Telehealth follow-up in the postoperative care of surgically treated pediatric supracondylar humerus fractures.
| Autor: | Makarewich CA; Department of Orthopaedics, University of Utah.; Primary Children's Hospital, Salt Lake City, Utah, USA., Cheminant JR; Department of Orthopaedics, University of Utah.; Primary Children's Hospital, Salt Lake City, Utah, USA., Biddle NC; Department of Orthopaedics, University of Utah.; Primary Children's Hospital, Salt Lake City, Utah, USA., Brennan JN; Department of Orthopaedics, University of Utah.; Primary Children's Hospital, Salt Lake City, Utah, USA., San Juan A; Department of Orthopaedics, University of Utah.; Primary Children's Hospital, Salt Lake City, Utah, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of pediatric orthopedics. Part B [J Pediatr Orthop B] 2024 Mar 01; Vol. 33 (2), pp. 192-197. Date of Electronic Publication: 2023 May 01. |
| DOI: | 10.1097/BPB.0000000000001090 |
| Abstrakt: | Supracondylar humerus fractures are a common pediatric orthopedic injury requiring surgery. These patients are typically seen 4 weeks post-op for cast and pin removal followed by an 8-12-week post-op motion check. Our study aimed to limit the number of in-office visits by conducting this last motion check by telehealth. This was a single-surgeon series of consecutive surgically treated supracondylar humerus fractures. The primary outcome was the number of patients who completed their range of motion check remotely. Loss to follow-up at the telehealth visit was compared to a prior cohort for whom the range of motion visit was performed in person. Secondary outcomes included number of patients missing work/school for the in-person vs. telehealth visits and satisfaction with the in-person and telehealth visits. Twenty-two patients were enrolled during the study period. Sixteen (73%) successfully completed their telehealth follow-up, which was similar to the prior in-person cohort. Significantly more parents/children had to take a day off from work/school to attend the in-person visit. No patient required a subsequent in-person visit or referral to physical therapy. A total of 100% of patients reported excellent satisfaction with their telehealth visit. Overall satisfaction was similar comparing the in-person vs. telehealth visits (84% vs. 100% reporting excellent satisfaction, P = 0.12). Telehealth is a viable option for the postoperative care of surgically treated supracondylar humerus fractures. This approach limits in-office visits and decreases the need for parents/children to miss work/school while maintaining excellent satisfaction scores. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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