Assessment of Ileostomy Output Using Telemedicine: A Feasibility Trial

Bednarski, Brian Keith; Slack, Rebecca; Katz, Matthew H.G.; You, Y. Nancy; Papadopolous, John; Rodrı́guez-Bigas, Miguel A.; Skibber, John M.; Matin, Surena F.; Chang, George J.

doi:10.1097/dcr.0000000000000945

Cited by 30 publications

(28 citation statements)

References 18 publications

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“…The first was for preoperative assessment, diagnostic purposes, or for consultation with another surgical department ( 9 , 14 - 22 ). The second involved using telemedicine for postoperative wound assessment, from either a photograph of the surgical wound, via a health-monitoring machine, or an SMS from patients if they had an unusual symptom ( 23 - 31 ). The third used tele-monitoring in place of conventional clinics for follow-up ( 12 , 32 - 35 ).…”

Section: Resultsmentioning

confidence: 99%

“…The third type of intervention was telemedicine for usual follow-up. Four studies used teleconferencing for usual postoperative care assessment and found that the technology enabled strong connectivity between patients and the healthcare provider ( 23 , 31 , 34 , 35 ). Two studies described the use of videoconferencing via a mobile phone for remote patient monitoring using an electronic blood pressure monitoring device or for monitoring surgical drains and found that it was very beneficial for both parties ( 26 , 30 ).…”

Section: Resultsmentioning

confidence: 99%

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The Use of Telemedicine in Surgical Care: a Systematic Review

et al. 2018

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Introduction:Telemedicine describes a healthcare service where physicians communicate with patients remotely using telecommunication technologies. Telemedicine is being used to provide pre-/postoperative surgical consultation and monitoring as well as surgical education.Aim:Our purpose was to investigate the broad range of telemedicine technologies used in surgical care.Material and methods:MEDLINE, EMBASE, CINAHL, and Science Direct were searched for available literature from inception to March 30, 2018 with no language restrictions. The search terms included: cell phones, telemedicine, telecommunications, video, online, videoconferencing, remote consultation, surgery, preoperative, perioperative, postoperative, and surgical procedures. Studies were included if they used telemedicine in surgery for pre-, peri-, or post-surgery periods, and if they compared traditional surgical care with surgical telemedicine. We excluded case series, case reports, and conference abstracts from our review.Results:A total of 24 studies were included in our review. The study found that the use of telemedicine in preoperative assessment and diagnosis, evaluation after surgery and follow-up visits to be beneficial. Patients reported benefits to using telemedicine such as avoiding unnecessary trips to hospitals, saving time and reducing the number of working days missed.Conclusion:Telemedicine in surgical care can provide benefits to both patients and clinicians.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Use of Telemedicine in Surgical Care: a Systematic Review

et al. 2018

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“…Previous experiences with telemedicine in postoperative care have demonstrated safe and effective wound care, postoperative patient education and even ileostomy output management [ 10 , 11 ]. However, most patients and providers prefer in-person postoperative visits during normal times [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Telemedicine for postoperative follow-up, virtual surgical clinics during COVID-19 pandemic

et al. 2020

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Summary and background data Recent coronavirus outbreak and “stay at home” policies have accelerated the implementation of virtual healthcare. Many surgery departments are implementing telemedicine to enhance remote perioperative care. However, concern still arises regarding the safety of this modality in postoperative follow-up after gastrointestinal surgery. The aim of the present prospective study is to compare the use of telemedicine clinics to in-person follow-up for postoperative care after gastrointestinal surgery during COVID-19 outbreak. Methods Prospective study that included all abdominal surgery patients operated since the COVID-19 outbreak. On discharge, patients were given the option to perform their postoperative follow-up appointment by telemedicine or by in-person clinics. Demographic, perioperative, and follow-up variables were analyzed. Results Among 219 patients who underwent abdominal surgery, 106 (48%) had their postoperative follow-up using telemedicine. There were no differences in age, gender, ASA score, and COVID-19 positive rate between groups. Patients who preferred telemedicine over in-person follow-up were more likely to have undergone laparoscopic surgery (71% vs. 51%, P = 0.037) and emergency surgery (55% vs. 41%; P = 0.038). Morbidity rate for telemedicine and in-person group was 5.7% and 8%, ( P = 0.50). Only 2.8% of patients needed an in-person visit following the telemedicine consult, and 1.9% visited the emergency department. Conclusions In the current pandemic, telemedicine follow-up can be safely and effectively performed in selected surgical patients. Patients who underwent laparoscopic and emergency procedures opted more for telemedicine than in-person follow-up.

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“…These data mostly came from patients' observation records in the hospital (including outpatient review) belonging to on-site data collection. Using remote video conference to evaluate ileostomy output, and taking early intervention measures to improve prognosis is a method worth exploring [23]. Multicenter, large sample randomized controlled studies of HOS should be conducted in the future.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for developing high-output ileostomy: a retrospective study

Xiao

Bai

et al. 2021

Preprint

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Background Prophylactic ileostomy and colostomy have been widely used to reduce the risk and complications of anastomotic leakage with high-risk colorectal cancer after operation. However, prophylactic ileostomy itself has some complications, and ileostomy high out-put syndrome is one of them. This study was performed to explore the risk factors of HOS in ileostomy.Methods A total of 114 patients with HOS were screened out from 494 eligible ileostomy patients in the last five years. The clinical and pathological data were analyzed. The relationship between HOS and clinicopathological data was analyzed. Multivariate analysis was performed by logistic regression.Results There was no clear correlation between the occurrence of HOS with sex, age, gross typing, histological grade, location of tumors, lymph node metastasis and TNM stage (p>0.05). Preoperative complications including inflammatory bowel disease, diabetes mellitus and neoadjuvant chemoradiotherapy were risk factors for HOS (p<0.05). Total colectomy and abdominal infection were risk factors for HOS (p<0.05) during operation.Conclusion Inflammatory bowel disease, diabetes mellitus and neoadjuvant radiotherapy and chemotherapy in patients with colorectal cancer are the preoperative risk factors for HOS. Total colectomy and postoperative abdominal infection are the postoperative risk factors for HOS.

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Assessment of Ileostomy Output Using Telemedicine: A Feasibility Trial

Cited by 30 publications

References 18 publications

The Use of Telemedicine in Surgical Care: a Systematic Review

The Use of Telemedicine in Surgical Care: a Systematic Review

Telemedicine for postoperative follow-up, virtual surgical clinics during COVID-19 pandemic

Risk factors for developing high-output ileostomy: a retrospective study

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