Comparison and Opinion on the Safety of Teleconsultation Versus Traditional Anaesthetic Consultation in a Day Hospital

NCT06248060 | Completed

• 1 other identifier: SRB2023303
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

A pre-anaesthetic consultation is compulsory. It must be carried out at least 8 days before a scheduled medical and/or surgical operation. Its main objectives are to take the patient's history, carry out a clinical examination, select the complementary examinations that should be carried out, and inform the patient of the procedure and the type of anaesthetic proposed. In a world moving towards virtualisation, a number of medical specialities have opted for remote consultations, either by telephone or video-conferencing. Teleconsultation seems to offer greater satisfaction, not only for patients, but also for surgeons and anaesthetists. It is also associated with a reduction in the distance travelled by patients, costs and financial expenditure, with no increase in the rate of cancellation of surgery. For the first time at the Brussels University Hospital (Erasme), the anaesthesia and intensive care team will gradually introduce the system of pre-anaesthetic teleconsultation by telephone from October 2023. The aim of our study is to evaluate the effectiveness of preanaesthetic teleconsultation at the Erasme HUB. In fact, it would be better to have results based on local expertise in order to give an answer on the effectiveness, safety and security of this innovative method, which will be officially implemented in October 2023.

Conditions

Pre-anaesthetic Consultation

Outcome Measures

Primary Outcomes (1)

• Score of Patient endangerment (0-4)

  Patient endangerment : 0 = Nothing to report; 1 = Lack of information but no danger to the patient; 2 =Lack of information and reduced safety but intervention maintained; 3 = Too great a risk to the patient.

  at the 1 day of surgery

Secondary Outcomes (2)

• Satisfaction scores reported on LIKERT scale (1-5)

  Baseline (before the procedure)

• Pre-operative anxiety scorereported on LIKERT scale (1-5)

  Baseline (before the procedure)

Study Arms (2)

Before preanaesthetic teleconsultation implementation

ACTIVE COMPARATOR

Other: preanaesthetic classical physical consultation

After preanaesthetic teleconsultation implementation

EXPERIMENTAL

Other: preanaesthetic teleconsultation

Interventions

preanaesthetic classical physical consultation OTHER

Pre-anaesthetic classical consultation before teleconsultation implementation

Before preanaesthetic teleconsultation implementation

preanaesthetic teleconsultation OTHER

Pre-anaesthetic consultation by telephone for eligible patients according to the criteria set

After preanaesthetic teleconsultation implementation

Eligibility Criteria

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

You may qualify if:

• Patients scheduled for any surgery at one day hospital and who have signed the consent form.
• Pre-anaesthetic consultation by telephone.
• patients having undergone any surgery at one day hospital during the period between 01/01/2023 and 31/06/2023.
• Pre-anaesthetic consultation carried out face-to-face.
• Patients eligible for teleconsultation

You may not qualify if:

• Participation in another clinical study within the previous month.
• Patient unable to complete the questionnaire.

Sponsors & Collaborators

• Erasme University Hospital: lead

Study Sites (1)

Boudart Céline

Brussels, 1070, Belgium

Location

Study Officials

• boudart céline

  HUB

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Before - After study

Study Record Dates

• First Submitted: January 26, 2024
• First Posted: February 8, 2024
• Study Start: February 15, 2024
• Primary Completion: April 8, 2024
• Study Completion: April 8, 2024
• Last Updated: April 19, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

BE (1)