{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T06:20:01Z","timestamp":1791094801412,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pre\u2010anaesthetic assessment is essential for identifying perioperative risk and optimising patient safety. Digital alternatives, including video consultation and structured electronic health record (EHR) review, may improve efficiency, but comparative evidence regarding postoperative safety remains limited. We hypothesise that digital pre\u2010anaesthetic assessment modalities will be associated with low rates of major postoperative complications in selected low\u2010risk patients.<\/jats:p>\n                  <jats:p>This protocol describes a single\u2010centre study with retrospective data collection including adult patients scheduled for elective otorhinolaryngologic, oral or maxillofacial surgery at Copenhagen University Hospital\u2014Rigshospitalet, Copenhagen, Denmark. Patients underwent preoperative assessment using one of three modalities: in\u2010person consultation (2019\u20132020), EHR review (2021\u20132022) or video consultation (2024\u20132025). The primary outcome is a composite of major postoperative complications within 30\u2009days, including all\u2010cause mortality, admission to the intensive care unit, bleeding requiring transfusion, infection requiring antibiotics, or hospital readmission. Secondary outcomes include number of days spent hospitalised within 30\u2009days after surgery, changes in anaesthesia plan, airway management modifications, delay in surgical start time, intubation attempts and same\u2010day cancellations. Associations between assessment modality and dichotomous outcomes will be examined using multivariable generalised linear models with a log\u2010link function, adjusted for prespecified covariates. Sensitivity analyses will include inverse probability weighting and win ratio analysis. This single\u2010centre cohort study will examine whether digital pre\u2010anaesthetic assessment strategies, such as video consultation and EHR review, are associated with differences in major postoperative complications compared with in\u2010person assessment. The findings may inform the implementation of patient\u2010centred, resource\u2010efficient preoperative assessment strategies within the Danish healthcare system and similar international settings.<\/jats:p>","DOI":"10.1111\/aas.70266","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T13:50:37Z","timestamp":1779457837000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Digital Versus in\u2010Person Pre\u2010Anaesthetic Assessment and Postoperative Outcomes in Low\u2010Risk Patients: A Protocol for a Single\u2010Centre Cohort Study"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3773-7917","authenticated-orcid":false,"given":"Mathilde","family":"Nellemann","sequence":"first","affiliation":[{"name":"Department of Anaesthesia, Surgery and Trauma Centre\u2014Rigshospitalet Copenhagen University Hospital  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8270-6176","authenticated-orcid":false,"given":"Moritz Kilian German","family":"Denneborg","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Surgery and Trauma Centre\u2014Rigshospitalet Copenhagen University Hospital  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7270-9505","authenticated-orcid":false,"given":"Sofie Amalie","family":"Bosholdt","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Surgery and Trauma Centre\u2014Rigshospitalet Copenhagen University Hospital  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla Meno","family":"Kristensen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Surgery and Trauma Centre\u2014Rigshospitalet Copenhagen University Hospital  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constance Thyra Giertz","family":"Christiansen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Surgery and Trauma Centre\u2014Rigshospitalet Copenhagen University Hospital  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janus Christian","family":"Jakobsen","sequence":"additional","affiliation":[{"name":"Copenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region Copenhagen University Hospital\u2014Rigshospitalet  Copenhagen Denmark"},{"name":"Department of Regional Health Research, The Faculty of Health Sciences University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasmus","family":"Hesselfeldt","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Surgery and Trauma Centre\u2014Rigshospitalet Copenhagen University Hospital  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6378-9673","authenticated-orcid":false,"given":"Morten Hylander","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Copenhagen University Hospital\u2014Rigshospitalet  Copenhagen Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"M\u00f8gelmose","sequence":"additional","affiliation":[{"name":"Visual Analysis and Perception Lab Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0981-0723","authenticated-orcid":false,"given":"Markus Harboe","family":"Olsen","sequence":"additional","affiliation":[{"name":"Copenhagen Trial Unit, Centre for Clinical Intervention Research, The Capital Region Copenhagen University Hospital\u2014Rigshospitalet  Copenhagen Denmark"},{"name":"Department of Neuroanaesthesiology, The Neuroscience Centre Copenhagen University Hospital\u2014Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3455-1655","authenticated-orcid":false,"given":"Katrine Bredahl","family":"Buggeskov","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Surgery and Trauma Centre\u2014Rigshospitalet Copenhagen University Hospital  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000817"},{"key":"e_1_2_10_3_1","unstructured":"Dansk An\u00e6stesi Database \u201cDanish Anaesthesia Data Yearly Report \u201d2024 accessed February 27 2026 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