperative Information Obtained Through Preanestes@s, a Web Based Application

NCT04259268 | Completed

• 1 other identifier: PIN-0224-2018
• Study Type: observational
• Target: 318
• Locations: 1 country
• Sites: 1

Brief Summary

In this prospective and paired study, the investigators evaluate whether the preoperative information recorded through a web based questionnaire together with a virtual non face to face patient assessment based on the information recorded by the questionnaire and the electronic records of patients is of a comparable quality to that obtained with the traditional outpatient interview.

Conditions

Mobile Applications; Internet-Based Intervention; Preoperative Period

Keywords

Patient Health Questionnaire; Electronic Health Records

Outcome Measures

Primary Outcomes (1)

• Change in ASA grade classification

  Comparison of the ASA grade assigned automatically when patients fill the web based questionnaire versus that assigned by the anesthesiologist following the virtual or outpatient assessment

  60 days before intervention (web-based questionnaire) and 30 days before intervention (virtual and outpatient assessment)

Secondary Outcomes (5)

• Change in the register of any allergies

  60 days before intervention (web-based questionnaire) and 30 days before intervention (virtual and outpatient assessment)

• Change in the register of antiplatelet or blood thinners

  60 days before intervention (web-based questionnaire) and 30 days before intervention (virtual and outpatient assessment)

• Change in the register of cardiovascular diseases

  60 days before intervention (web-based questionnaire) and 30 days before intervention (virtual and outpatient assessment)

• Register of the ASA grade in the informed consent form

  The day of intervention

• Register of personal name and surname in the informed consent form

  The day of intervention

Study Arms (3)

Web based questionnaire

Information registered by patient in the web based questionnaire

Other: Quality of preoperative information register

Outpatient assessment

Information registered by the anesthesiologist and based on the web based questionnaire, the electronic records of patient and the "face to face" interview

Other: Quality of preoperative information register; Other: Suitability of information contained in the informed consent

Virtual assessment

Information registered by the anesthesiologist and based on the web based questionnaire and the electronic records of patient

Other: Quality of preoperative information register; Other: Suitability of information contained in the informed consent

Interventions

Quality of preoperative information register OTHER

Register of principal (grade ASA classification) and secondary variables (allergies, antiplatelet or blood thinners prescriptions, cardiovascular diseases, present medication)

Outpatient assessment; Virtual assessment; Web based questionnaire

Suitability of information contained in the informed consent OTHER

Register of information regarding specific individual risks and personal data (patient and doctor identification and signature)

Outpatient assessment; Virtual assessment

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients submitted to programmed interventions under anesthetic care in Hospital Universitario Virgen del Rocío

You may qualify if:

• Adult patients submitted to programmed interventions under anesthetic care in Hospital Universitario Virgen del Rocío

You may not qualify if:

• Patients unable to fully understand the informed consent
• Urgent or emergent surgery
• Patients submitted to cataract surgery, as far as this procedure is attended by specific clinical pathway

Sponsors & Collaborators

• Fundación Pública Andaluza para la gestión de la Investigación en Sevilla: lead

Study Sites (1)

Hospital Universitario Virgen del Rocío

Seville, 41013, Spain

Location

Related Publications (15)

• De Hert S, Staender S, Fritsch G, Hinkelbein J, Afshari A, Bettelli G, Bock M, Chew MS, Coburn M, De Robertis E, Drinhaus H, Feldheiser A, Geldner G, Lahner D, Macas A, Neuhaus C, Rauch S, Santos-Ampuero MA, Solca M, Tanha N, Traskaite V, Wagner G, Wappler F. Pre-operative evaluation of adults undergoing elective noncardiac surgery: Updated guideline from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2018 Jun;35(6):407-465. doi: 10.1097/EJA.0000000000000817.

  PMID: 29708905 BACKGROUND

• Katz RI, Dexter F, Rosenfeld K, Wolfe L, Redmond V, Agarwal D, Salik I, Goldsteen K, Goodman M, Glass PS. Survey study of anesthesiologists' and surgeons' ordering of unnecessary preoperative laboratory tests. Anesth Analg. 2011 Jan;112(1):207-12. doi: 10.1213/ANE.0b013e31820034f0. Epub 2010 Nov 16.

  PMID: 21081771 BACKGROUND

• Zaballos M, Lopez-Alvarez S, Argente P, Lopez A; Grupo de Trabajo de Pruebas Preoperatorias. Preoperative tests recommendations in adult patients for ambulatory surgery. Rev Esp Anestesiol Reanim. 2015 Jan;62(1):29-41. doi: 10.1016/j.redar.2014.07.007. Epub 2014 Aug 18. English, Spanish.

