Association of Wearable Activity Monitors With Assessment of Daily Ambulation and Length of Stay Among Patients Undergoing Major Surgery

Daskivich, Timothy J.; Houman, Justin; Lopez, Mayra; Luu, Michael; Fleshner, Philip; Zaghiyan, Karen; Cunneen, Scott A.; Burch, Miguel; Walsh, Christine; Paiement, Guy D.; Kremen, Thomas J.; Soukiasian, Harmik J.; Spitzer, Andrew I.; Jackson, Titus; Kim, Hyung L.; Li, Andrew; Spiegel, Brennan

doi:10.1001/jamanetworkopen.2018.7673

Cited by 108 publications

(154 citation statements)

References 19 publications

Supporting

Mentioning

149

Contrasting

Unclassified

Order By: Relevance

“…While the devices were able to assess sleep as well as general activity, the integration and merging of data into existing care pathways and databases is more challenging. More recently, one group found patients with a higher post-operative daily step count were less likely to have a prolonged LOS, allowing prediction of those at risk of poor outcomes [42].…”

Section: Technology and Healthcarementioning

confidence: 99%

Enhanced Recovery After Surgery

Greenshields

Mythen

2020

Curr Anesthesiol Rep

View full text Add to dashboard Cite

Purpose of Review To provide a brief summary of the progress of enhanced recovery over the last 5 to 10 years and set out what the future might hold for such programmes.Recent Findings There has been significant progress in the adoption of enhanced recovery programmes across multiple surgical specialities. However there is still difficulty in sustaining a target of > 80% compliance, which has been identified through research as the optimal level to observe best patient results. With increasing interest in perioperative medicine and prehabilitation, more focus is being put into enhanced recovery programmes. Summary The evidence continues to support the use of enhanced recovery programmes to reduce patient mortality, morbidity and length of stay and therefore saving cost and resource. However more progress needs to be made in adoption and compliance to these programmes. In the future, advances in technology may aid programme implementation and data collection.

show abstract

Section: Technology and Healthcarementioning

confidence: 99%

Enhanced Recovery After Surgery

Greenshields

Mythen

2020

Curr Anesthesiol Rep

View full text Add to dashboard Cite

show abstract

“…A recent prospective study evaluated the association between daily ambulation measured by wearable activity monitors and LOS among patients undergoing major surgery (including RC). They found that higher step count (up to 1000 steps) on postoperative day 1 was associated with a lower probability of a prolonged LOS …”

Section: Postoperative Componentsmentioning

confidence: 99%

Enhanced recovery after surgery review and urology applications in 2020

Pessôa¹,

Ürkmez

Kukreja

et al. 2020

BJUI Compass

View full text Add to dashboard Cite

Purpose: To explore enhanced recovery after surgery (ERAS) components and their current application to major urologic surgeries, barriers to implementation and maintenance of the associated quality improvement. Data Identification: An English language literature search was done using PubMed. Study Selection: After independent review, 55 of the original 214 articles were selected to specifically address the stated purpose. Data Extraction: Clinical trials were included, randomized trials were prioritized, but robust observational studies were also included. Results of Data Synthesis: Many ERAS components have good data to support usage in radical cystectomy (RC) patients. Most ERAS programs include multidisciplinary teams carrying out multimodal pathways to hasten recovery after a major operation. ERAS components generally include preoperative counseling and medical optimization, venous thromboembolism prophylaxis, ileus prevention, avoidance of fluid overload, normothermia maintenance, early mobilization, pain control and early feeding, all leading to early discharge without increased complications or readmissions. Although there may not be specific data pertaining to other major urologic operations, the principles remain similar and ERAS is easily applicable. Conclusion: The benefits of ERAS programs are well established for RC and principles are easily applicable to other major urology operations. Barriers to implantation and maintenance of ERAS must be recognized to continue to maintain the benefits of these programs.

show abstract

“…For future work, objective physical performance assessment tools, such as the liver frailty index 11,12 or personal fitness trackers, may be useful to study the impact of pretransplant performance. 13 Because these tools require patient participation and therefore are not Clinical Gastroenterology and Hepatology 2020;18:54-56 often easily evaluated in very sick hospitalized patients, these data would need to be gathered by performing routine outpatient performance measurements leading up to transplantation. This type of study was performed by Lai et al 14 in patients awaiting LT (not limited to ACLF).…”

mentioning

confidence: 99%