The Risk of Surgical Cancellation in Adult Patients Assessed by Telephone Versus In-person for Scheduled Non-cardiac Elective Surgery.

NCT06693869 | Completed

• 1 other identifier: 16-2024
• Study Type: observational
• Target: 1,176
• Locations: 1 country
• Sites: 1

Brief Summary

Telemedicine has been regulated in Colombia since 2006, with applications in anesthesia being explored since 2004 to improve accessibility and reduce costs. Although Decree 538 of 2020 expanded telemedicine's medical applications, challenges such as connectivity issues and training needs remain. Telemedicine has shown promise in rural areas of Colombia, particularly for managing chronic diseases. However, further evidence is needed regarding the effectiveness of telephone pre-anesthetic evaluations. This study aims to investigate the implementation of telephone assessments for non-cardiac surgery and their impact on surgical cancellations compared to in-person pre-anesthetic evaluations. The primary question to answer is: ¿Does telephone pre-anesthetic assessment in non-cardiac surgical patients carry a higher risk of surgical cancellations compared to in-person evaluations? To address this question, investigators will evaluate patients' medical records in two hospitals where patients were assessed using both telephone and in-person modalities.

Conditions

Surgical Procedures; Telemedicine; Preanesthetic Medication; Preoperative Care; Anesthesia; Risk Assessment; Postoperative Complications; Noncardiac Surgery; Elective Surgery Cancellation

Keywords

Surgical Cancellation Risk; Preanesthetic Assessment; Telephone Preoperative Evaluation; In-Person Preoperative Evaluation; Elective Non-Cardiac Surgery; Surgery Cancellation Rate; Preanesthetic Evaluation Telemedicine; Telehealth in Preoperative Care; Comparison of Preanesthetic Methods; Risk Assessment for Surgery Cancellation; Postoperative Complications in Non-Cardiac Surgery; Patient Satisfaction with Telemedicine; Perioperative Outcomes; Remote Preoperative Consultation; Surgical Risk Management; Telemedicine vs. In-Person Evaluation; Retrospective Study in Anesthesiology; Surgical Outcome Prediction; Telemedicine in Anesthesiology; Preanesthetic Teleconsultation

Outcome Measures

Primary Outcomes (1)

• Surgical cancellation incidence

  The incidence of surgical procedure cancellation because of a medical condition affecting the patient and the surgery.

  Pre-surgery

Secondary Outcomes (5)

• Incidence of unanticipated difficult airway

  During the surgery

• Incidence of perioperative cardiovascular complications

  Late postoperative (until 7 days after surgery)

• Incidence of postoperative mechanical ventilation

  early postoperative (until 2 hours after surgery)

• Incidence of perioperative respiratory complications

  Late postoperative (until 7 days after surgery)

• Incidence of unplanned ICU admission

  early postoperative (until 2 hours after surgery)

Study Arms (2)

Telephone pre-anesthetic evaluation

Surgical patients scheduled for elective non-cardiac surgery underwent pre-anesthetic evaluation through a telephone consultation, which included a review of medical history, medications, and risk factors made by anesthesiologists. No physical examination was conducted.

In-Person pre-anesthetic evaluation

Surgical patients scheduled for elective non-cardiac surgery received an in-person pre-anesthetic evaluation performed by an anesthesiologist, which included a physical examination and a thorough risk 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

The study population includes adults aged 18 years and older scheduled for ambulatory elective non-cardiac surgeries at two healthcare institutions: Alma Mater Hospital of Antioquia and San Vicente Fundación University Hospital in Medellín.

You may qualify if:

• \- Patients who were scheduled for elective non-cardiac surgery.

You may not qualify if:

• Pregnant patients.
• Hospitalized patients

Sponsors & Collaborators

• Universidad de Antioquia: lead

Study Sites (1)

University of Antioquia

Medellín, Antioquia, 050001, Colombia

Location

Related Publications (12)

• Muñoz L, Reyes LE, Infante S, Quiroga J, Cabrera L, Obando N, et al. Cancelación de procedimientos electivos y su relación con la valoración preanestésica. Rev Repert Med Cir. 17 de abril de 2018;27(1):24-9.

