Emerging Insight in the Use of an Active Post Discharge Surveillance Program in Spine Surgery: A Retrospective Pilot Study.
Active Post Discharge Surveillance
Apps
Mobile applications
Smartphone
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
19
12
2019
revised:
25
03
2020
accepted:
26
03
2020
pubmed:
18
4
2020
medline:
21
10
2020
entrez:
18
4
2020
Statut:
ppublish
Résumé
With smartphones being present in everyday life, we have witnessed an increasing use of applications designed for mobile communication devices that are aimed at facilitating patient engagement in different medical arenas. Such applications are meant to improve communications with patients and ultimately improve patient care. The aim of this study was to report on our early experiences using Active Post Discharge Surveillance (APDS) relative to invasiveness of the spine surgery and patient age and gender. A retrospective chart review was performed including all patients who volunteered to use application-based APDS between September 1, 2017, and September 30, 2018. The primary outcome was the number of APDS uses. Secondary outcomes were inquiries that led to a change of treatment or induced a readmission and patient satisfaction. Regression analysis was performed regarding the influence of invasiveness, age, and gender on the incidence of APDS use. The average number of individual APDS communications was 3.6 with no difference between degrees of severity of invasive surgery, age, or gender. APDS inquiries induced unexpected readmissions in 4 patients (66.6% of all readmissions) and postoperative treatment regimen changes in 4 other patients. Thirty-three patients (86.8%) reported being satisfied with APDS usage. This is the first study to investigate use of interactive APDS in patients undergoing elective spine surgery. Our data suggest that patient age, gender, or invasiveness of surgery is not associated with the usage of APDS.
Sections du résumé
BACKGROUND
With smartphones being present in everyday life, we have witnessed an increasing use of applications designed for mobile communication devices that are aimed at facilitating patient engagement in different medical arenas. Such applications are meant to improve communications with patients and ultimately improve patient care. The aim of this study was to report on our early experiences using Active Post Discharge Surveillance (APDS) relative to invasiveness of the spine surgery and patient age and gender.
METHODS
A retrospective chart review was performed including all patients who volunteered to use application-based APDS between September 1, 2017, and September 30, 2018. The primary outcome was the number of APDS uses. Secondary outcomes were inquiries that led to a change of treatment or induced a readmission and patient satisfaction. Regression analysis was performed regarding the influence of invasiveness, age, and gender on the incidence of APDS use.
RESULTS
The average number of individual APDS communications was 3.6 with no difference between degrees of severity of invasive surgery, age, or gender. APDS inquiries induced unexpected readmissions in 4 patients (66.6% of all readmissions) and postoperative treatment regimen changes in 4 other patients. Thirty-three patients (86.8%) reported being satisfied with APDS usage.
CONCLUSIONS
This is the first study to investigate use of interactive APDS in patients undergoing elective spine surgery. Our data suggest that patient age, gender, or invasiveness of surgery is not associated with the usage of APDS.
Identifiants
pubmed: 32302730
pii: S1878-8750(20)30656-2
doi: 10.1016/j.wneu.2020.03.185
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e237-e244Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.