Clinical trial NCT04028622: Validation of Telemedicine Pre-anesthesia Consultation in Low-risk Anesthetic Patients Undergoing Ambulatory Surgery
Official title: Validation of Telemedicine Pre-anesthesia Consultation in Low-risk Anesthetic Patients Undergoing Ambulatory Surgery
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Outpatient Surgery
Telemedicine
Keywords: ambulatory
anesthesia
consultation
telemedicine
Lead sponsor: University Hospital, Grenoble
Sponsor class: OTHER
Collaborators: name: Agence Régionale de Santé Rhône-Alpes
First posted: 2019-07-22
Enrollment: 0
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

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

Detailed 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Validation of anesthesia teleconsultation in low-risk anesthetic patients undergoing outpatient surgery
timeFrame: 24 hours post surgery
Secondary outcomes:
measure: Anesthesia teleconsultation failure rate for technical reasons
timeFrame: up to 1 hour post anesthesia teleconsultation outset
measure: Cancellation or postponement surgery rate
timeFrame: 24 hours post surgery
measure: Patient rate, seen in teleconsultation, secondarily oriented towards a conventional consultation
timeFrame: 24 hours post surgery
measure: Extension of the ambulatory stay rate
timeFrame: 24 hours post surgery
measure: Readmitted patients rate
timeFrame: 24 hours post surgery
measure: Patient satisfaction with anesthesia teleconsultation
timeFrame: at 7 days post hospital discharge
measure: Physician satisfaction with anesthesia teleconsultation
timeFrame: up to 1 hour post anesthesia teleconsultation outset
measure: Cost of transportation from home to hospital
timeFrame: at 7 days post hospital discharge
measure: Rate of transportation carbon footprint saved using anesthesia teleconsultation
timeFrame: at 7 days post hospital discharge
Other outcomes:
Locations:
Study officials:
References:
citation: 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.
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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.
citation: Galvez JA, Rehman MA. Telemedicine in anesthesia: an update. Curr Opin Anaesthesiol. 2011 Aug;24(4):459-62. doi: 10.1097/ACO.0b013e328348717b.
citation: Huston JL, Burton DC. Patient satisfaction with multispecialty interactive teleconsultations. J Telemed Telecare. 1997;3(4):205-8. doi: 10.1258/1357633971931174.
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.
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. doi: 10.1097/00000542-200406000-00038. No abstract available.