Comparing Activity Trackers With vs. Without Alarms to Increase Postoperative Ambulation: A Randomized Control Trial
| Autor: | Jahnavi K. Srinivasan, Gregory J. Esper, Patrick S. Sullivan, Charles A. Staley, Giacomo C. Waller, Sebastian D. Perez, Tesia G Kim, Virginia O. Shaffer |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Postoperative Care medicine.medical_specialty business.industry education Activity tracker Fitness Trackers General Medicine Postoperative recovery Middle Aged law.invention Self Care Physical medicine and rehabilitation Randomized controlled trial law Clinical Alarms Early ambulation medicine Humans Patient Compliance Female business Enhanced recovery after surgery Digestive System Surgical Procedures Early Ambulation |
| Zdroj: | The American Surgeon. 87:1093-1098 |
| ISSN: | 1555-9823 0003-1348 |
| Popis: | Early ambulation is a key component to postoperative recovery; however, measuring steps taken is often inconsistent and nonstandardized. This study aimed to determine whether an activity tracker with alarms would increase postoperative ambulation in patients after elective colorectal procedures. Forty-eight patients were randomly assigned to either trackers with 5 daily alarms or activity trackers alone. Over 223 total patient days, the trackers recorded a complete data set for 216 patient days (96.9%). Increasing the postoperative day significantly affected the number of steps taken, while age, sex, Risk Analysis Index score, and approach (laparoscopic versus open) did not show a significant effect. The mean steps per day in the intervention group were 1468 (median 495; interquartile range (IQR) 1345) and in the control group was 1645 (median 1014; IQR 2498). The use of trackers with alarms did not significantly affect the number of daily steps compared to trackers alone (ANOVA, P = .93). Although activity trackers with alarms did not increase postoperative ambulation compared with trackers with no alarms, we demonstrated a strategy to operationalize the use of trackers into postoperative care to provide a quantitative value for ambulation. This enables quantification of a key component in the Enhanced Recovery After Surgery protocol. |
| Databáze: | OpenAIRE |
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