From the Division of Anesthesiology, Critical Care, Emergency Medicine and Pain Management, Caremeau University Hospital, Nîmes (BN, P-GC, J-YL, PC), Clinical Research University Institute, University of Montpellier (P-GC), ICM Institut Cancer Montpellier, CRLC Val d'Aurelle, Montpellier (GL), Polyclinic Du Grand Sud, Nîmes (AC), Clinique Juge, Marseille (PG), Hospital Center University De Caen, Caen (CB), Centre Lutte Contre Cancer, CRLC Caen Francois Baclesse, Caen (VL), Département d'Anesthésie Réanimation, AP-HP, Groupe Hospitalier Pitié-Salpêtrière, Charles Foix, Paris (MR), Hôpital Universitaire Purpan, CHU Toulouse, Toulouse (VM), Centre Hospitalo Universitaire, Hôpital Estaing, Clermont-Ferrand (EF) and Medicine Faculty of Nîmes, Montpellier Nîmes University, Nîmes, France (J-YL).
Eur J Anaesthesiol. 2017 Dec;34(12):831-835. doi: 10.1097/EJA.0000000000000686.
Use of the internet as an information search tool has increased dramatically. Our study assessed preoperative use of the internet by patients to search for information regarding anaesthesia, surgery, pain or outcomes.
OBJECTIVE(S): The aim of this study was to test whether patients used the internet prior to surgery and what kinds of information they looked for (anaesthetic technique, pain, adverse events, outcomes and surgery). Correlation between patient age and information sought about surgery from the internet was also explored.
A prospective multicentre observational study.
In total, 14 French private and public institutions from May 2015 to January 2016.
In total, 3161 adult patients scheduled for elective surgery under regional or general anaesthesia.
INTERVENTION(S): An anonymous questionnaire was presented to adult patients scheduled for elective surgery under regional or general anaesthesia for completion before the first meeting with the anaesthesiologist. The investigator at each centre completed specific items that the patient could not complete.
We defined the primary endpoint as the number of patients who searched for information about their anaesthesia or surgery on the internet by the time of the their preanaesthetic consultation.
Of the 3234 questionnaires distributed, responses were received from 3161 patients. Within this respondent sample, 1304 (45%) were professionally active and 1664 (59%) used the internet at least once per day. Among 3098 (98%) patients who answered the question concerning the primary endpoint, 1506 (48%) had searched the internet for information about their health. In total, 784 (25%) used the internet to find information about their surgery and 113 (3.5%) looked for specific information about anaesthesia. Of the 3161, 52% reported difficulty searching for appropriate information about anaesthesia on the internet. 'Daily use of the web' [odds ratio (OR) 2.0; (95% CI: 1.65 to 2.55) P < 0.001], 'use of the web on mobile devices' [OR 1.24; (95% CI: 1.02 to 1.50) P = 0.02] and 'asking general practitioner or surgeon about information' [OR 1.35; (95% CI: 1.11 to 1.64) P = 0.002] were significantly associated with the primary endpoint.
The internet was not widely used by patients scheduled for elective surgery to search for information about anaesthesia and surgery in our French multicentre study.
Clinicaltrials.gov identifier: NCT02442609.
互联网作为一种信息搜索工具的使用已大幅增加。我们的研究评估了患者在术前使用互联网搜索有关麻醉、手术、疼痛或结果的信息。
本研究旨在测试患者在手术前是否使用互联网，以及他们搜索哪些信息（麻醉技术、疼痛、不良事件、结果和手术）。还探讨了患者年龄与从互联网上搜索手术信息之间的相关性。
前瞻性多中心观察性研究。
2015 年 5 月至 2016 年 1 月，法国 14 家私立和公立医院。
总共 3161 名计划接受区域或全身麻醉下择期手术的成年患者。
向计划接受区域或全身麻醉下择期手术的成年患者提供匿名问卷，供其在首次与麻醉师会面之前完成。每个中心的调查员都完成了患者无法完成的特定项目。
我们将主要终点定义为在麻醉前咨询时搜索其麻醉或手术信息的患者人数。
在发放的 3234 份问卷中，收到了 3161 名患者的回复。在该应答者样本中，1304 名（45%）为在职人员，1664 名（59%）每天至少使用一次互联网。在 3098 名（98%）回答主要终点问题的患者中，1506 名（48%）曾在互联网上搜索过与健康相关的信息。总共，784 名（25%）患者使用互联网查找有关其手术的信息，113 名（3.5%）患者查找有关麻醉的特定信息。在 3161 名患者中，52%报告说在互联网上搜索有关麻醉的适当信息存在困难。“每天使用网络”[比值比（OR）2.0；（95%可信区间：1.65 至 2.55）P<0.001]、“使用移动设备上网”[OR 1.24；（95%可信区间：1.02 至 1.50）P=0.02]和“向全科医生或外科医生询问信息”[OR 1.35；（95%可信区间：1.11 至 1.64）P=0.002]与主要终点显著相关。
在我们的法国多中心研究中，计划接受择期手术的患者并未广泛使用互联网搜索有关麻醉和手术的信息。
Clinicaltrials.gov 标识符：NCT02442609。
