Medical utilization of Kiosk in the preoperative assessment of the ASA physical status - a pilot study

Q: What was the primary objective of this study?

To validate an electronic questionnaire used to assess patients’ ASA physical status in the preoperative setting.

Q: How were ASA scores estimated and compared?

A questionnaire (20 yes/no items) was entered in the kiosk and ASA scores were retrospectively estimated. The kiosk-based estimates were then blinded and compared with face-to-face ASA scores by a separate anesthesiologist using Cohen’s Kappa.

Q: What did the study conclude about using a kiosk in preoperative assessment?

The electronic questionnaire was accurate for estimating physical status and a kiosk can help identify low-risk patients to facilitate assessment, but it cannot replace a complete physician evaluation.

Sep 24, 2026

Uploaded by Jasmine

Background: The use of healthcare kiosks is increasing, yet limited evidence exists on their role in pre-operative clinics. Objective: Validate an electronic questionnaire designed to assess ASA physical status. Design: Monocenter retrospective pilot study. Setting: Tertiary hospital. Patients: 323 adults undergoing pre-operative visits before elective non-cardiac surgery. Outcomes: Kiosk questionnaire items estimated ASA scores and were compared with blinded face-to-face anesthesiologist assessments.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages7

Reading Time18 min

AccessFree to download

Abstract

Background and Objective

Design, Setting, and Patients

Main Outcome Measures and Results

Conclusion

ActA AnAesth. Bel., 2024, 75 (2): 117-123 Original study Medical utilization of Kiosk in the preoperative assessment of the ASA physical status: a pilot study c.B. RoBu1, I.M. lupu2, M.A. DocquIeR3, M. VAn BoVen4, M. MoMenI5 1MD, Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium; 2MD, Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium; 3MD, PhD. Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium; 4MD, PhD. Department of Anesthesiology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium; 5MD, PhD. Department of Anaesthesiology; Cliniques Universitaires Saint-Luc; Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), Brussels, Belgium. Corresponding author: C.B. ROBU, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Avenue Hippocrate 10, 1200 Brussels, Belgium. Tel: +32.2764.1821-E-mail: [bianca.robu@saintluc.uclouvain.be](bianca.robu@saintluc.uclouvain.be) Abstract Background: The use of healthcare kiosk is increasing in the medical community. However, there are scares data on its use in a pre-operative clinic. Objective: The aim of this study is to validate an electronic questionnaire to assess the ASA physical status. Design: monocenter retrospective pilot study Setting: Tertiary hospital. Patients: 323 adults having a pre-operative visit prior to elective non-cardiac surgery. Main outcome measures: A questionnaire including 20 items (yes/no) was designed and inserted in the Kiosk. The ASA score was then retrospectively estimated by an anaesthesiologist not involved in preoperative visit, considering the total number of positive answers ofthe questionnaire inserted in the Kiosk. The answers to the questionnaire from the Kiosk were blinded to the anaesthesiologist performing the pre-operative face-to-face assessment. Agreement between both ASA scores provided from both anaesthesiologists was analysed using Cohen’s Kappa test (κ). Results: Agreement between ASA score estimated by kiosk answers and ASA score from face-to-face examination was substantially good with K=0.628 (P<0.001). Conclusion: Our electronic questionnaire is accurate in estimating patient’s physical status. A kiosk can be used to detect low risk patients in order to facilitate the preoperative assessment. However, it cannot replace a complete evaluation by a physician. Key words: Preoperative assessment, healthcare kiosk, electronic questionnaire, ASA physical status. Introduction The pre-operative evaluation is the first step in ensuring the safe conduct of anaesthetic care in patients of all ages. It has been proven to improve outcome, to lower cancellations and delays, and to improve providers’ and patients’satisfaction 1-3 . Over the time, this process of pre-operative evaluation has changed significantly4,5 . As the transition from traditional paper records to electronic medical records has continued, healthcare providers have continuously looked for new and improved assessment tools to reduce costs and improve efficiency. One way to do so has been the deployment of healthcare kiosks in medical Preliminary data for the manuscript were presented as a poster presentation at the Euroanaesthesia Virtual Meeting, on 28-29 of November 2020. This study was approved by Comité d’Ethique Hospitalo-Facultaire Saint Luc-UCL, Brussels, Belgium (Chairperson Prof J-M. Maloteaux) on March 2021,(237-B 403/201318880). 117 institution settings6 . In line with global advances in information technology, the quality of perioperative medicine is being improved and healthcare kioskshave been introduced as computerized pre-operative self-assessment systems7,8 . There is evidence that the effectiveness of the information and questionnaires deliv

FAQs

What was the primary objective of this study?

To validate an electronic questionnaire used to assess patients’ ASA physical status in the preoperative setting.

How were ASA scores estimated and compared?

A questionnaire (20 yes/no items) was entered in the kiosk and ASA scores were retrospectively estimated. The kiosk-based estimates were then blinded and compared with face-to-face ASA scores by a separate anesthesiologist using Cohen’s Kappa.

What did the study conclude about using a kiosk in preoperative assessment?

The electronic questionnaire was accurate for estimating physical status and a kiosk can help identify low-risk patients to facilitate assessment, but it cannot replace a complete physician evaluation.

Sep 24, 2026

Uploaded by Jasmine