Evidence map›Paper›PMID 33189131›Full record

ArticleBMC anesthesiology2020

PreAnaesThesia computerized health (PATCH) assessment: development and validation.

Tarig Osman, Eileen Lew, Elaine Pooi-Ming Lum, Louise van Galen, Rajive Dabas, Ban Leong Sng, Josip Car

Registry-linked trialOpen access · goldAbstract readValidation Study
In one paragraph

Article in BMC anesthesiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05535205 (Effectiveness and Costs of a Digital Versus Face-to-face Preoperative Assessment Clinic), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05535205 nacompletednot on this mapstarted 2021, after this paper: background citation

Effectiveness and Costs of a Digital Versus Face-to-face Preoperative Assessment Clinic: a Non-inferiority Trial

TypeinterventionalSponsorDiakonessenhuis, UtrechtRan2021 to 2022Enrolled252ConditionsSurgeryArmsDigital preoperative assessment, Face-to-face preoperative assessment
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
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  6. Article
  7. Article
  8. Article
  9. Update on preoperative evaluation and optimisation.Indian journal of anaesthesia · 2023
    Article
  10. Article
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  12. Preanaesthetic assessment and management in the context of the district hospital.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 3 countries.

Tarig OsmanCentre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University (Singapore), Singapore, Singapore.
Eileen LewDepartment of Women's Anaesthesia, KK Women's and Children's Hospital (Singapore), 100 Bukit Timah Road, Singapore, 229899, Singapore. eileen.lew@singhealth.com.sg.ORCID 0000-0002-2143-8007
Elaine Pooi-Ming LumCentre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University (Singapore), Singapore, Singapore.
Louise van GalenCentre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University (Singapore), Singapore, Singapore.
Rajive DabasDepartment of Women's Anaesthesia, KK Women's and Children's Hospital (Singapore), 100 Bukit Timah Road, Singapore, 229899, Singapore.
Ban Leong SngDepartment of Women's Anaesthesia, KK Women's and Children's Hospital (Singapore), 100 Bukit Timah Road, Singapore, 229899, Singapore.
Josip CarCentre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University (Singapore), Singapore, Singapore.
Nanyang Technological University · SGKK Women's and Children's Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTechnological advances in healthcare have enabled patients to participate in digital self-assessment, with reported benefits of enhanced healthcare efficiency and self-efficacy. This report describes the design and validation of a patient-administered preanaesthesia health assessment digital application for gathering medical history relevant to preanaesthesia assessment. Effective preoperative evaluation allows for timely optimization of medical conditions and reduces case cancellations on day of surgery.

methodsUsing an iterative mixed-methods approach of literature review, surveys and panel consensus, the study sought to develop and validate a digitized preanaesthesia health assessment questionnaire in terms of face and criterion validity. A total of 228 patients were enrolled at the preoperative evaluation clinic of a tertiary women's hospital. Inclusion criteria include: age  ≥ 21 years, scheduled for same-day-admission surgery, literacy in English and willingness to use a digital device. Patient perception of the digitized application was also evaluated using the QQ10 questionnaire. Reliability of health assessment questionnaire was evaluated by comparing the percentage agreement of patient responses with nurse assessment.

resultsModerate to good criterion validity was obtained in 81.1 and 83.8% of questions for the paper and digital questionnaires respectively. Of total 3626 response-pairs obtained, there were 3405 (93.4%) concordant and 221 (6.1%) discrepant response-pairs for the digital questionnaire. Discrepant response-pairs, such as ""no/yes" and "unsure/yes", constitute only 3.7% of total response-pairs. Patient acceptability of the digitized assessment was high, with QQ10 value and burden scores of 76 and 30%, respectively.

conclusionsSelf-administration of digitized preanaesthesia health assessment is acceptable to patients and reliable in eliciting medical history. Further iteration should focus on improving reliability of the digital tool, adapting it for use in other languages and incorporating clinical decision tools.

Indexed as

Health StatusAnesthesiaHumansPreoperative CareReproducibility of ResultsSurveys and QuestionnairesComputer-assisted history-taking systemDigital healthPreanaesthesia assessment

Identifiers

PMID33189131
PMCPMC7666442
OpenAlexW3102991425

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.