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

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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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References

  1. http://www.chirurgie-ambulatoire.org/fr/. (French Association of Ambulatory Surgery site) Accessed 15 Nov 2015

  2. Bookwalter JW, Busch MD, Nicely D (1994) Ambulatory surgery is safe and effective in radicular disc disease. Spine 19:526–530

    Article  PubMed  Google Scholar 

  3. Kehlet H, Wilmore DW (2008) Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg 248:189–198. doi:10.1097/SLA.0b013e31817f2c1a

    Article  PubMed  Google Scholar 

  4. Beaussier M, Vons C (2014) Post-hospital home care after ambulatory surgery. Presse Méd Paris Fr 1983 43:305–308. doi:10.1016/j.lpm.2014.01.002

    Google Scholar 

  5. Steinhubl SR, Muse ED, Topol EJ (2015) The emerging field of mobile health. Sci Transl Med 7:283rv3. doi:10.1126/scitranslmed.aaa3487

    Article  PubMed  PubMed Central  Google Scholar 

  6. Étude Santé (2015). http://www.deloitte-france.fr/documents/deloitte_barometre-sante-2015_presentation-ifop_avr-2015.pdf. Deloitte Health Survey in French, published in: Étude Santé Accessed 15 Nov 2015

  7. de Jongh T, Gurol-Urganci I, Vodopivec-Jamsek V et al (2012) Mobile phone messaging for facilitating self-management of long-term illnesses. Cochrane Database Syst Rev 12:CD007459. doi:10.1002/14651858.CD007459.pub2

    PubMed  Google Scholar 

  8. Chung F, Chan VW, Ong D (1995) A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth 7:500–506

    Article  CAS  PubMed  Google Scholar 

  9. Russ S, Rout S, Sevdalis N et al (2013) Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg 258:856–871. doi:10.1097/SLA.0000000000000206

    Article  PubMed  Google Scholar 

  10. Best NM, Sasso RC (2006) Success and safety in outpatient microlumbar discectomy. J Spinal Disord Tech 19:334–337. doi:10.1097/01.bsd.0000210119.47387.44

    Article  PubMed  Google Scholar 

  11. Cares HL, Steinberg RS, Robertson ET, Caldini P (1988) Ambulatory microsurgery for ruptured lumbar discs: report of ten cases. Neurosurgery 22:523–526

    Article  CAS  PubMed  Google Scholar 

  12. Pugely AJ, Martin CT, Gao Y, Mendoza-Lattes SA (2013) Outpatient surgery reduces short-term complications in lumbar discectomy: an analysis of 4310 patients from the ACS-NSQIP database. Spine 38:264–271. doi:10.1097/BRS.0b013e3182697b57

    Article  PubMed  Google Scholar 

  13. Asch HL, Lewis PJ, Moreland DB et al (2002) Prospective multiple outcomes study of outpatient lumbar microdiscectomy: should 75–80 % success rates be the norm? J Neurosurg 96:34–44

    PubMed  Google Scholar 

  14. Crocker JB, Crocker JT, Greenwald JL (2012) Telephone follow-up as a primary care intervention for postdischarge outcomes improvement: a systematic review. Am J Med 125:915–921. doi:10.1016/j.amjmed.2012.01.035

    Article  PubMed  Google Scholar 

  15. Semple JL, Sharpe S, Murnaghan ML et al (2015) Using a Mobile app for monitoring post-operative quality of recovery of patients at home: a feasibility study. JMIR mHealth uHealth. doi:10.2196/mhealth.3929

    PubMed  PubMed Central  Google Scholar 

  16. Martínez-Ramos C, Cerdán MT, López RS (2009) Mobile phone-based telemedicine system for the home follow-up of patients undergoing ambulatory surgery. Telemed J eHealth Off J Am Telemed Assoc 15:531–537. doi:10.1089/tmj.2009.0003

    Article  Google Scholar 

  17. Logan AG, McIsaac WJ, Tisler A et al (2007) Mobile phone-based remote patient monitoring system for management of hypertension in diabetic patients. Am J Hypertens 20:942–948. doi:10.1016/j.amjhyper.2007.03.020

    Article  PubMed  Google Scholar 

  18. Cole-Lewis H, Kershaw T (2010) Text messaging as a tool for behavior change in disease prevention and management. Epidemiol Rev 32:56–69. doi:10.1093/epirev/mxq004

    Article  PubMed  PubMed Central  Google Scholar 

  19. McGillicuddy JW, Weiland AK, Frenzel RM et al (2013) Patient attitudes toward mobile phone-based health monitoring: questionnaire study among kidney transplant recipients. J Med Internet Res 15:e6. doi:10.2196/jmir.2284

    Article  PubMed  PubMed Central  Google Scholar 

  20. Bontemps G (2014) Organizational recommendations for day surgery. Presse Méd Paris Fr 1983(43):309–318. doi:10.1016/j.lpm.2013.09.006

    Article  Google Scholar 

  21. Mezei G, Chung F (1999) Return hospital visits and hospital readmissions after ambulatory surgery. Ann Surg 230:721–727

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Wilmore DW, Kehlet H (2001) Management of patients in fast track surgery. BMJ 322:473–476

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Kosecoff J, Kahn KL, Rogers WH et al (1990) Prospective payment system and impairment at discharge: the ‘quicker-and-sicker’ story revisited. JAMA 264:1980–1983. doi:10.1001/jama.1990.03450150080035

    Article  CAS  PubMed  Google Scholar 

  24. Sharareh B, Schwarzkopf R (2014) Effectiveness of telemedical applications in postoperative follow-up after total joint arthroplasty. J Arthroplast 29(918–922):e1. doi:10.1016/j.arth.2013.09.019

    Google Scholar 

  25. Krishna S, Boren SA, Balas EA (2009) Healthcare via cell phones: a systematic review. Telemed J E-Health Off J Am Telemed Assoc 15:231–240. doi:10.1089/tmj.2008.0099

    Article  Google Scholar 

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Acknowledgments

The authors are grateful to Richard Medeiros—medical editor of Medical Editing International for editing the manuscript, and to Marina Trevisiol for the infography.

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Authors and Affiliations

  1. Neurosurgery Department, Neurosciences Pole, CAPIO-Clinique des Cèdres, Château D’Alliez, 31700, Cornebarrieu, France

    Bertrand Debono, Philippe Bousquet, Pascal Sabatier, Jean-Yves Plas, Jean-Paul Lescure & Olivier Hamel

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  1. Bertrand Debono
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  2. Philippe Bousquet
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  3. Pascal Sabatier
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  4. Jean-Yves Plas
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Correspondence to Bertrand Debono.

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Debono, B., Bousquet, P., Sabatier, P. et al. Postoperative monitoring with a mobile application after ambulatory lumbar discectomy: an effective tool for spine surgeons. Eur Spine J 25, 3536–3542 (2016). https://doi.org/10.1007/s00586-016-4680-4

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  • DOI: https://doi.org/10.1007/s00586-016-4680-4

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