Telemedical Risk Assessment and Preoperative Evaluation for Anesthesia During the COVID-19 Pandemic
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Patients Undergoing Elective Surgery With Anesthesia
- Sponsor
- RWTH Aachen University
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Feasibility (as defined below) of telemedical risk assessment and preoperative evaluation in anesthesiology as assessed by a questionnaire.
- Last Updated
- 5 years ago
Overview
Brief Summary
The purpose of this study is to assess the feasibility, patient satisfaction and time saving of a telemedical risk assessment and preoperative evaluation for anesthesia.
Detailed Description
The preanesthesia evaluation and risk assessment is conducted by an anesthesiologist prior to elective surgery. The physician assesses the patient´s medical records and specifies the individual preoperative procedure in order to minimize the perioperative risks. The on-site meeting is often connected with extended travel time and during the COVID-19 pandemic also with an increased infection risk for the patient. This project was initiated to reduce time efforts on patient site and to reduce possible infection risks. The TAPE-software turns every patients home into a remote facility allowing the physician to conduct the preanesthesia evaluation over distance.
Investigators
Jan Wienhold
cand. Dr. med.
RWTH Aachen University
Eligibility Criteria
Inclusion Criteria
- •≥18 years
- •estimated ASA I/II classification based on the American Society of Anesthesiologists (ASA) classification
- •elective surgery
- •surgery at least 14 days in the future
- •patient access to a Windows-10-based personal computer with webcam
Exclusion Criteria
- •language or cognitive barriers (e.g. dementia, laryngectomy...)
- •high risk surgeries with need of postoperative ICU stay
- •acute infection with required auscultation
Outcomes
Primary Outcomes
Feasibility (as defined below) of telemedical risk assessment and preoperative evaluation in anesthesiology as assessed by a questionnaire.
Time Frame: 6 months
We focus on the feasibility of a telemedical risk assessment and preoperative evaluation in anesthesiology. We defined feasibility in our scenario as: * establishment of a video-audio-connection possible * complete assessment of the patients medical records possible * assessment of the individual perioperative risk possible * physician is put into the position to explain planned procedures and related risks * digital documentation possible * physician is put into the position to answer patient questions * physician can acquire all necessary information * digital signature on both sides possible Those criteria will be assessed by our questionnaires. After preanesthesia evaluation the patient as well as the physician are asked to answer our online questionnaire (two different ones).
Patient acceptance of a telemedical preanesthesia evaluation as assessed by a questionnaire.
Time Frame: 6 months
After preanesthesia evaluation the patient is asked to answer our online questionnaire. The questionnaire is partly based on a previously published study (Follmann et al., Technical Support by Smart Glasses During a Mass Casualty Incident: A Randomized Controlled Simulation Trial on Technically Assisted Triage and Telemedical App Use in Disaster Medicine, J Med Internet Res 2019;21(1):e11939).
Patient satisfaction with a telemedical preanesthesia evaluation as assessed by a questionnaire.
Time Frame: 6 months
We aim to investigate patient satisfaction of a telemedical risk assessment and preoperative evaluation in anesthesiology prior to elective surgery. After preanesthesia evaluation the patient is asked to answer our online questionnaire. The questionnaire is partly based on a previously published study (Follmann et al., Technical Support by Smart Glasses During a Mass Casualty Incident: A Randomized Controlled Simulation Trial on Technically Assisted Triage and Telemedical App Use in Disaster Medicine, J Med Internet Res 2019;21(1):e11939).
Time saving for the patient
Time Frame: 6 months
We quantify time saving on patient site due to the fact that patients do not have to travel to the hospital anymore.
Time saving for the physician
Time Frame: 6 months
On physician site we investigate possible time saving due to the implementation of the investigator's software.
Adverse events
Time Frame: 6 months
Number of patients in whom telemedical preanesthesia evaluation lead to adverse events such as postponed surgery and adverse events during surgery which are caused by the preanesthesia evaluation.