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Completed

NCT Number: NCT04920604

Anesthetic and Perioperative Risk Assessment Before Programmed Surgery: Anesthetic Teleconsultation Versus Face-to-face Anesthesia Consultation.

The anesthesia safety decree made it compulsory in 1994 to carry out a pre-anesthesia consultation before any operative or interventional act. With the inclusion of telemedicine in the Public Health Code then the publication of Addendum 6 in 2018 and finally the derogatory decree in March 2020, it is possible to perform and bill for pre-anesthesia consultation via telemedicine.

The consultation is always followed by a pre-anesthetic visit upon admission of the patient the day before or the day of the operation to verify the information recorded during the consultation and the patient's state of health. This identifies elements omitted during the pre-anesthesia consultation (face-to-face or remotely) and reduces the risks of potential postponement.

The study investigators hypothesize that there would be no difference in the quality of the information given, the collection of medical, paramedical and medication elements and the evaluation of the operative risk in anesthesia consultation via teleconsultation versus face-to-face. The critical points are the medication reconciliation of the patient's treatments, the overall assessment of the operative risk and anticipated difficulty of access to the airways (mouth opening: ≥ or <35 mmm).

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Key information

Conditions

Telemedicine Anesthesia Consultation, Remote

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Centre Hospitalier Universitaire de Nîmes

Nîmes, Gard, 30029, France

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The patient must have given their free and informed consent and signed the consent form
  • The patient must be a member or beneficiary of a health insurance plan
  • Patient with scheduled surgical intervention (outpatient or hospitalization) at the Nîmes University Hospital requiring a preoperative anesthesia consultation.
  • Patient with computer equipment at home allowing the use of the Téléo software (computer equipment with web cam, audio and microphone or smartphone).

Exclusion criteria

  • The subject is participating in a category 1 interventional study, or is in a period of exclusion determined by a previous study
  • The subject refuses to sign the consent
  • It is impossible to give the subject informed information
  • The patient is under safeguard of justice or state guardianship
  • Patient who has already had an anesthesia consultation for surgery within the previous 6 months.
  • Emergency or radiology and / or interventional surgery (eg. gastroscopy, biopsy under scanner, etc.).

Treatment and study plan

Face-to-face anesthesia consultation

Other

The anesthesia consultation is carried out in person in accordance with the usual management.

Remote anesthesia consultation

Other

Anesthesia consultation is carried out in teleconsultation via the "Téléo" web application (audio and video) at the patient's home on a computer or smartphone. This application allows sending and receiving documents identical to those during the face-to-face consultation.

Primary outcomes

  1. Elevated American Society of Anesthesiologists (ASA) score in each group

    Time frame: anesthesia consultation = 1 week to 3 months after inclusion

    Yes/no for if score=3-4

  2. Elevated American Society of Anesthesiologists (ASA) score in each group

    Time frame: pre-anesthetic visit = 9 days to 3 months+7 days after inclusion

    Yes/no for if score=3-4

  3. Difficulty in accessing airways each group

    Time frame: anesthesia consultation = 1 week to 3 months after inclusion

    Yes/no for mouth opening ≥35 mm

  4. Difficulty in accessing airways each group

    Time frame: pre-anesthetic visit = 9 days to 3 months+7 days after inclusion

    Yes/no for mouth opening ≥35 mm

  5. Medication conciliation performed during the anesthesia consultation each group

    Time frame: pre-anesthetic visit = 9 days to 3 months+7 days after inclusion

    Yes/no: adaptations of selected therapies: anticoagulants, anti-aggregants, anti-hypertension, antidiabetics

  6. Medication conciliation performed during the anesthesia consultation each group

    Time frame: anesthesia consultation = 1 week to 3 months after inclusion

    Yes/no: adaptations of selected therapies: anticoagulants, anti-aggregants, anti-hypertension, antidiabetics

  7. Difference between groups in composite score of above outcomes (elevated ASA score, difficulty accessing airways and medication conciliation)

    Time frame: pre-anesthetic visit = 9 days to 3 months+7 days after inclusion

    Difference in number of yes/no answers at anesthesia consultation compared to pre- anesthetic visit

  8. Difference between groups in composite score of above outcomes (elevated ASA score, difficulty accessing airways and medication conciliation)

    Time frame: anesthesia consultation = 1 week to 3 months after inclusion

    Difference in number of yes/no answers at anesthesia consultation compared to pre- anesthetic visit

Secondary outcomes

  1. Number of canceled surgeries in each group

    Time frame: Day 2 after pre-anesthetic visit

    Yes/no surgery not performed on the scheduled day and / or postponed > 2 days

  2. Reason for cancellation of surgery

    Time frame: Day 2 after pre-anesthetic visit

    Description noted in electronic clinical report form

  3. Number of delayed surgeries in each group

    Time frame: Day 2 after pre-anesthetic visit

    Yes/no surgery not performed on the scheduled day and / or postponed ≤ 2 days

  4. Reason for delayed surgery

    Time frame: Day 2 after pre-anesthetic visit

    Description noted in electronic clinical report form

  5. Complication rate in perioperative and immediate postoperative period

    Time frame: 2 days post-operatively

    % patients with a complication

  6. Rate of anesthesia consultation rescheduling in each group

    Time frame: 2 days after pre-anesthetic visit

    Number of consultations rescheduled

  7. Reason for rescheduling

    Time frame: 2 days after pre-anesthetic visit

    Description noted in electronic clinical report form

  8. Global patient satisfaction

    Time frame: pre-anesthetic visit = 9 days to 3 months+7 days after inclusion

    satisfaction on a visual analog scale 0-10

  9. Satisfaction on the delivery of the information

    Time frame: pre-anesthetic visit = 9 days to 3 months+7 days after inclusion

    6-item custom questionnaire completed on a Likert 0 - 5 scale for all patients plus 6 questions specific for control group and 7 for intervention group

  10. Ecological impact of the consultation in each group

    Time frame: pre-anesthetic visit = 9 days to 3 months+7 days after inclusion

    Carbon impact (CO2 generated) of number of km between the patient's home and the hospital

  11. Economic impact of the consultation in each group

    Time frame: pre-anesthetic visit = 9 days to 3 months+7 days after inclusion

    Cost in euros of cost of travel and time at work missed

  12. Rate of presence of the usual treatment prescription

    Time frame: During the anesthesia consultation = 1 week to 3 months after inclusion

    Yes/no

  13. Rate of presence of the completed health questionnaire

    Time frame: During the anesthesia consultation = 1 week to 3 months after inclusion

    Yes/no

  14. Rate of presence of specialist consultation reports less than 1 year old

    Time frame: During the anesthesia consultation = 1 week to 3 months after inclusion

    Yes/no

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire de Nīmes

Other

Registry information

Acronym: TELANESTH

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Jun 10, 2021
Registry last updated
Dec 22, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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