Follmann A, Wienhold J, Arnolds A, Derwall M, Rossaint R, Czaplik M
Uniklinik RWTH Aachen, Klinik für Anästhesiologie, Pauwelsstr. 30, 52074, Aachen, Deutschland.
Klinik für Anästhesiologie und Operative Intensivmedizin, St. Johannes Hospital Dortmund, Dortmund, Deutschland.
Anaesthesiologie. 2024 Mar;73(3):156-164. doi: 10.1007/s00101-024-01387-4. Epub 2024 Feb 16.
Comprehensive anesthesia preparation by means of the anamnesis and physical examination is considered an essential part of the quality criteria for anesthesia. Especially due to the shortage of specialists, there are usually long waiting times in anesthesia outpatient departments and patients must frequently return in cases of missing or pending findings. Telemedicine already offers alternatives in the context of video communication. These alternatives are now particularly prominent due to the currently existing COVID-19 pandemic and the resulting recommendations for digitalization.
This comparative cross-sectional study was carried out to show via a patient survey which patient groups are suitable for a telemedical anesthesia preparation and whether the patients are already technically sufficiently equipped.
For this purpose, a total of 2080 patients (1030 before and 1050 during the pandemic) were interviewed using a questionnaire. For matched paired analyses, 630 pairs were formed according to their age and gender.
Before and after the pandemic, there was an increase in the percentage of patients already using video communication in their daily lives (30.4% vs. 41.8%). Before the pandemic, 31.7% of patients indicated that they considered this concept of communication to be a practical and appropriate method for an educational conversation and after the pandemic this number increased to 46.6%. For the majority of patients personal contact with a local anesthesiologist was important (80.7% before vs. 67.4% during the pandemic). The number of patients who had the necessary technical equipment for video communication also increased as a result of the COVID-19 pandemic (50.4% vs. 58.2%).
Almost half of the patients already seem to be open to a telemedical preoperative evaluation. As digitalization progresses, older generations are more likely to recognize the benefits and be able to own and use the necessary technology in the near future. User acceptance should be the central goal of concept development. This must be followed by a randomized controlled study to evaluate the potentials but also the problems in the perioperative process.
通过问诊和体格检查进行全面的麻醉准备被视为麻醉质量标准的重要组成部分。特别是由于专科医生短缺，麻醉门诊通常等待时间较长，若有检查结果缺失或待出，患者常常需要多次返回。远程医疗已在视频通信领域提供了替代方案。由于当前存在的新冠疫情以及由此产生的数字化建议，这些替代方案如今尤为突出。
开展这项比较性横断面研究，通过患者调查表明哪些患者群体适合远程医疗麻醉准备，以及患者在技术上是否已有足够配备。
为此，共对2080名患者（疫情前1030名，疫情期间1050名）进行了问卷调查。为进行配对分析，根据年龄和性别组成了630对。
疫情前后，日常生活中已使用视频通信的患者比例有所增加（30.4%对41.8%）。疫情前，31.7%的患者表示他们认为这种通信概念对于教育性谈话是一种实用且合适的方法，疫情后这一数字增至46.6%。对大多数患者而言，与当地麻醉医生的个人接触很重要（疫情前为80.7%，疫情期间为67.4%）。由于新冠疫情，拥有视频通信所需技术设备的患者数量也有所增加（50.4%对58.2%）。
几乎一半的患者似乎已对远程医疗术前评估持开放态度。随着数字化的推进，老年一代更有可能认识到其益处，并在不久的将来能够拥有和使用所需技术。用户接受度应是概念开发的核心目标。接下来必须进行一项随机对照研究，以评估围手术期过程中的潜力和问题。
