Parental Post-operative Telephone Follow-Up After Paediatric Day Case Surgery.

Autor: Williams OM; Department of Surgery, Lagos State University College of Medicine, and Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria. omra1128@gmail.com., Faboya OM; Department of Surgery, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria., Omisanjo OA; Department of Surgery, Lagos State University College of Medicine, and Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
Jazyk: angličtina
Zdroj: World journal of surgery [World J Surg] 2021 Oct; Vol. 45 (10), pp. 3222-3229. Date of Electronic Publication: 2021 Jul 05.
DOI: 10.1007/s00268-021-06228-8
Abstrakt: Background: Paediatric day case surgeries (DCSs) are associated with minimal complications therefore the post-operative follow-up visit usually serves to calm anxious parents and is replaceable with a phone call. This study examines the safety and reliability of post-operative telephone assessment by caregivers and its acceptability to them.
Methods: Parents of DCS patients over a 9-month period were recruited for telephone follow-up on third post-operative day for wound assessment. The remote reports were compared with the finding during the in-person visit on fourth post-operative day to determine the reliability of parents' observation. The parents' acceptance of telephone follow-up was also studied.
Results: The parents of 112 children who had groin surgeries (84%), repair of umbilical hernias (4.5%) and excision of soft tissue masses (11.6%) were recruited. The M:F ratio was 10.2:1. The median age at surgery was 64 months (IQR 43.0-96.8) and median waiting time for surgery was 11.5 months (IQR 3.0-28.8). Most caregivers were mothers (83%) and had a minimum of secondary education (86.6%). The telephone and clinic assessments were matched in 98 of 101 assessed patients. Telephone follow-up would have sufficed for 104 (92.9%) patients and correctly identified those who needed clinic visits. Majority of parents found telephone follow-up acceptable in lieu of clinic visit but some preferred to be given a phone number to initiate the call if necessary.
Conclusion: Telephone call is safe, feasible and acceptable for follow-up after paediatric DCS. A guided parents' assessment of the wound is reliable for determining those who need hospital visit.
(© 2021. Société Internationale de Chirurgie.)
Databáze: MEDLINE
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