#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Preoperative assessment using mobile technologies in the Czech Republic – are our patients ready for it?
Prospective, observational, multicentre, cross-sectional study


Authors: T. Pařízek 1;  R. Gál 2;  J. Hložková 3;  P. Neumann 1;  J. Škola 1;  R. Škulec 1;  P. Štourač 4;  R. Urbanec 5;  T. Vymazal 6;  Černý V. 1,7–9
Authors‘ workplace: Klinika anesteziologie, perioperační a intenzivní medicíny, Univerzita J. E. Purkyně v Ústí nad Labem Masarykova nemocnice v Ústí nad Labem, Institut postgraduálního vzdělávání ve zdravotnictví 1;  Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Brno, Lékařská fakulta Masarykovy univerzity 2;  Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Olomouc, Lékařská fakulta Univerzita Palackého v Olomouci 3;  Klinika dětské anesteziologie a resuscitace, Fakultní nemocnice Brno, Lékařská fakulta, Masarykova univerzita 4;  Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Ostrava, Lékařská fakulta Ostravská univerzita 5;  Klinika anesteziologie, resuscitace a intenzivní medicíny, 2. lékařská fakulta Univerzity Karlovy a Fakultní nemocnice Motol 6;  Centrum pro výzkum a vývoj, Fakultní nemocnice Hradec Králové 7;  Dept. of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Kanada 8;  Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta v Hradci Králové, Univerzita Karlova 9
Published in: Anest. intenziv. Med., 28, 2017, č. 4, s. 226-231
Category: Anaesthesiology - Original Paper

* za pracovní skupinu studie (seznam členů pracovní skupiny je uveden na konci práce)

Overview

Objective:
The aim of our study was to find out whether patients scheduled for elective surgery owned a smartphone, had access to internet/e-mail and whether they would be willing to undergo preoperative assessment (POA) using internet/mobile devices.

Design:
Observational, prospective, multicentre, cross-sectional study.

Setting:
Preoperative clinics at tertiary care hospitals in the Czech Republic.

Materials and methods:
The study was based on a simple questionnaire which the patients had to answer at the end of their POA appointment. The recorded data included age, gender, level of education, ownership of a smartphone, access to internet/e-mail and the patients' willingness to undergo remote POA. The obtained data were analysed using descriptive statistical methods.

Results:
We analysed data from 1685 patients. Total 957 (57%) of them owned a smartphone, 1330 (79%) had access to the internet and 1260 (75%) used e-mail. Total 536 patients (32%) were willing to undergo remote POA. Patients with a university degree (164 of 343, 48%) were more likely to be willing to have remote POA.

Conclusion:
More than half of the patients undergoing POA owned a smartphone, had internet connection and used e-mail. Overall one third of the patients expressed their willingness to undergo remote POA; this proportion was higher in patents with a degree.

KEYWORDS:
preoperative assessment – telemedicine


Sources

1. Sheraton TE, Wilkes AR, Hall JE. Mobile phones and the developing world. Anaesthesia. 2012;67:945–950.

2. Sapirstein A, Lone N, Latif A, Fackler J, Pronovost PJ. Tele ICU: paradox or panacea? Best Pract. Res Clin Anaesthesiol. 2009;23:115–126.

3. Liu L, Stroulia E, Nikolaidis I, Miguel-Cruz A, Rios Rincon A. Smart homes and home health monitoring technologies for older adults: A systematic review. Int J Med Inform. 2016;91:44–59.

4. Siegel CA. Transforming Gastroenterology Care With Telemedicine. Gastroenterology. 2017;152:958–963.

5. Okoroafor I, Chukwuneke F, Ifebunandu N, et al. Telemedicine and biomedical care in Africa: Prospects and challenges. Niger. J Clin Pract. 2017;20:1.

6. Huston JL, Burton DC. Patient satisfaction with multispecialty interactive teleconsultations. J Telemed Telecare. 1997;3:205–208.

7. Applegate RL, Gildea B, Patchin R, et al. Telemedicine Pre-anesthesia Evaluation: A Randomized Pilot Trial. Telemed e-Health. 2013;19:211–216.

8. Collins TA, Robertson MP, Sicoutris CP, et al. Telemedicine coverage for post-operative ICU patients. J Telemed Telecare. 2017;23:360–364.

9. Galvez JA, Rehman MA. Telemedicine in anesthesia. Curr. Opin. Anaesthesiol. 2011;24:459–462.

10. Miyashita T, Mizuno Y, Sugawara Y, et al. A pilot study of tele-anaesthesia by virtual private network between an island hospital and a mainland hospital in Japan. J Telemed Telecare. 2015;21:73–79.

11. Cone SW, Gehr L, Hummel R, et al. Case report of remote anesthetic monitoring using telemedicine. Anesth Analg. 2004;98:386–388.

12. Casavant DW, McManus ML, Parsons SK, Zurakowski D, Graham RJ. Trial of telemedicine for patients on home ventilator support: feasibility, confidence in clinical management and use in medical decision-making. J Telemed Telecare. 2014;20:441–449.

13. Fishman M, Mirante B, Dai F, Kurup V. Patient preferences on telemedicine for preanesthesia evaluation. Can J Anesth. 2015;62:433–434.

14. Prielipp RC, Cohen NH. The future of anesthesiology. Curr Opin Anaesthesiol. 2016;29:198–205.

15. Oeveren L Van, Donner J, Fantegrossi A, Mohr NM, Brown CA. Telemedicine-Assisted Intubation in Rural Emergency Departments: A National Emergency Airway Registry Study. Telemed e-Health. 2016:tmj.2016.0140.

16. Hanna GM, Fishman I, Edwards DA, et al. Development and Patient Satisfaction of a New Telemedicine Service for Pain Management at Massachusetts General Hospital to the Island of Martha’s Vineyard. Pain Med. 2016;17:1658–1663.

17. Nangalia V, Prytherch DR, Smith GB. Health technology assessment review: Remote monitoring of vital signs – current status and future challenges. Crit Care. 2010;14:233.

18. Wood EW, Strauss RA, Janus C, Carrico CK. Telemedicine Consultations in Oral and Maxillofacial Surgery: A Follow-Up Study. J Oral Maxillofac Surg. 2016;74:262–268.

19. Wong DT, Kamming D, Salenieks ME, et al. Preadmission anesthesia consultation using telemedicine technology: a pilot study. Anesthesiology. 2004;100:1605–1607.

20. Roberts S, Spain B, Hicks C, London J, Tay S. Telemedicine in the Northern Territory: An assessment of patient perceptions in the preoperative anaesthetic clinic. Aust J Rural Health. 2015;23:136–141.

21. Turabi A, Nessen SC, Boedeker D, Boedeker B. Development of a tele-anesthesia preoperative clinic to support distant military treatment facilities for the European regional medical command. Stud Health Technol Inform. 2014;196:433–435.

22. Nair AS, Mudunuri RK, Ganapathy M, Kulkarni V. Use of WhatsApp for sharing preanesthesia evaluation form among anesthesiologists. Saudi J Anaesth. 2016;10:480–481.

Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#