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The insufficient development of connection networks limit the teleconsultation deployment in the Grenoble metropolitan area
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| Name | Class |
|---|---|
| Agence Régionale de Santé Rhône-Alpes | OTHER |
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The purpose of this study is to validate the teleconsultation of anesthesia in anesthetic low risk patients and undergoing outpatient surgery.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TCAD (telemedicine anesthesia consultation) | Experimental | Patients having a telemedicine anesthesia consultation |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TCAD (telemedicine anesthesia consultation) | Other | Patients in the TCAD (telemedicine anesthesia consultation) group, arrange their bookings on a website and realise their anesthesia consultation from a platform from home |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Cancellation or postponement surgery rate |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23384334 | Background | 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. | |
| 10915354 | Background | Charles BL. Telemedicine can lower costs and improve access. Healthc Financ Manage. 2000 Apr;54(4):66-9. |
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| ID | Term |
|---|---|
| C038167 | thiazole-4-carboxamide adenine dinucleotide |
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Patients rate |
| 24 hours post surgery |
| Patient rate, seen in teleconsultation, secondarily oriented towards a conventional consultation | Patients rate | 24 hours post surgery |
| Extension of the ambulatory stay rate | Patients rate | 24 hours post surgery |
| Readmitted patients rate | Rate of readmitted patients related with surgery and assigned to the teleconsultation | 24 hours post surgery |
| 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 |
| 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 |
| Cost of transportation from home to hospital | Cost ( euros) | at 7 days post hospital discharge |
| Rate of transportation carbon footprint saved using anesthesia teleconsultation | co2 equivalent | at 7 days post hospital discharge |
| 24916897 | Background | 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. |
| 21659874 | Background | Galvez JA, Rehman MA. Telemedicine in anesthesia: an update. Curr Opin Anaesthesiol. 2011 Aug;24(4):459-62. doi: 10.1097/ACO.0b013e328348717b. |
| 9614735 | Background | Huston JL, Burton DC. Patient satisfaction with multispecialty interactive teleconsultations. J Telemed Telecare. 1997;3(4):205-8. doi: 10.1258/1357633971931174. |
| 20696073 | Background | 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. |
| 15166585 | Background | 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. |