Teleconsultation compared with face-to-face consultation in the context of pre-anesthesia evaluation: TELANESTH, a randomized controlled single-blind non-inferiority study
Primary resultResult — go to the resultDifference - 0.044 90% CI −0.135 to 0.047Authors' 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
| Outcome | PATC | PAC | P value |
|---|---|---|---|
| Patient satisfaction | 8.96 ± 1.68 | 9.48 ± 1.45 | P = 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
| Outcome | PATC | PAC |
|---|---|---|
| Immediate perioperative complicationsNone | 0 | 0 |
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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