Titre
Gains and limitations of a connected tracking solution in the perioperative follow-up of colorectal surgery patients.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Agri, F.
Co-première auteure/Co-premier auteur
Hahnloser, D.
Auteure/Auteur
Demartines, N.
Auteure/Auteur
Hübner, M.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1463-1318
Statut éditorial
Publié
Date de publication
2020-08
Volume
22
Numéro
8
Première page
959
Dernière page/numéro d’article
966
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
The means to target shorter hospital stay include information technology strategies to improve communication between caregivers and patients in order to limit potentially avoidable readmissions. The aim of the present study was to analyse the benefits and limitations of a smartphone-based connected tracking solution in the perioperative follow-up of colorectal surgery patients.
This was a retrospective monocentric cohort study of consecutive patients after colorectal surgery between February and December 2018. The mobile health application included information delivery and daily structured questionnaires on a personalized patient electronic profile, before the hospital stay and for 7 days post-discharge. The medical team answered automatic alerts in real time.
A total of 93 eligible patients were approached and 36 had to be excluded (26 no smartphone, five no email, five not French speaking). Among the potential users, 50 (88%) engaged in an mHealth app and seven refused. Of these 50 patients, seven dropped out. Of the remaining 43 patients, the app detected 12 adverse events, and 10 (83%) were handled through the app. Healthcare providers responded to patient-generated alerts after a median time of 90 min (range 9-448 min). Patients' mean satisfaction level was 4 ± 0.97 out of 5.
In total, 88% of smartphone-equipped patients showed a willingness to engage in mHealth. Reasons for exclusion were the absence of connection tools and a language barrier. Patients who responded to the survey were satisfied with the solution and 83% of post-discharge adverse events were solved through the app, avoiding emergency consultations.
This was a retrospective monocentric cohort study of consecutive patients after colorectal surgery between February and December 2018. The mobile health application included information delivery and daily structured questionnaires on a personalized patient electronic profile, before the hospital stay and for 7 days post-discharge. The medical team answered automatic alerts in real time.
A total of 93 eligible patients were approached and 36 had to be excluded (26 no smartphone, five no email, five not French speaking). Among the potential users, 50 (88%) engaged in an mHealth app and seven refused. Of these 50 patients, seven dropped out. Of the remaining 43 patients, the app detected 12 adverse events, and 10 (83%) were handled through the app. Healthcare providers responded to patient-generated alerts after a median time of 90 min (range 9-448 min). Patients' mean satisfaction level was 4 ± 0.97 out of 5.
In total, 88% of smartphone-equipped patients showed a willingness to engage in mHealth. Reasons for exclusion were the absence of connection tools and a language barrier. Patients who responded to the survey were satisfied with the solution and 83% of post-discharge adverse events were solved through the app, avoiding emergency consultations.
PID Serval
serval:BIB_FF39E6722BBD
PMID
Open Access
Oui
Date de création
2020-02-06T16:29:49.195Z
Date de création dans IRIS
2025-05-21T05:40:12Z
Fichier(s)![Vignette d'image]()
En cours de chargement...
Nom
Colorectal Disease - 2020 - Agri - Gains and limitations of a connected tracking solution in the perioperative follow‐up of.pdf
Version du manuscrit
published
Taille
159.36 KB
Format
Adobe PDF
PID Serval
serval:BIB_FF39E6722BBD.P001
URN
urn:nbn:ch:serval-BIB_FF39E6722BBD4
Somme de contrôle
(MD5):9ed0332b40a37a8d2d8f3d1505494aea