Re: Effect of Home Monitoring via Mobile App on the Number of In-Person Visits following Ambulatory Surgery: A Randomized Clinical Trial
| Autor: | John L. Semple, Mitchell H. Brown, Peter C. Coyte, Kathleen A. Armstrong, Brett Beber |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty 020205 medical informatics Office Visits Mammaplasty Urology MEDLINE Aftercare 02 engineering and technology law.invention 03 medical and health sciences 0302 clinical medicine Patient satisfaction Ambulatory care Randomized controlled trial law Health care 0202 electrical engineering electronic engineering information engineering Clinical endpoint medicine Humans Original Investigation Electronic Mail business.industry Mobile apps Ambulatory Surgical Procedure Middle Aged medicine.disease Mobile Applications Surgery Telephone Ambulatory Surgical Procedures Elective Surgical Procedures Patient Satisfaction 030220 oncology & carcinogenesis Ambulatory Female Medical emergency business |
| Zdroj: | Journal of Urology. 198:473-475 |
| ISSN: | 1527-3792 0022-5347 |
| Popis: | In the age of information and patient-centered care, new methods of delivering postoperative care must be developed and evaluated.To determine whether follow-up care delivered via a mobile app can be used to avert in-person follow-up care visits compared with conventional, in-person follow-up care in the first 30 days following ambulatory surgery.A randomized clinical trial was conducted from February 1 to August 31, 2015, among ambulatory patients undergoing breast reconstruction at an academic ambulatory care hospital. Patients were randomly assigned to receive follow-up care via a mobile app or at an in-person visit during the first 30 days after the operation. Analysis was intention-to-treat.The primary end point was the number of in-person follow-up visits during the first 30 days after the operation. Secondary end points were the number of telephone calls and emails to health care professionals, patient-reported convenience and satisfaction scores, and rates of complications.Of the 65 women in the study (mean [SD] age, 47.7 [13.4] years), 32 (49%) were in the mobile app group, and 33 (51%) were in the in-person follow-up care group. Those in the mobile app group attended a mean of 0.66 in-person visits, vs 1.64 in-person visits in the in-person follow-up care group, for a difference of 0.40 times fewer in-person visits (95% CI, 0.24-0.66; P .001) and sent more emails to their health care professionals during the first 30 days after the operation (mean, 0.65 vs 0.15; incidence rate ratio, 4.13; 95% CI, 1.55-10.99; P = .005) than did patients in the in-person follow-up care group. This statistically significant difference was maintained at 3 months postoperatively. The mobile app group reported higher convenience scores than the in-person follow-up care group (incidence rate ratio, 1.39; 95% CI, 1.09-1.77; P = .008). There was no difference between groups in the number of telephone communications, satisfaction scores, or complication rates.Patients undergoing ambulatory breast reconstruction can use follow-up care via a mobile app to avert in-person follow-up visits during the first 30 days after the operation. Mobile app follow-up care affects neither complication rates nor patient-reported satisfaction scores, but it improves patient-reported convenience scores.clinicaltrials.gov Identifier: NCT02318953. |
| Databáze: | OpenAIRE |
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