Perioperative medicine & outcomes

Effectiveness of a digital vs face-to-face preoperative assessment: A randomized, noninferiority clinical trial

J Clin AnesthPublished Randomised controlled trial

Primary result · Quality of recovery scoreResult — go to the resultMean difference 3.2 points 97.5% CI lower limit −2.1

Authors' conclusion

A digital preoperative screening is not inferior to face-to-face consultations in patients undergoing predominantly low to moderate risk surgery.

Study context

Population
Adult, Dutch speaking, ASA I–IV patients with access to an online computer requiring surgery, urban secondary care hospital117 and 124 analysed
Participants
200 vs 201
Comparison
Digital preoperative screening vs face-to-face screening
  • Digitaln = 200
  • Face-to-facen = 201reference
Primary endpoint
Quality of recovery
Follow-up
48 h after surgery
Methodological detailssingle centre, parallel, open-label, noninferiority, per-protocol
  • Single centre
  • Parallel
  • Open-label
  • Noninferiority
  • Per-protocol

Primary result

Quality of recovery score

Mean difference

3.2 points

97.5% CI lower limit −2.1

By group

Digital

158

mean

Face-to-face

155

mean

Digital vs Face-to-face
mean difference 3.2 points (97.5% CI lower limit −2.1)

As reported in the abstract

Safety

No adverse events

Original publication

Effectiveness of a digital vs face-to-face preoperative assessment: A randomized, noninferiority clinical trial. J Clin Anesth. Published 18 July 2023. doi:10.1016/j.jclinane.2023.111192

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