Faculty of Medicine and Health, School of Health Sciences, Örebro University, 701 82 Örebro, Sweden.
Br J Anaesth. 2017 Nov 1;119(5):1030-1038. doi: 10.1093/bja/aex331.
Many patients undergoing anaesthesia and surgery experience postoperative complications. Our aim was to investigate whether a systematic follow-up smartphone-based assessment, using recovery assessment by phone points (RAPP) compared with standard care, had a positive effect on day surgery patients' postoperative recovery. We also investigated whether there were differences in women and men's recovery and recovery scores.
The study was a single-blind, multicentre randomized controlled trial. A total of 997 patients were randomly allocated to either RAPP or standard care. The Swedish web version of a quality of recovery (SwQoR) questionnaire was used to evaluate the patients' postoperative recovery, either on paper or using an application (RAPP) on postoperative days seven and 14.
On postoperative day seven the RAPP group reported significantly better values in seven out of 24 items of the SwQoR: sleeping difficulties; not having a general feeling of wellbeing; having difficulty feeling relaxed/comfortable; and dizziness; headache; pain in the surgical wound; and a swollen surgical wound compared with the control group, implying a good postoperative recovery. Both men and women in the RAPP group reported significantly better values (and, hence good postoperative recovery) compared with the control group in the items sleeping difficulties; not having a general feeling of wellbeing and pain in the surgical wound.
Measurement of patient-reported outcomes using a smartphone-based application was associated with decreased discomfort from several postoperative symptoms. Systematic e-assessment can thereby increase patients' quality of recovery and identify key areas for improvement in perioperative care.
NCT02492191.
许多接受麻醉和手术的患者会经历术后并发症。我们的目的是研究使用基于电话的恢复评估点（RAPP）进行系统的术后随访智能手机评估是否会对日间手术患者的术后恢复产生积极影响。我们还研究了女性和男性的恢复情况和恢复评分是否存在差异。
该研究是一项单盲、多中心随机对照试验。共有 997 名患者被随机分配到 RAPP 或标准护理组。使用瑞典版的术后恢复质量问卷（SwQoR）评估患者的术后恢复情况，术后第 7 天和第 14 天可以用纸或应用程序（RAPP）评估。
在术后第 7 天，RAPP 组在 SwQoR 的 24 个项目中的 7 个项目中报告了显著更好的数值：睡眠困难；没有一般的舒适感；难以感到放松/舒适；头晕；头痛；手术伤口疼痛；手术伤口肿胀。与对照组相比，这意味着术后恢复良好。与对照组相比，RAPP 组的男性和女性在睡眠困难；没有一般的舒适感和手术伤口疼痛等项目中报告了显著更好的数值（即术后恢复良好）。
使用基于智能手机的应用程序测量患者报告的结果与减少多种术后症状的不适有关。系统的电子评估可以提高患者的恢复质量，并确定围手术期护理中需要改进的关键领域。
NCT02492191。
