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Erschienen in: European Spine Journal 11/2016

27.06.2016 | Original Article

Postoperative monitoring with a mobile application after ambulatory lumbar discectomy: an effective tool for spine surgeons

verfasst von: Bertrand Debono, Philippe Bousquet, Pascal Sabatier, Jean-Yves Plas, Jean-Paul Lescure, Olivier Hamel

Erschienen in: European Spine Journal | Ausgabe 11/2016

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Abstract

Background

The rise of eHealth, with the increasing use of a Mobile application provides a new perspective for outpatient spine surgery follow-up.

Objective

Assess the feasibility of Mobile app for postoperative monitoring after outpatient lumbar discectomy.

Patients and methods

Sixty consecutive patients, who underwent an ambulatory lumbar discectomy, were proposed the use of Mobile app to optimize their home monitoring for 15 days. Contact was maintained with the clinic based on the level of symptom severity: pain, temperature, deficit, bleeding, to provide a suitable solution. Use of Mobile app compared to the standard follow-up procedure was evaluated daily and a satisfaction survey was carried-out 3 months after surgery.

Results

Thirty-six patients (60.0 %) completed the initial checklist within 48 h, with no triggered severity. Five patients (8.3 %) triggered a non-response alarm; no action was required in the follow-up of 41 patients. However, 19 patients (31.7 %) triggered a total of 29 alarms, automatically resulting in a neurosurgeon contact for: postoperative pain management and optimization of analgesics, 21 cases (72.4 %), low-grade fever <38.5°, 4 cases (13.8 %), voiding delay, 2 cases (6.9 %) and a problem related to dressing, 2 cases (6.9 %). The scale ranged from 1 (poor) to 4 (excellent), with a 3.5/4 overall satisfaction mean score for the mobile handheld-device. Most patients (91.6 %) responded that they would agree to repeat the postoperative experience.

Conclusion

Overall patient satisfaction was excellent. Mobile app provides an effective useful tool for outpatient spine surgery monitoring and minimizes the need for in-person visits for postoperative patients.
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Metadaten
Titel
Postoperative monitoring with a mobile application after ambulatory lumbar discectomy: an effective tool for spine surgeons
verfasst von
Bertrand Debono
Philippe Bousquet
Pascal Sabatier
Jean-Yves Plas
Jean-Paul Lescure
Olivier Hamel
Publikationsdatum
27.06.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
European Spine Journal / Ausgabe 11/2016
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-016-4680-4

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