Do postoperative telemedicine interventions with a communication feature reduce emergency department visits and readmissions?—a systematic review and meta-analysis

Eustache, Jules; El-Kefraoui, Charbel; Ekmekjian, Taline; Latimer, Éric; Lee, Lawrence

doi:10.1007/s00464-021-08607-7

Cited by 10 publications

(7 citation statements)

References 36 publications

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“…A systematic review by our group failed to demonstrate a clear reduction in ED visits and readmissions with the use of mHealth. 5 Furthermore, the results of this systematic review suggested that specialties with high return rates and high rates of potentially preventable ED visits were likely to benefit most from interventions that supplemented postoperative care. 5 Colorectal surgery represents such a specialty, with nearly 1 in 5 patients presenting to the ED within 30 days and at least half of those not requiring readmission.…”

Section: Conclusiónesmentioning

confidence: 89%

“…5 Furthermore, the results of this systematic review suggested that specialties with high return rates and high rates of potentially preventable ED visits were likely to benefit most from interventions that supplemented postoperative care. 5 Colorectal surgery represents such a specialty, with nearly 1 in 5 patients presenting to the ED within 30 days and at least half of those not requiring readmission. 1 Therefore, the aim of our study was to assess whether implementation of a mobile app with a patient-physician messaging feature would be associated with a reduced rate of potentially preventable ED visits after elective colorectal surgery.…”

mentioning

confidence: 89%

“…4 Across surgical subspecialties, mHealth has been applied in the care of perioperative patients, with some studies demonstrating benefits in adherence to treatments and in monitoring of postoperative complications. 5 However, with regard to ED visits and readmissions, much of the data remain equivocal. A systematic review by our group failed to demonstrate a clear reduction in ED visits and readmissions with the use of mHealth.…”

Section: Conclusiónesmentioning

confidence: 99%

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A Mobile Phone App Improves Patient-Physician Communication and Reduces Emergency Department Visits After Colorectal Surgery

Eustache

Latimer²,

Liberman³

et al. 2021

Diseases of the Colon &Amp; Rectum

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BACKGROUND: Emergency visits after colorectal surgery are common and require significant health care resources. However, many visits may be avoidable with alternative access to care. Mobile health technologies can facilitate patient access to health care providers. OBJECTIVE: We hypothesized that a mobile app for postdischarge monitoring with patient-provider communication ability would reduce emergency visits after elective abdominopelvic colorectal surgery. DESIGN: This is a prospective cohort study with a regression analysis after coarsened exact matching. SETTING: The study was conducted at a single colorectal referral center from May 2019 to September 2020. PATIENTS: A total of 114 patients were recruited to the intervention and were matched to a retrospective cohort of 608 patients from the 24 months before the study. All patients were managed according to an enhanced recovery pathway. INTERVENTIONS: A mobile phone app comprised of patient education material, daily questionnaires assessing postdischarge recovery, and patient-provider chat function was used. MAIN OUTCOME MEASURES: The primary outcomes included potentially preventable 30-day emergency visits defined according to a validated algorithm. Secondary outcomes included length of stay, complications, total emergency department visits, readmissions, and app usability. RESULTS: Coarsened-exact matching resulted in a matched sample of 94 prospective intervention patients and 256 retrospective control patients. The prospective group was associated with fewer preventable emergency department visits (incidence rate ratio 0.34; p = 0.043) and shorter length of stay (-1.62 days; p = 0.011). There were no differences in 30-day complications, total number of emergency visits, or readmissions. Patient-reported usability of the mobile app was high, with 88% of patients reporting that the app improved their ability to communicate with their surgeon. LIMITATIONS: We did not account for patient activation or perform a cost-analysis. CONCLUSION: Use of a mobile app was associated with fewer potentially preventable emergency visits and shorter length of stay after major elective colorectal surgery, which may be due to enhanced postdischarge monitoring and patient-provider communication. See Video Abstract at http://links.lww.com/DCR/B878. APLICACIÓN DE TELÉFONO MÓVIL MEJORA LA COMUNICACIÓN ENTRE MÉDICO Y PACIENTE Y REDUCE LAS VISITAS AL DEPARTAMENTO DE EMERGENCIAS DESPUÉS DE CIRUGÍA COLORECTAL ANTECEDENTES: Las visitas de emergencia después de la cirugía colorrectal son frecuentes y requieren importantes recursos sanitarios. Sin embargo, muchas visitas pueden evitarse con un acceso alternativo a la atención. Las tecnologías de salud móviles pueden facilitar el acceso de los pacientes a los proveedores de atención médica. OBJETIVO: Se planteó la hipótesis de que una aplicación móvil para el seguimiento posterior al alta con capacidad de comunicación entre el paciente y el médico reduciría las visitas de emergencia después de cirugía colorrectal ab...

