Post-operative telephone review is safe and effective: prospective study - Monash outpatient review by phone trial

Autor: Gregory T. Jones, Toni Hunter, Daniel Croagh, Paul Cashin, Stephen Rodgers-Wilson, Pee Yau Tan, Yeng Kwang Tay, Dane Holden, Yi Ma
Rok vydání: 2017
Předmět:
Zdroj: ANZ Journal of Surgery. 88:434-439
ISSN: 1445-1433
DOI: 10.1111/ans.14280
Popis: INTRODUCTION Studies have shown that post-operative telephone follow-up is satisfactory and effective. As high quality evidence is scant, we conducted a randomized controlled trial to compare it against outpatient clinic review for emergency laparoscopic appendicectomy or cholecystectomy. METHOD Patients who received emergency laparoscopic appendicectomy or cholecystectomy were eligible for this study. Once recruited, they were randomly allocated to either clinic review or telephone follow-up on discharge. Participants were reviewed at 2 weeks after operation and contacted again at 4 weeks after initial follow-up for satisfaction survey. RESULTS One hundred and seventy-nine participants were recruited with one withdrawn consent and six excluded. Ninety-six underwent laparoscopic appendicectomy and 76 had laparoscopic cholecystectomy. Ninety-six attended clinic review and 76 had telephone follow-up. The two groups were similar in baseline variables. Non-attendance rate was higher for clinic review cohort (24% vs 6.6%, P = 0.002). Participants who received telephone review reported higher satisfaction level (9.31 vs 8.85, P = 0.002), and most patients prefer telephone follow-up (73.1%, P
Databáze: OpenAIRE
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