Evaluación preoperatoria «on line» frente a evaluación presencial: optimización de recursos

Virtual preoperative assessment in surgical patients: A systematic review and meta-analysis

“…Of the remaining 30 studies, 15 full-text articles were excluded [ [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] ]; the reasons for exclusion are listed in Appendix: Table A3. Fifteen studies met the inclusion criteria for qualitative synthesis, of which 12 studies were included for the meta-analysis of surgery cancellations and patient experience [ 12 , 16 , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] ]. The included studies encompassed 31,496 patients and were conducted in six different countries: Australia [ 42 , 50 ], Canada [ 38 ], Hong Kong [ 48 ], Ireland [ 46 ], Spain [ 16 ], and the United States [ 12 , [39] , [40] , [41] , [43] , [44] , [45] , 47 , 49 ].…”

“…Fifteen studies met the inclusion criteria for qualitative synthesis, of which 12 studies were included for the meta-analysis of surgery cancellations and patient experience [ 12 , 16 , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] ]. The included studies encompassed 31,496 patients and were conducted in six different countries: Australia [ 42 , 50 ], Canada [ 38 ], Hong Kong [ 48 ], Ireland [ 46 ], Spain [ 16 ], and the United States [ 12 , [39] , [40] , [41] , [43] , [44] , [45] , 47 , 49 ]. The studies were published between 1999 and 2020.…”

“…Three studies investigated outpatient surgery [ 39 , 41 , 47 ], one studied inpatient surgery [ 43 ], while the others investigated a mix of both inpatient and outpatient surgery or did not specify. Seven studies were retrospective cohort studies [ 16 , 40 , [42] , [43] , [44] , 47 , 48 ], five were prospective cohort [ 39 , 41 , 45 , 46 , 49 ], and there was one case series [ 38 ], one randomized controlled trial [ 12 ], and one cross-sectional study [ 50 ]. All of the studies compared virtual care to in-person preoperative assessment, with the exception of four studies without a comparison group [ [47] , [48] , [49] , [50] ].…”

“…Of the 15 included studies, nine (60%) used videoconferencing [ 12 , 38 , 40 , 42 , 44 , 45 , 47 , 49 , 50 ], three (20%) used telephones [ 16 , 39 , 48 ], two (13%) employed electronic questionnaires [ 41 , 46 ], and one (7%) used electronic consultations through a shared electronic health record or web-based portal [ 43 ]. Patients were assessed by anesthesiologists in eight studies [ 16 , 38 , [41] , [42] , [43] , 45 , 46 , 50 ], by residents in eight studies [ 12 , [39] , [40] , [41] , [45] , [46] , [47] , 49 ], by nurses in six studies [ 16 , 39 , 41 , 45 , 46 , 48 ], and by nurse practitioners in four studies [ 12 , [42] , [43] , [44] ]. In three studies, the initial assessments were reviewed by anesthesiologists [ 39 , 48 , 49 ].…”

“…Reviews, case reports, conference proceedings, dissertations, and book chapters were excluded. One article was translated into the English language [ 16 ]. Patient characteristics and outcome data were extracted using standardized forms in an Excel sheet.…”