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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Before preanaesthetic teleconsultation implementation | Active Comparator |
| |
| After preanaesthetic teleconsultation implementation | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| preanaesthetic classical physical consultation | Other | Pre-anaesthetic classical consultation before teleconsultation implementation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Score of Patient endangerment (0-4) | 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. | at the 1 day of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Satisfaction scores reported on LIKERT scale (1-5) | 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. | Baseline (before the procedure) |
| Pre-operative anxiety scorereported on LIKERT scale (1-5) |
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Inclusion Criteria for prospective group (AFTER):
Inclusion Criteria for retrospective group (BEFORE):
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| boudart céline | HUB | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Boudart Céline | Brussels | 1070 | Belgium |
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Before - After study
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| preanaesthetic teleconsultation | Other | Pre-anaesthetic consultation by telephone for eligible patients according to the criteria set |
|
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 |
| Baseline (before the procedure) |