Quality of Preanesthesia Teleconsultation : a Randomized Controlled Trial. (TELECAM)

Central Hospital, Nancy, France

Status: Unknown

Conditions: Preanesthesia Consultation

Treatments: Procedure: preanesthesia traditional consultation; Procedure: preanesthesia teleconsultation

Study type: Interventional

Funder types: Other

Identifiers

NCT03470896

2017-A03084-49

Details and patient eligibility

About

Since the publication of the law " Hôpital, Patients, Santé, Territoire " of 2009 in France, the development of telemedicine is a public health issue. It is also a government priority registered in the government investment plan of 2017-2018.

The quality of preanesthesia teleconsultation at home, through video-conference, has never been tested in practice.The aim of this study is to evaluate the quality of preanesthesia teleconsultations through video-conference, compared with traditional preanesthesia consultations. The quality is established by the assessment of the primary outcome : the risks related to difficult intubation, in patients undergoing ambulatory surgery at the Surgical Center Emile Galle. Our research hypothesis is that there is no difference between the quality of preanesthesia teleconsultations through video-conference, and the quality of traditional preanesthesia consultations. Secondary objectives are to identify satisfaction and preoperative anxiety of patients regarding teleconsultation, to identify satisfaction of practioners regarding teleconsultation, to evaluate the quality (based on the assessment of secondary outcomes) of preanesthesia teleconsultations compared with traditional preanesthesia consultations, and to evaluate the technical viability of generalising preanesthesia teleconsultation.

Enrollment: 240 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patient with social security affiliation.
• Informed consent from patient
• Patient with an ambulatory surgery programmed in the surgical center Emile Galle (CHRU de Nancy)
• Patient with technology equipments, which are compatible with the plateform of video-conference :
• smartphones, touch pads, computer
• web-browser ( chrome or internet explorer)
• Webcam and microphone
• Printer

Exclusion criteria

• Patients covered by Articles L. 1121-5 to L. 1121-8, L1122-2 and L. 1122-1-2 of the french public health code. (Persons especially protected by Act)
• Patients refusing to participate to the study, or refusing the randomization for the group allocation.
• Preanesthesia consultation for a programmed surgery in an hospital other than the surgical center of Emile Galle.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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240 participants in 3 patient groups

Preanesthesia teleconsultation

Active Comparator group

Description:

Preanesthesia teleconsultation through video-conference, between an anesthesiologist of the surgical center Emile Galle, in a medical consulting room in the surgical center Emile Galle, and a patient at home or at work. The patient must be in a quiet area, which allows the confidential medical contact.

Treatment:

Procedure: preanesthesia teleconsultation

Preanesthesia traditional consultation

Active Comparator group

Description:

Preanesthesia traditional consultation between an anesthesiologist of the surgical center Emile Galle, and a patient, in a medical consulting room in the surgical center Emile Galle.

Treatment:

Procedure: preanesthesia traditional consultation

Bis traditional consultation

Other group

Description:

If a patient, in the group " preanesthesia teleconsultation " cannot realized his teleconsultation because of technical problem, he will be assigned on the sub group " bis traditional preanesthesia consultation ".

Treatment:

Procedure: preanesthesia traditional consultation