Antenatal telehealth for anaesthesia consultations at the time of lockdown during the first COVID-19 wave in Paris✰

Benhamou, Dan; Miled, Rania; Corsia, G.; Hörlin, Anne-Laure; Kantor, Elie; Legouez, A.; Médioni, P

doi:10.1016/j.jogoh.2021.102238

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…PATC was performed in obstetrical setting and authors report a lack of information in 10% of cases and that this constituted a loss of opportunity in 1.5% of cases. 13 Our results indicated a lower rate, probably due to the prior evaluation of the patient and his medical records.…”

Section: Discussionmentioning

confidence: 54%

Pre-anaesthesia Telephone Consultation: A Safe Alternative for Anaesthesia Assessment in Case of Repeated Low or Intermediate Risk Surgeries: A Prospective Cohort Study

Vacheron¹,

Ferrier²,

Morau³

et al. 2023

TJAR

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Objective: Telemedicine has widely expanded during the coronavirus disease-2019 pandemic. Our objective was to evaluate the feasibility, safety, effectiveness, and satisfaction of pre-anaesthesia telephone consultation (PATC).Methods: From December 2015 to October 2016, a prospective survey was administered to anaesthesiologists, nurse anaesthetists, and patients of the ambulatory and maxillofacial departments. Patients having a pre-anaesthesia consultation (PAC) within the previous year in the department, whose health state was considered stable, and for whom the surgical procedure was related to the previous one, were eligible for PATC. Three questionnaires concerning the pre-(Q1), per-(Q2), and postoperative (Q3) periods were answered by the patient, the anaesthesiologist, and the anaesthesiologist nurse to evaluate the feasibility and satisfaction of the PATC. We collected the cancelation rate and any incident occurring during the surgery.Results: Over the study period, 210 patients were included. The response rate was 200/210 (95.2%) for Q1, 108/208 (51.9%) for Q2 and 146/208 (70.2%) for Q3. PATC was performed in a median (IQR) of 13 (7-20) days before the procedure. Patients answered directly in 73% of cases without the need for recall. During surgery, 4 incidents occurred and none were attributable to PATC. Patient satisfaction was 93.3% and 85.8% of them preferred PATC to conventional PAC. The kilometric saving was 74 (30-196) km per PATC. Conclusion:Both patients and professionals were satisfied with PATC, which did not impact safety. On the selected patients, PATC brings many practical benefits and increases organizational flexibility.

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Section: Discussionmentioning

confidence: 54%

Pre-anaesthesia Telephone Consultation: A Safe Alternative for Anaesthesia Assessment in Case of Repeated Low or Intermediate Risk Surgeries: A Prospective Cohort Study

Vacheron¹,

Ferrier²,

Morau³

et al. 2023

TJAR

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“…Our results align with similar satisfaction rates reported in reviews. [ 6 7 8 9 10 11 12 ] Positive feedback from previous pilot studies further supports patient and anaesthetist satisfaction with telemedicine consultations. [ 7 13 ] In our study, 95% of anaesthetists expressed satisfaction with the quality of teleconsultation.…”

Section: Discussionmentioning

confidence: 92%

Assessing feasibility and satisfaction in third-trimester pre-anaesthetic teleconsultations: A prospective observational study

Sassi,

Tardif,

Lasry

et al. 2024

Indian Journal of Anaesthesia

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Background and Aims: Pregnancy presents risks, particularly for women with pre-existing health problems. Pre-anaesthetic consultations can help anticipate these risks and establish a medical management strategy on the delivery day. While teleconsultations gained popularity during the coronavirus disease 2019 (COVID-19) pandemic, research on pre-anaesthetic teleconsultations during pregnancy is limited. This study aimed to assess patient satisfaction and physician perception of teleconsultations for third-trimester pre-anaesthetic consultations. Methods: A prospective observational study included pregnant women who opted for teleconsultations for pre-anaesthetic consultations. Patient satisfaction was assessed using Likert scale questions and the System Use Scale. Anaesthetist satisfaction was evaluated using a Likert scale and by considering changes in anaesthetic techniques and missing clinical data in the pre-anaesthetic assessment. Data analysis utilised SPSS Statistics for Windows, Version 20.0. encompassing descriptive statistics, hypothesis testing and odds ratio calculations. This approach explored the correlation between patient and anaesthetist satisfaction and pertinent risk factors. Results: The study enroled 99 patients, with 85% expressing satisfaction and high satisfaction on the Likert scale and 88% finding the teleconsultation acceptable based on the System Use Scale (score ≥ 70). Anaesthetists reported being satisfied with the pre-anaesthetic consultations in 94% of cases. Conclusion: This study demonstrates the feasibility and effectiveness of telemedicine consultations in obstetric anaesthesia, showing high patient and anaesthetist satisfaction rates.

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“…Ghimire et al identified several barriers to care, including a lack of consistent and high-speed Internet; low technology literacy; language challenges; privacy concerns; and lack of empathy [ 48 ]. Other studies have also noted difficulties with technology and lack of connection with clinicians as limitations of telehealth [ 70 – 83 ]. Enablers identified by Ghimire et al included increased access to care; reduced absence from work/reduced travel time; increased self-management skills; cost-benefits; minimised exposure to COVID-19 pandemic; and increased confidence and connection [ 48 ].…”

Section: Consumer Satisfactionmentioning

confidence: 99%

Telehealth in antenatal care: recent insights and advances

Atkinson,

Hastie,

Walker

et al. 2023

BMC Med

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Background For decades, antenatal care in high-resource settings has involved 12–14 face-to-face visits across pregnancy. The COVID-19 pandemic forced many care providers to rapidly embrace telehealth to reduce face-to-face visits. Here we review recent advances in telehealth used to provide antenatal care. Main body We conducted a narrative review examining the impact of telehealth on obstetric care. Two broad types of telehealth are used in antenatal care. The first is real-time telehealth, where consultations are done virtually instead of face-to-face. The second is remote monitoring, where in-clinic physical examinations are replaced with at-home alternatives. These can include blood pressure monitoring, fetal heart rate monitoring, and emerging technologies such as tele-ultrasound. Large cohort studies conducted during the pandemic era have shown that telehealth appears not to have increased adverse clinical outcomes for mothers or babies. However, further studies may be required to confidently conclude rare outcomes are unchanged, such as maternal mortality, serious morbidity, or stillbirth. Health economic studies suggest telehealth has the potential to reduce the financial cost of care provision. Telehealth in antenatal care seems to be acceptable to both pregnant women and healthcare providers. Conclusion Adoption of telehealth technologies may improve the antenatal care experience for women and reduce healthcare expenditure without adversely impacting health outcomes for the mother or baby. More studies are warranted to confirm telehealth does not alter the risk of rare outcomes such as maternal or neonatal mortality.

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Antenatal telehealth for anaesthesia consultations at the time of lockdown during the first COVID-19 wave in Paris✰

Cited by 3 publications

References 6 publications

Pre-anaesthesia Telephone Consultation: A Safe Alternative for Anaesthesia Assessment in Case of Repeated Low or Intermediate Risk Surgeries: A Prospective Cohort Study

Pre-anaesthesia Telephone Consultation: A Safe Alternative for Anaesthesia Assessment in Case of Repeated Low or Intermediate Risk Surgeries: A Prospective Cohort Study

Assessing feasibility and satisfaction in third-trimester pre-anaesthetic teleconsultations: A prospective observational study

Telehealth in antenatal care: recent insights and advances

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