Virtual preoperative assessment in surgical patients : A systematic review and meta-analysis
Copyright © 2021 Elsevier Inc. All rights reserved..
STUDY OBJECTIVE: Preoperative assessment is a standard evaluation, traditionally done in-person in a preanesthesia clinic, for patients who will be undergoing a procedure involving anesthesia. Given the increased adoption of virtual care during the coronavirus disease 2019 (COVID-19) pandemic, the purpose of this systematic review and meta-analysis is to review the effectiveness of virtual preoperative assessment for the evaluation of surgical patients.
DESIGN: Systematic review and meta-analysis.
SETTING: MEDLINE (Ovid), MEDLINE InProcess/ePubs, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and ClinicalTrials.gov were searched from the initial coverage of the respective database to May 2021. A manual citation search of Google Scholar and PubMed was conducted to identify missed articles. Continued literature surveillance was done through July 2021.
PATIENTS: Patients aged 18 years and older undergoing virtual preoperative anesthesia assessment.
INTERVENTIONS: Virtual preoperative assessment.
MEASUREMENTS: Surgery cancellation rates, patient experience, resources saved, staff experience, success in using the data collected to diagnose and manage patients.
MAIN RESULTS: Fifteen studies (n = 31,496 patients) were included in this review. The average age of patients was 58 ± 15 years, and 47% were male. Virtual preoperative assessment resulted in similar surgery cancellation rates compared to in-person evaluation, with a pooled cancellation rate of 2% (95% confidence interval [CI]: 1-3%). Most studies reported a positive patient experience, with a pooled estimate of 90% (95% CI, 81-95%). There was a high success rate in using the information collected with virtual care, in the range of 92-100%, to diagnose and manage patients resulting in time and cost savings in the range of 24-137 min and $60-67 per patient.
CONCLUSIONS: This systematic review and meta-analysis demonstrates the utility of virtual care for preoperative assessment of surgical patients. Virtual preanesthesia evaluation had similar surgery cancellation rates, high patient satisfaction, and reduced costs compared to in-person evaluation.
| Errataetall: |
CommentIn: J Clin Anesth. 2022 Feb;76:110563. - PMID 34743955 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:75 |
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| Enthalten in: |
Journal of clinical anesthesia - 75(2021) vom: 20. Dez., Seite 110540 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zhang, Kevin [VerfasserIn] |
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| Links: |
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| Themen: |
Anesthesia |
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| Anmerkungen: |
Date Completed 22.11.2021 Date Revised 21.12.2022 published: Print-Electronic CommentIn: J Clin Anesth. 2022 Feb;76:110563. - PMID 34743955 Citation Status MEDLINE |
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| doi: |
10.1016/j.jclinane.2021.110540 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM331898837 |
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| 245 | 1 | 0 | |a Virtual preoperative assessment in surgical patients |b A systematic review and meta-analysis |
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| 500 | |a Date Revised 21.12.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: J Clin Anesth. 2022 Feb;76:110563. - PMID 34743955 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 Elsevier Inc. All rights reserved. | ||
| 520 | |a STUDY OBJECTIVE: Preoperative assessment is a standard evaluation, traditionally done in-person in a preanesthesia clinic, for patients who will be undergoing a procedure involving anesthesia. Given the increased adoption of virtual care during the coronavirus disease 2019 (COVID-19) pandemic, the purpose of this systematic review and meta-analysis is to review the effectiveness of virtual preoperative assessment for the evaluation of surgical patients | ||
| 520 | |a DESIGN: Systematic review and meta-analysis | ||
| 520 | |a SETTING: MEDLINE (Ovid), MEDLINE InProcess/ePubs, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and ClinicalTrials.gov were searched from the initial coverage of the respective database to May 2021. A manual citation search of Google Scholar and PubMed was conducted to identify missed articles. Continued literature surveillance was done through July 2021 | ||
| 520 | |a PATIENTS: Patients aged 18 years and older undergoing virtual preoperative anesthesia assessment | ||
| 520 | |a INTERVENTIONS: Virtual preoperative assessment | ||
| 520 | |a MEASUREMENTS: Surgery cancellation rates, patient experience, resources saved, staff experience, success in using the data collected to diagnose and manage patients | ||
| 520 | |a MAIN RESULTS: Fifteen studies (n = 31,496 patients) were included in this review. The average age of patients was 58 ± 15 years, and 47% were male. Virtual preoperative assessment resulted in similar surgery cancellation rates compared to in-person evaluation, with a pooled cancellation rate of 2% (95% confidence interval [CI]: 1-3%). Most studies reported a positive patient experience, with a pooled estimate of 90% (95% CI, 81-95%). There was a high success rate in using the information collected with virtual care, in the range of 92-100%, to diagnose and manage patients resulting in time and cost savings in the range of 24-137 min and $60-67 per patient | ||
| 520 | |a CONCLUSIONS: This systematic review and meta-analysis demonstrates the utility of virtual care for preoperative assessment of surgical patients. Virtual preanesthesia evaluation had similar surgery cancellation rates, high patient satisfaction, and reduced costs compared to in-person evaluation | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Meta-Analysis | |
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| 650 | 4 | |a Review | |
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Anesthesia | |
| 650 | 4 | |a Preoperative assessment | |
| 650 | 4 | |a Surgery | |
| 650 | 4 | |a Telehealth | |
| 650 | 4 | |a Telemedicine | |
| 650 | 4 | |a Virtual care | |
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| 700 | 1 | |a Waseem, Rida |e verfasserin |4 aut | |
| 700 | 1 | |a Englesakis, Marina |e verfasserin |4 aut | |
| 700 | 1 | |a Chung, Frances |e verfasserin |4 aut | |
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