  RESULT

• Thompson T, Brophy T, Modgil V, Pearce I. Remote healthcare consultations: the new era of outpatient medicine. Trends Urol Mens Health. 2020;11(5):25-8.

  RESULT

• Ryu S. Telemedicine: Opportunities and Developments in Member States: Report on the Second Global Survey on eHealth 2009 (Global Observatory for eHealth Series, Volume 2). Healthc Inform Res. junio de 2012;18(2):153-5.

  RESULT

• Prados Castillejo JA. [Telemedicine, also a tool for the family doctor]. Aten Primaria. 2013 Mar;45(3):129-32. doi: 10.1016/j.aprim.2012.07.006. Epub 2012 Sep 11. No abstract available. Spanish.

  PMID: 22981128 RESULT

• Castillo VS, Cano CAG, Gonzalez-Argote J. Telemedicine and mHealth Applications for Health Monitoring in Rural Communities in Colombia: A Systematic Review.

  RESULT

• Aldawoodi NN, Muncey AR, Serdiuk AA, Miller MD, Hanna MM, Laborde JM, Garcia Getting RE. A Retrospective Analysis of Patients Undergoing Telemedicine Evaluation in the PreAnesthesia Testing Clinic at H. Lee Moffitt Cancer Center. Cancer Control. 2021 Jan-Dec;28:10732748211044347. doi: 10.1177/10732748211044347.

  PMID: 34644199 RESULT

• Wongtangman K, Azimaraghi O, Freda J, Ganz-Lord F, Shamamian P, Bastien A, Mirhaji P, Himes CP, Rupp S, Green-Lorenzen S, Smith RV, Medrano EM, Anand P, Rego S, Velji S, Eikermann M. Incidence and predictors of case cancellation within 24 h in patients scheduled for elective surgical procedures. J Clin Anesth. 2022 Dec;83:110987. doi: 10.1016/j.jclinane.2022.110987. Epub 2022 Oct 26.

  PMID: 36308990 RESULT

• Zhang K, Rashid-Kolvear M, Waseem R, Englesakis M, Chung F. Virtual preoperative assessment in surgical patients: A systematic review and meta-analysis. J Clin Anesth. 2021 Dec;75:110540. doi: 10.1016/j.jclinane.2021.110540. Epub 2021 Oct 11.

  PMID: 34649158 RESULT

• Schmidt AP, Modolo NSP, de Amorim CG, Simoes CM, Kraychete DC, Joaquim EHG, Lineburger EB, Papa FV, Fernandes FC, Mendes FF, Guimaraes GMN, Barros GAM, Silva-Jr JM, Navarro E Lima LH, Azi LMTA, Carvalho LIM, Stefani LC, Garcia LV, Malbouisson LMS, Salgado-Filho MF, Nascimento Junior PD, Alves RL, Carvalho VH, Quintao VC, Carmona MJC. Two years of the COVID-19 pandemic: an anesthesiology perspective. Braz J Anesthesiol. 2022 Mar-Apr;72(2):165-168. doi: 10.1016/j.bjane.2022.02.004. Epub 2022 Feb 19. No abstract available.

  PMID: 35189166 RESULT

• Kamdar NV, Huverserian A, Jalilian L, Thi W, Duval V, Beck L, Brooker L, Grogan T, Lin A, Cannesson M. Development, Implementation, and Evaluation of a Telemedicine Preoperative Evaluation Initiative at a Major Academic Medical Center. Anesth Analg. 2020 Dec;131(6):1647-1656. doi: 10.1213/ANE.0000000000005208.

  PMID: 32841990 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

• Garg R, Hoda W. Emergence of Telehealth for anesthesiologists in COVID-19-boon for all! J Anaesthesiol Clin Pharmacol. 2020 Jul-Sep;36(3):417-419. doi: 10.4103/joacp.JOACP_416_20. Epub 2020 Sep 29. No abstract available.

  PMID: 33487917 RESULT

MeSH Terms

Conditions

Postoperative Complications

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Fabian D Casas, Professor

  Universidad de Antioquia

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 12, 2024
• First Posted: November 18, 2024
• Study Start: January 1, 2025
• Primary Completion: June 1, 2025
• Study Completion: December 1, 2025
• Last Updated: May 5, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

CO (1)