Validation of Telemedicine Pre-anesthesia Consultation in Low-risk Anesthetic Patients Undergoing Ambulatory Surgery

Telemedicine Clinical Trial

— ANESTHADOM  

Official title:

Validation of Telemedicine Pre-anesthesia Consultation in Low-risk Anesthetic Patients Undergoing Ambulatory Surgery

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT04028622
• Other study ID #: 38RC17.217
• Status: Withdrawn
• Phase: N/A
• Start date: March 2020
• Est. completion date: May 2021

Study information

• Verified date: March 2020
• Source: University Hospital, Grenoble
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to validate the teleconsultation of anesthesia in anesthetic low risk patients and undergoing outpatient surgery.

Description:

Anesthesia consultation is a necessary and obligatory step in the process of anesthesia. Telemedicine anesthesia consultation (TCAD) experiments have been successfully conducted in the United States, demonstrating the technical feasibility and medical relevance of the approach. In partnership with the Rhône-Alpes Regional Health Agency, an Telemedicine anesthesia consultation will be set up at the University Hospital Grenoble for low-risk anesthetic and surgical patients via a telemedicine platform accessible to patients' homes. Avoiding transport, unclog consultations in hospitals, and avoiding absences from work for traditional consultations are some of the advantages of this new method of consultation. This project involves assessing the feasibility, safety, and costs associated with home anesthesia teleconsultation for patients requiring outpatient surgery.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: May 2021
• Est. primary completion date: December 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patients scheduled for ambulatory surgery with anesthesia procedures

• Patients with American Society of Anesthesiologists score 1 or 2.

• Patients with visual and auditory acuity, language proficiency.

• Non-urgent surgery

• Affiliation to the French Social Security

Exclusion Criteria:

• patient with American Society of Anesthesiologists score 2 and complex treatments

• Complex surgical procedure

• Patient taking anticoagulant and / or antiplatelet treatments

• Patient having a serious problem during a previous surgery

• Pregnant woman

• Patient under guardianship or deprivation of liberty by judicial decision.

Related Conditions & MeSH terms

• Outpatient Surgery
• Telemedicine

Intervention

Other:
• TCAD (telemedicine anesthesia consultation)
Patients in the TCAD (telemedicine anesthesia consultation) group, arrange their bookings on a website and realise their anesthesia consultation from a platform from home

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
University Hospital, Grenoble	Agence Régionale de Santé Rhône-Alpes

References & Publications (7)

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. — View Citation

Charles BL. Telemedicine can lower costs and improve access. Healthc Financ Manage. 2000 Apr;54(4):66-9. — View Citation

Dilisio RP, Dilisio AJ, Weiner MM. Preoperative virtual screening examination of the airway. J Clin Anesth. 2014 Jun;26(4):315-7. doi: 10.1016/j.jclinane.2013.12.010. Epub 2014 Jun 8. — View Citation

Galvez JA, Rehman MA. Telemedicine in anesthesia: an update. Curr Opin Anaesthesiol. 2011 Aug;24(4):459-62. doi: 10.1097/ACO.0b013e328348717b. Review. — View Citation

Huston JL, Burton DC. Patient satisfaction with multispecialty interactive teleconsultations. J Telemed Telecare. 1997;3(4):205-8. — View Citation

Wade VA, Karnon J, Elshaug AG, Hiller JE. A systematic review of economic analyses of telehealth services using real time video communication. BMC Health Serv Res. 2010 Aug 10;10:233. doi: 10.1186/1472-6963-10-233. Review. — View Citation

Wong DT, Kamming D, Salenieks ME, Go K, Kohm C, Chung F. Preadmission anesthesia consultation using telemedicine technology: a pilot study. Anesthesiology. 2004 Jun;100(6):1605-7. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Validation of anesthesia teleconsultation in low-risk anesthetic patients undergoing outpatient surgery	Patients rate with performed surgery following a successful telemedicine anesthesia consultation without cancellation or postponement of surgery	24 hours post surgery
Secondary	Anesthesia teleconsultation failure rate for technical reasons	Rate of patients who did not benefit from anesthesia teleconsultation for technical reasons	up to 1 hour post anesthesia teleconsultation outset
Secondary	Cancellation or postponement surgery rate	Patients rate	24 hours post surgery
Secondary	Patient rate, seen in teleconsultation, secondarily oriented towards a conventional consultation	Patients rate	24 hours post surgery
Secondary	Extension of the ambulatory stay rate	Patients rate	24 hours post surgery
Secondary	Readmitted patients rate	Rate of readmitted patients related with surgery and assigned to the teleconsultation	24 hours post surgery
Secondary	Patient satisfaction with anesthesia teleconsultation	Global satisfaction level (regarding the sound and picture quality, respect of confidentiality and privacy, recommend or choose teleconsultation for the next anesthesia consultation) using Numerical Rating Scale from 0 to 10, 0 : extremely unsatisfied, 10= extremely satisfied.	at 7 days post hospital discharge
Secondary	Physician satisfaction with anesthesia teleconsultation	Global satisfaction level (regarding the sound and picture quality, respect of confidentiality and privacy, clinical observations collection quality, recommend teleconsultation for the next anesthesia consultation) using Numerical Rating Scale from 0 to 10, 0 : extremely unsatisfied, 10= extremely satisfied.	up to 1 hour post anesthesia teleconsultation outset
Secondary	Cost of transportation from home to hospital	Cost ( euros)	at 7 days post hospital discharge
Secondary	Rate of transportation carbon footprint saved using anesthesia teleconsultation	co2 equivalent	at 7 days post hospital discharge