  PMID: 25146773 BACKGROUND

• Arias A, Benitez S, Canosa D, Borbolla D, Staccia G, Plazzotta F, Casais M, Michelangelo H, Luna D, Bernaldo de Quiros FG. Computerization of a preanesthetic evaluation and user satisfaction evaluation. Stud Health Technol Inform. 2010;160(Pt 2):1197-201.

  PMID: 20841873 BACKGROUND

• Applegate RL 2nd, Gildea B, Patchin R, Rook JL, Wolford B, Nyirady J, Dawes TA, Faltys J, Ramsingh DS, Stier G. Telemedicine pre-anesthesia evaluation: a randomized pilot trial. Telemed J E Health. 2013 Mar;19(3):211-6. doi: 10.1089/tmj.2012.0132. Epub 2013 Feb 5.

  PMID: 23384334 BACKGROUND

• Blanco Vargas D, Faura Messa A, Izquierdo Tugas E, Santa-Olalla Bergua M, Noguera Sopena MM, Manoso Noriego M. [Online versus non-standard face to face preoperative assessment: cost effectiveness]. Rev Esp Anestesiol Reanim. 2012 Aug-Sep;59(7):350-6. doi: 10.1016/j.redar.2012.05.039. Epub 2012 Jul 10. Spanish.

  PMID: 22784647 BACKGROUND

• de la Matta Martin M, Forastero Rodriguez A, Lopez Romero JL. [Evaluation of a new computerized recording system for preoperative assessment data]. Rev Esp Anestesiol Reanim. 2011 Oct;58(8):485-92. doi: 10.1016/s0034-9356(11)70123-2. Spanish.

  PMID: 22141216 BACKGROUND

• Ludbrook G, Seglenieks R, Osborn S, Grant C. A call centre and extended checklist for pre-screening elective surgical patients - a pilot study. BMC Anesthesiol. 2015 May 19;15:77. doi: 10.1186/s12871-015-0057-1.

  PMID: 25985775 BACKGROUND

• Law TT, Suen DT, Tam YF, Cho SY, Chung HP, Kwong A, Yuen WK. Telephone pre-anaesthesia assessment for ambulatory breast surgery. Hong Kong Med J. 2009 Jun;15(3):179-82.

  PMID: 19494372 BACKGROUND

• Lozada MJ, Nguyen JT, Abouleish A, Prough D, Przkora R. Patient preference for the pre-anesthesia evaluation: Telephone versus in-office assessment. J Clin Anesth. 2016 Jun;31:145-8. doi: 10.1016/j.jclinane.2015.12.040. Epub 2016 Apr 15.

  PMID: 27185698 BACKGROUND

• Goodhart IM, Andrzejowski JC, Jones GL, Berthoud M, Dennis A, Mills GH, Radley SC. Patient-completed, preoperative web-based anaesthetic assessment questionnaire (electronic Personal Assessment Questionnaire PreOperative): Development and validation. Eur J Anaesthesiol. 2017 Apr;34(4):221-228. doi: 10.1097/EJA.0000000000000545.

  PMID: 27798453 BACKGROUND

• Sankar A, Johnson SR, Beattie WS, Tait G, Wijeysundera DN. Reliability of the American Society of Anesthesiologists physical status scale in clinical practice. Br J Anaesth. 2014 Sep;113(3):424-32. doi: 10.1093/bja/aeu100. Epub 2014 Apr 11.

  PMID: 24727705 BACKGROUND

• ASA House of Delegates/Executive Committee. ASA Satandards and Guidelines. ASA Physical Status Classification System.2014. https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system

  BACKGROUND

• Kinley H, Czoski-Murray C, George S, McCabe C, Primrose J, Reilly C, Wood R, Nicolson P, Healy C, Read S, Norman J, Janke E, Alhameed H, Fernandes N, Thomas E. Effectiveness of appropriately trained nurses in preoperative assessment: randomised controlled equivalence/non-inferiority trial. BMJ. 2002 Dec 7;325(7376):1323. doi: 10.1136/bmj.325.7376.1323.

  PMID: 12468478 BACKGROUND

• de la Matta M, Alonso-Gonzalez M, Moreno-Conde J, Salas-Fernandez S, Lopez-Romero JL; Preanestesas study investigators. Development and patient acceptance of Preanestes@s, a web-based application and electronic questionnaire for preoperative assessment. A prospective cohort study. Rev Esp Anestesiol Reanim (Engl Ed). 2022 Aug-Sep;69(7):383-392. doi: 10.1016/j.redare.2022.01.002. Epub 2022 Jul 20.

  PMID: 35871145 DERIVED

Study Officials

• Manuel de la Matta, MD

  Hospitales Universitarios Virgen del Rocío

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 2, 2020
• First Posted: February 6, 2020
• Study Start: February 7, 2020
• Primary Completion: March 31, 2021
• Study Completion: May 25, 2021
• Last Updated: May 26, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)