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Preoperative anxiety after face-to-face patient assessment versus preanaesthesia telemedicine (PANTEM) in adults: a randomised clinical trial

Präoperative Angst nach Patientenaufklärung von Angesicht zu Angesicht vs. präanästhesiologische telemedizinische Konsultation (PANTEM) bei Erwachsenen: eine randomisierte klinische Studie

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Summary

Preanaesthesia consultation is performed to assess and optimise patient-specific risk factors before surgery, to inform patients about anaesthesia techniques and to obtain consent. Aside from face-to-face visits, telephone consultation is increasingly being used clinically. Concentration on the content and avoidance of confounding factors could lead to improved patient preparation. We hypothesised that patients receiving a telemedical intervention have less anxiety. Patients scheduled for elective surgery were randomised into two groups according to the consultation performed face-to-face (FTF) or via telephone (TEL). Before consultation (< 48 h) and 1–2 h prior to surgery, both groups had to fill in the State-Trait Anxiety Inventory (STAI). A total of 271 patients were randomised and 130 were analysed. There were no significant intergroup differences in mean state anxiety (STAI-S) before and after the intervention. Patients’ positive feedback on telemedical consultation urges future studies on its effect on satisfaction and quality of life.

Zusammenfassung

Die präanästhesiologische Aufklärung dient der Einschätzung und Optimierung patientenspezifischer Risikofaktoren vor der Operation, der Aufklärung der Patienten über Anästhesieverfahren und der Einholung der Einwilligung. Neben dem persönlichen Gespräch in der Klinik wird zunehmend die telefonische Aufklärung eingesetzt. Die Konzentration auf den Inhalt und die Vermeidung von Störfaktoren könnten zu einer verbesserten Patientenvorbereitung führen. Die Hypothese lautet: Telemedizinisch vorbereitete Patienten haben weniger Angst. Die Randomisierung erfolgte für Patienten, bei denen eine elektive Operation vorgesehen war, in 2 Gruppen: persönliche (FTF) oder telefonische (TEL) Konsultation. Vor der Konsultation (< 48 h) und 1–2 h vor der Operation mussten beide Gruppen das State-Trait Anxiety Inventory (STAI, Fragebogen zu Angst vor einem Ereignis/Zustandsangst und Angst als Persönlichkeitsmerkmal) ausfüllen. Es wurden 271 Patienten randomisiert und 130 analysiert. Zwischen den Gruppen gab es keine signifikanten Unterschiede hinsichtlich der mittleren Zustandsangst (STAI-S) vor und nach der Intervention. Das positive Feedback der Patienten zur telemedizinischen Aufklärung drängt auf zukünftige Studien im Hinblick auf Auswirkungen auf Zufriedenheit und Lebensqualität.

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Acknowledgements

The authors acknowledge Jan Aden and David Seistock (Institute for Statistics, Faculty of Psychology at Sigmund Freud University Vienna) for statistical support.

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Authors and Affiliations

  1. Faculty for Medicine, Sigmund Freud Private University, Vienna, Austria

    Georg Gibas, Martin Liebisch MSc, Vincent T. Krenn MSc, Aria Sallakhi &  Sibylle Kietaibl MBA

  2. Department of Psychosomatics of the Medical Faculty, Sigmund Freud Private University Vienna, Vienna, Austria

    Christiane Eichenberg

  3. Department of Anaesthesia and Intensive Care Medicine, Evangelical Hospital Vienna, Hans-Sachs-Gasse 10–12, 1180, Vienna, Austria

    Salah E. Benhebesse &  Sibylle Kietaibl MBA

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Contributions

The first draft of the manuscript was written by Georg Gibas and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Conceptualisation: Georg Gibas, Sibylle Kietaibl, Christiane Eichenberg; methodology: Georg Gibas, Martin Liebisch, Sibylle Kietaibl; formal analysis and investigation: Georg Gibas, Martin Liebisch, Vincent Tilo Krenn; writing—original draft preparation: Georg Gibas; writing—review and editing: Georg Gibas, Sibylle Kietaibl, Sallah Eddine Benhebesse, Aria Sallakhi, Vincent Tilo Krenn, Christiane Eichenberg, Martin Liebisch; supervision: Sibylle Kietaibl, Christiane Eichenberg.

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Correspondence to Sibylle Kietaibl MBA.

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Conflict of interest

G. Gibas, M. Liebisch, C. Eichenberg, V.T. Krenn, A. Sallakhi, S.E. Benhebesse and S. Kietaibl declare that they have no competing interests.

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Trial register: DRKS, ref. 00017262, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00017262

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Gibas, G., Liebisch, M., Eichenberg, C. et al. Preoperative anxiety after face-to-face patient assessment versus preanaesthesia telemedicine (PANTEM) in adults: a randomised clinical trial. Wien Med Wochenschr 174, 133–139 (2024). https://doi.org/10.1007/s10354-022-00937-y

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