Utility of Preanestes@s2.0, a Web Based Application for Preoperative Assessment.

NCT06602310 | Terminated

• 1 other identifier: PREANEST.2.0
• Study Type: interventional
• Target: 2,254
• Locations: 1 country
• Sites: 2

Brief Summary

The use of web based self-assessment questionnaires as a complementary tool for conducting preoperative assessment (POA) is gaining increasing acceptance. Preanestes@s2.0 is a web based application fully developed by the investigators team which potentially allows for remote non-telephonic POA. It has already been evaluated as a feasible tool in terms of patient acceptance and quality of the information recorded. In this prospective two-arm study, the investigators will evaluate the incidence of suboptimal POA when the participants are evaluated through Preanestes@s2.0 versus the traditional outpatient face to face visit. The investigators will consider as suboptimal any POA that potentially may generate an inadequate preparation of the patient which may affect the expected results. A total 1.127 participants will be evaluated through Preanestes@s2.0 (intervention arm) and compared to a cohort of 1.127 patients evaluated by traditional face-to-face interview (non-intervention arm). The comparison will be made by means of a propensity score matching study. Patients included in both arms of the study will be recruited throughout the same period of time.

Conditions

Mobile Application; Preoperative Period; Internet-based Intervention; Surgical Procedures, Elective; Assessment Evaluation

Keywords

Electronic Health Records; Health Impact Assessment; Patient Health Questionnaire; Preoperative Period

Outcome Measures

Primary Outcomes (1)

• Suboptimal preoperative assessments (SOPA).

  Dichotomous (present/absent) composite variable comprising any of the following: 1. Lack of relevant information in the preoperative assessment that conducts to: - Inadequate conciliation of chronic medication - Inadequate preoperative fasting - Inadequate register of clinical or functional conditions that may cause delayed intervention the day of surgery (presence of uncontrolled chronic diseases, presence of impaired functional status undetected in the preoperative assessment, etcetera. 2. Lack of complementary tests indicated according to preoperative protocol 3. Presence of not indicated complementary tests according to preoperative protocol 4. Lack of properly filled informed consent 5. Cancellation of the intervention due to inadequate preoperative preparation (attributable to mismanagement of preoperative information)

  From the day of intervention up to 7 days after intervention

Study Arms (2)

Preanestes@s2.0: web-based non-face-to-face preoperative assessment. Telematic group.

EXPERIMENTAL

Participants will be leaded through preoperative period on a web based application. Participants will be addressed to either virtual or telephone POA on the basis of the information registered in the web based preoperative questionnaire that the application incorporates. Virtual assessment will be performed by evaluating both the filled web based questionnaire together with participants´ electronic medical records. Telephone assessment will also incorporate a telephone call for further clarifications.

Other: Web based preoperative assessment

Traditional face-to-face preoperative assessment

NO INTERVENTION

Participants will be leaded through preoperative period following traditional institutional standards of care. Face to face assessment will be performed in the traditional way by means of an interview with the participant together with the consultation of participant´s previous electronic records.

Interventions

Web based preoperative assessment OTHER

Preoperative assessment conducted through a web based application. Telematic non-face-to-face preoperative assessment.

Preanestes@s2.0: web-based non-face-to-face preoperative assessment. Telematic group.

Eligibility Criteria

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

You may qualify if:

• Participants undergoing day scheduled surgery in our institutions: Hospitales Universitarios Virgen del Rocío y Virgen Macarena.
• Surgical specialities included: Urology, General Surgery, Orthopedics, Ear, nose, and throat surgery.

You may not qualify if:

• Urgent procedures, oncologic procedures, patients without the ability to understand informed consent.

Sponsors & Collaborators

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

Study Sites (2)

Hospital Universitario Virgen Macarena

Seville, 41009, Spain

Location

Hospital Universitario Virgen Del Rocío

Seville, 41013, Spain

Location

Related Publications (13)

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  PMID: 29708905 RESULT

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• Conde JM, Moreno-Conde A, Salas-Fernandez S, Parra-Calderon CL. ITCBio, a Clinical and Translational Research Platform. AMIA Annu Symp Proc. 2020 Mar 4;2019:673-680. eCollection 2019.

  PMID: 32308862 RESULT

• 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 RESULT

• 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 RESULT

• 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.

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• 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 RESULT

• 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 RESULT

• 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 RESULT

• de la Matta M, Alonso-Gonzalez M, Garcia-Santigosa M, Arance-Garcia M, Sanchez-Pena J, Castro-Linan LM, Lopez-Romero JL. Accuracy and Comprehensiveness in Recording Information of a Web-Based Application for Preoperative Assessment: A Prospective Observational Study. J Perianesth Nurs. 2023 Jun;38(3):440-447. doi: 10.1016/j.jopan.2022.08.004. Epub 2022 Dec 9.

  PMID: 36509667 RESULT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 16, 2024
• First Posted: September 19, 2024
• Study Start: June 1, 2025
• Primary Completion: July 1, 2025
• Study Completion: July 20, 2025
• Last Updated: July 23, 2025

Record last verified: 2025-07

Locations

ES (2)