PAC Time Assessment

Time Involved in Patient Information During Preoperative Assessment Clinic and Ratio Between Evaluation and Information Times

The aim of the preoperative assessment clinic (PAC) is to ensure optimal anaesthesia, reduce the morbidity associated with surgery, to increase the quality and decrease the cost of perioperative care 1. In addition, the PAC is an appropriate time to educate the patient on anaesthesia, perioperative care, and pain treatments, to reduce anxiety, to develop care plans, and to obtain informed consent. Moreover, a strong correlation exists between the time spent at the PAC and patient satisfaction2,3.

A high variability of preoperative assessment clinic (PAC) times is a reason for waiting time for patient. A better match between the reserved PAC time and the real consultation time could improved efficiency in consultation theatre. The PAC time depends on various parameters. On average the preoperative assessment of patients with a higher American Society Anesthesiologists' (ASA) class requires more time 4. In other monocentric study, the mean (SD) procedure time was 13 (6) min for the physician. It was significantly longer for patients with a higher ASA class : 10 min for ASA I, 14 min for ASA II, 17 min for ASA III and 21 min for ASA IV patients. In this monocentric study, every patient had a nurse consultation before PAC by the anesthesiologist.

The primary endpoint of this study was to assess the time involved in preoperative assessment clinic included the time during patient's health status has to be assessed (this encompasses a medical history and physical examination) and the time during the patient education on anaesthesia, perioperative care and pain treatments, to reduce anxiety, to develop care plans and to obtain informed consent.

Study Overview

• Status: Unknown
• Conditions: Anesthesia; Assessment Time
• Intervention / Treatment: Other: preoperative assessement

• Study Type: Observational
• Enrollment (Anticipated): 3000

Contacts and Locations

Study Locations

• France
  • Rouen, France
    • Recruiting
    • Rouen University Hospital
    • Contact: Vincent COMPERE, Pr; Phone Number: 033 617445203; Email: vincent.compere@chu-rouen.fr

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients scheduled to undergo elective surgery under general or regional anaesthesia

Description

Inclusion Criteria:

- Patients scheduled to undergo elective surgery under general or regional anaesthesia

Exclusion Criteria

• patients under 16 years of age
• emergency surgery

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
total time involved in preoperative anesthesia consultation (min)	total time (min) is defined by the time between patient entry and discharge from the consultation office. It integrates time for patient assessment (this encompasses a medical history and physical examination) and time for patient information on the benefits and risks of the chosen anesthetic strategy (patient education on anaesthesia, perioperative care and pain treatments, to reduce anxiety, to develop care plans and to obtain informed consent)	30 min

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
anesthesia and surgery information and patient demographics	Data included anesthesia and surgery information and patient demographics; ASA status; Age; BMI; In patient or outpatient; Number of medication; Number of co morbidity; Socioeconomic level; Surgical specialty; Senior or resident anesthesiologist (year experience); Preoperative anxiety between 0 and 10; Patient satisfaction between 0 and 10	30 min

Collaborators and Investigators

• Sponsor: University Hospital, Rouen

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2018
• Primary Completion (Anticipated): December 31, 2018
• Study Completion (Anticipated): February 1, 2019

Study Registration Dates

• First Submitted: January 2, 2018
• First Submitted That Met QC Criteria: February 23, 2018
• First Posted (Actual): March 2, 2018

Study Record Updates

• Last Update Posted (Actual): March 2, 2018
• Last Update Submitted That Met QC Criteria: February 23, 2018
• Last Verified: February 1, 2018

More Information

Terms related to this study

• Other Study ID Numbers: E2016-74

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No