Anesthesia
Conditions
Brief 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.
Interventions
Pre-anaesthetic consultation by telephone for eligible patients according to the criteria set
Pre-anaesthetic classical consultation before teleconsultation implementation
Sponsors
Erasme University Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Intervention model description
Before - After study
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Score of Patient endangerment (0-4) | at the end of the procedure | 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction scores reported on LIKERT scale (1-5) | before the procedure | 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. |
| Pre-operative anxiety scorereported on LIKERT scale (1-5) | before the procedure | 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 |
Countries
Belgium
Outcome results
None listed