Safety, quality & education

Teleconsultation compared with face-to-face consultation in the context of pre-anesthesia evaluation: TELANESTH, a randomized controlled single-blind non-inferiority study

J Clin AnesthPublished Randomised controlled trial

Primary resultResult — go to the resultDifference - 0.044 90% CI −0.135 to 0.047

Authors' conclusion

According to our criteria, PATC was not inferior to PAC for preoperative patient evaluation and may be an interesting economical, ecological alternative.

Study context

Population
Patients scheduled for surgery requiring a single pre-anesthesia consultation, university hospital149 analysed
Participants
172 patients
Comparison
Pre-anesthesia teleconsultation (PATC) vs pre-anesthesia consultation (PAC)
Primary endpoint
Concordance between the pre-anesthesia visit (PAV) on the day of surgery and PAC or PATC
Methodological detailsprospective, single-blind, non-inferiority, single-centre university hospital
  • Prospective
  • Single-blind
  • Non-inferiority
  • Single-centre university hospital

Primary result

As reported in the abstract

Difference

- 0.044

90% CI −0.135 to 0.047

P = 0.0002

PATC vs PAC
difference - 0.044 (90% CI −0.135 to 0.047); P = 0.0002

Secondary outcomes

Cancellation rate · no difference

P = 0.6

OutcomePATCPACP value
Patient satisfaction8.96 ± 1.689.48 ± 1.45P = 0.0006

Mean savings per patient (PATC)

Distance saved, mean (± 29)
30 km
Time saved, mean (± 27)
36 min
Cost saved, mean (± 18)
18 euros

Safety

Events

OutcomePATCPAC
Immediate perioperative complicationsNone00

Original publication

Teleconsultation compared with face-to-face consultation in the context of pre-anesthesia evaluation: TELANESTH, a randomized controlled single-blind non-inferiority study. J Clin Anesth. Published 7 November 2023. doi:10.1016/j.jclinane.2023.111318

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