气候变化领域集成服务门户(CCPortal): Teleconsultation for Preoperative Anesthesia Evaluation: Identifying Environmental Potentials by Life Cycle Assessment

CCPortal

DOI	10.1089/tmj.2023.0700
	Teleconsultation for Preoperative Anesthesia Evaluation: Identifying Environmental Potentials by Life Cycle Assessment
	Gruesser, Linda; Bayram, Berfin; Ziemann, Sebastian; Wallqvist, Julia; Wienhold, Jan; Rossaint, Rolf; Derwall, Matthias; Follmann, Andreas
发表日期	2024
ISSN	1530-5627
EISSN	1556-3669
英文摘要	Introduction: Teleconsultations for preoperative evaluation in anesthesiology proved to be feasible during the COVID-19 pandemic. However, widespread implementation of teleconsultations has not yet occurred. Besides time savings and economic benefits, teleconsultations in anesthesia may have the potential to reduce CO2 emissions. Methods: We conducted a life cycle assessment based on prospective surveys to assess the potential environmental benefits of preoperative anesthesia teleconsultations in comparison to the status-quo in-person consultations. Within 1 month, all patients presenting at the preoperative anesthesia clinic at RWTH Aachen University Hospital were asked about the distance traveled and mode of transportation to the hospital. The main outcome measure was the potential environmental benefit resulting from the implementation of teleconsultations. Results: In total, 821 out of 981 patients presenting at the anesthesia clinic participated in the survey. Most patients visited on an outpatient basis (62.9%) and traveled by car (81.7%). The median travel distance was 25 km [interquartile range 12-40]. If patients who came to the hospital solely for the anesthesia appointment had scheduled virtual appointments, the emissions of 3.03-ton CO2 equivalents (CO2-eq) could be avoided in the first month after implementation. The environmental impact associated with the production of teleconsultation equipment is outweighed by the reduction in patient travel. If all outpatient appointments were performed virtually, these savings would triple. Within 10 years, more than 1,300 tons CO2-eq could be avoided. Conclusion: Teleconsultations can mitigate the environmental impact of in-person anesthesia consultations. Further research is essential to leverage teleconsultations for preoperative evaluation also across other medical specialties.
英文关键词	teleconsultation; climate change; anesthesia; life cycle assessment; environmental impact; telemedicine
语种	英语
WOS研究方向	Health Care Sciences & Services
WOS类目	Health Care Sciences & Services
WOS记录号	WOS:001207368800003
来源期刊	TELEMEDICINE AND E-HEALTH
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/300657
作者单位	RWTH Aachen University; RWTH Aachen University Hospital; RWTH Aachen University; St. Johannes Hospital
推荐引用方式 GB/T 7714	Gruesser, Linda,Bayram, Berfin,Ziemann, Sebastian,et al. Teleconsultation for Preoperative Anesthesia Evaluation: Identifying Environmental Potentials by Life Cycle Assessment[J],2024.
APA	Gruesser, Linda.,Bayram, Berfin.,Ziemann, Sebastian.,Wallqvist, Julia.,Wienhold, Jan.,...&Follmann, Andreas.(2024).Teleconsultation for Preoperative Anesthesia Evaluation: Identifying Environmental Potentials by Life Cycle Assessment.TELEMEDICINE AND E-HEALTH.
MLA	Gruesser, Linda,et al."Teleconsultation for Preoperative Anesthesia Evaluation: Identifying Environmental Potentials by Life Cycle Assessment".TELEMEDICINE AND E-HEALTH (2024).