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Section: Conclusiónesmentioning

confidence: 89%

mentioning

confidence: 89%

Section: Conclusiónesmentioning

confidence: 99%

See 1 more Smart Citation

A Mobile Phone App Improves Patient-Physician Communication and Reduces Emergency Department Visits After Colorectal Surgery

Eustache

Latimer²,

Liberman³

et al. 2021

Diseases of the Colon &Amp; Rectum

Self Cite

View full text Add to dashboard Cite

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“…Telemedicine is considered one of the most significant innovative responses during the COVID-19 pandemic, and its importance has been gradually increasing in recent years. In the field of emergency medicine, telemedicine extends beyond the assessment of confirmed patients during the pandemic and encompasses pre-hospital emergency services, teleconsulting, as well as post-discharge monitoring and readmission prevention [ 127 ]. However, traditional telemedicine systems mostly rely on outdated methods for storage and maintenance [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Blockchain Revolutionizing in Emergency Medicine: A Scoping Review of Patient Journey through the ED

Wu,

2023

Healthcare

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Background: Blockchain technology has revolutionized the healthcare sector, including emergency medicine, by integrating AI, machine learning, and big data, thereby transforming traditional healthcare practices. The increasing utilization and accumulation of personal health data also raises concerns about security and privacy, particularly within emergency medical settings. Method: Our review focused on articles published in databases such as Web of Science, PubMed, and Medline, discussing the revolutionary impact of blockchain technology within the context of the patient journey through the ED. Results: A total of 33 publications met our inclusion criteria. The findings emphasize that blockchain technology primarily finds its applications in data sharing and documentation. The pre-hospital and post-discharge applications stand out as distinctive features compared to other disciplines. Among various platforms, Ethereum and Hyperledger Fabric emerge as the most frequently utilized options, while Proof of Work (PoW) and Proof of Authority (PoA) stand out as the most commonly employed consensus algorithms in this emergency care domain. The ED journey map and two scenarios are presented, exemplifying the most distinctive applications of emergency medicine, and illustrating the potential of blockchain. Challenges such as interoperability, scalability, security, access control, and cost could potentially arise in emergency medical contexts, depending on the specific scenarios. Conclusion: Our study examines the ongoing research on blockchain technology, highlighting its current influence and potential future advancements in optimizing emergency medical services. This approach empowers frontline medical professionals to validate their practices and recognize the transformative potential of blockchain in emergency medical care, ultimately benefiting both patients and healthcare providers.

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“…mHealth involves the use and capitalization on a mobile phone’s core utility of voice and short messaging service (SMS) as well as more complex functionalities telecommunications (3G and 4G systems), global positioning system (GPS), and Bluetooth technology” [ 2 ]. Several studies and literature reviews show that the use of digital health intervention is useful to manage long-term health conditions or medication adherence and to improve postoperative outcomes [ 3 , 4 , 5 , 6 , 7 ]. In addition, other studies [ 8 , 9 ] show how the use of mHealth can improve patient empowerment and participation in the care process, being an engaging and stimulating educational tool.…”

Section: Introductionmentioning

confidence: 99%

The Use of mHealth in Orthopedic Surgery: A Scoping Review

Dionisi

Giannetta

Simone

et al. 2021

IJERPH

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(1) Background: It is well known that the success of surgical procedures is related to optimal postoperative management and follow-up. In this regard, mHealth technologies could potentially improve perioperative care. Based on these considerations, the objective of this scoping review is to evaluate the current status and use of mHealth interventions designed to provide perioperative care in orthopedic surgery. (2) Methods: This scoping review was conducted in accordance with the PRISMA statement (Extension for Scoping Review) and follows the framework of Arskey and O’Malley. (3) Results: The use of mHealth in the surgical setting is mainly oriented towards the development of applications for monitoring post-operative pain and optimizing communication between the various health professionals involved in patient care. (4) Conclusions: The mHealth systems can have a positive impact both on patient participation in the therapeutic process and on the communication between health professionals, increasing the quality of care.

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Do postoperative telemedicine interventions with a communication feature reduce emergency department visits and readmissions?—a systematic review and meta-analysis

Cited by 10 publications

References 36 publications

A Mobile Phone App Improves Patient-Physician Communication and Reduces Emergency Department Visits After Colorectal Surgery

A Mobile Phone App Improves Patient-Physician Communication and Reduces Emergency Department Visits After Colorectal Surgery

Blockchain Revolutionizing in Emergency Medicine: A Scoping Review of Patient Journey through the ED

The Use of mHealth in Orthopedic Surgery: A Scoping Review

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