Is Pre-anaesthetic Teleconsultation a Safe Alternative to Traditional Pre-anaesthetic Consultation?

Anesthesia Clinical Trial

Official title:

Is Pre-anaesthetic Teleconsultation a Safe Alternative to Traditional Pre-anaesthetic

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06228040
• Other study ID #: P2023/437
• Status: Completed
• Phase: N/A
• Start date: January 18, 2024
• Est. completion date: March 30, 2024

Study information

• Verified date: April 2024
• Source: Erasme University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: March 30, 2024
• Est. primary completion date: March 30, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria for prospective group (AFTER):

• Patients scheduled for gastroscopy and/or colonoscopy and who have signed the consent form.
• Pre-anaesthetic consultation by telephone.
• Procedure scheduled in day hospital. Inclusion Criteria for retroscpective group (BEFORE): patients having undergone gastroscopy and/or colonoscopy during the period between 01/01/2023 and 31/06/2023.
• Pre-anaesthetic consultation carried out face-to-face.
• Day hospital procedure.
• Patients eligible for teleconsultation

Exclusion Criteria:

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

Related Conditions & MeSH terms

• Anesthesia

Intervention

Other:
• preanaesthetic teleconsultation
Pre-anaesthetic consultation by telephone for eligible patients according to the criteria set
• preanaesthetic classical physical consultation
Pre-anaesthetic classical consultation before teleconsultation implementation

Locations

Country	Name	City	State
Belgium	Boudart Céline	Bruxelles

Sponsors (1)

Lead Sponsor	Collaborator
Erasme University Hospital

Country where clinical trial is conducted

Belgium, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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 end of the procedure
Secondary	Satisfaction scores reported on LIKERT scale (1-5)	How do you feel about the anaesthetic teleconsultation? 1 = Very satisfied; 2 = Satisfied; 3 = Neither satisfied nor dissatisfied; 4 = Not very satisfied; 5 = Not at all satisfied.	before the procedure
Secondary	Pre-operative anxiety scorereported on LIKERT scale (1-5)	How would you rate your level of anxiety? 1 = Not at all anxious; 2 = Slightly anxious; 3 = Moderately anxious; 4 = Somewhat anxious; 5 = Very anxious	before the procedure