Perioperative medicine & outcomes
Pre-operative triAge proCedure to streaMline elective surgicAl patieNts (PACMAN) improves efficiency by selecting patients eligible for phone consultation: A retrospective cohort study
Authors' conclusion
Implementation of PACMAN resulted in a 73.1% reduction in pre-operative in-PCs at our hospital.
Study context
- Population
- Adults scheduled for interventions under procedural sedation or elective medium or low risk surgery with anaesthetic guidance, tertiary teaching hospital, 's-Hertogenbosch, The Netherlandstriaged by PACMAN
- Participants
- 965 adults
- Exposure
- PACMAN triage: phone consultation vs in-person consultation
- Phone consultation (PhC)n = 705
- In-person consultation (in-PC)n = 260reference
- Outcome
- Reduction in number of in-PCs
Methodological detailssingle-centre, observational
- Single-centre
- Observational
Main finding
As reported in the abstract
Patients suitable for PhC
PhC
73.1%
705
Observational data: associations, not effects.
Secondary outcomes
- American Society of Anesthesiologists Physical Status (ASA-PS) I to II or III with stable comorbidities among PhC
- 97.6% · 688 of 705
- ASA-PS III with unstable comorbidities or ASA-PS IV among in-PC
- 47.4%
Pre-operative department efficiency
- Increase in efficiency after PACMAN implementation
- 20%
Safety
Unanticipated adverse peri-operative events (overall)
- Overall incidence
- 1.3%
Original publication
Pre-operative triAge proCedure to streaMline elective surgicAl patieNts (PACMAN) improves efficiency by selecting patients eligible for phone consultation: A retrospective cohort study. Eur J Anaesthesiol. Published 9 September 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →