Outpatient Surgery, Telemedicine
Conditions
Keywords
ambulatory, anesthesia, consultation, telemedicine
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.
Interventions
OTHERTCAD (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
Sponsors
Agence Régionale de Santé Rhône-Alpes
University Hospital, Grenoble
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Validation of anesthesia teleconsultation in low-risk anesthetic patients undergoing outpatient surgery | 24 hours post surgery | Patients rate with performed surgery following a successful telemedicine anesthesia consultation without cancellation or postponement of surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cancellation or postponement surgery rate | 24 hours post surgery | Patients rate |
| Patient rate, seen in teleconsultation, secondarily oriented towards a conventional consultation | 24 hours post surgery | Patients rate |
| Extension of the ambulatory stay rate | 24 hours post surgery | Patients rate |
| Readmitted patients rate | 24 hours post surgery | Rate of readmitted patients related with surgery and assigned to the teleconsultation |
| Anesthesia teleconsultation failure rate for technical reasons | up to 1 hour post anesthesia teleconsultation outset | Rate of patients who did not benefit from anesthesia teleconsultation for technical reasons |
| Physician satisfaction with anesthesia teleconsultation | up to 1 hour post anesthesia teleconsultation outset | 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. |
| Cost of transportation from home to hospital | at 7 days post hospital discharge | Cost ( euros) |
| Rate of transportation carbon footprint saved using anesthesia teleconsultation | at 7 days post hospital discharge | co2 equivalent |
| Patient satisfaction with anesthesia teleconsultation | at 7 days post hospital discharge | 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. |
Outcome results
None listed