Okoro Tosan, Hutchison Ann-Marie, Wong Jennifer, Al-Musabi Musab, Gibbs Victoria, Pallister Ian
Department of Trauma and Orthopaedics, Morriston Hospital, Abertawe BroMorgannwg University Health Board, Heol Maes Eglwys, Swansea SA6 6NL, United Kingdom; College of Medicine, Grove Building, Swansea University, Singleton Park, Swansea, SA2 8PP, United Kingdom.
Department of Trauma and Orthopaedics, Morriston Hospital, Abertawe BroMorgannwg University Health Board, Heol Maes Eglwys, Swansea SA6 6NL, United Kingdom.
Injury. 2018 Nov;49(11):2013-2017. doi: 10.1016/j.injury.2018.09.030. Epub 2018 Sep 14.
This pilot study aimed to evaluate the feasibility of prospectively collecting electronic PROMs on patients being assessed as a result of musculoskeletal trauma, using a web-based application (APP), administered onto tablet and desktop computers (TCs or DCs) in the outpatient setting.
Following local research ethics approval, a web-based APP (TRAFIC) was developed. It consisted of a total of 12 questions (demographic information, employment, and rehabilitation status as well as quality of life (EQ5D)). The APP was viewable on TCs, with DCs being used in review cubicles when necessary with assistance from a medical professional. Eligible patients were invited to use TRAFIC during the 'Lag period'; the time period from the patient 'booking in' to 'being called' for their appointment. An evaluation of the total time spent using the app (APP-time), was recorded as well as the total time spent in the outpatient department (CLINIC-time) for all patients recruited. CLINIC-time was also assessed for a control group of patients not utilising the APP during their outpatient assessment.
One hundred patients were recruited for the study n = 50 males, n = 50 females with a mean age of 49.1 (± 17.6 years). All recruited patients completed the questionnaire items with a median APP-time of 5 min (range 2-118 min). The median 'Lag period' was 16 min. (Range 2-166 min), with a median CLINIC-time of 81 min (range 4-428). The CLINIC-time was higher than for the control group (median 67 min (range 18-242) but this was not statistically significant (Mann Whitney U test; p = 0.199).
Electronic PROMs collection in the musculoskeletal trauma outpatient clinic using a web-based APP is feasible, with the APP-time falling well within the 'Lag period', and no significant impact on the total time spent for the appointment.
本试点研究旨在评估在门诊环境中，使用基于网络的应用程序（APP），在平板电脑和台式计算机（TC或DC）上，对因肌肉骨骼创伤接受评估的患者前瞻性收集电子患者报告结局测量（PROMs）的可行性。
经当地研究伦理批准后，开发了一个基于网络的APP（TRAFIC）。它总共包含12个问题（人口统计学信息、就业、康复状况以及生活质量（EQ5D））。该APP在TC上可见，必要时在医疗专业人员的协助下，DC可在检查室使用。符合条件的患者被邀请在“等待期”使用TRAFIC；即从患者“预约挂号”到“被呼叫”预约就诊的时间段。记录所有招募患者使用该应用程序的总时间（APP时间）以及在门诊部花费的总时间（门诊时间）。还对在门诊评估期间未使用该APP的对照组患者的门诊时间进行了评估。
招募了100名患者进行研究，其中n = 50名男性，n = 50名女性，平均年龄为49.1岁（±17.6岁）。所有招募的患者都完成了问卷项目，APP时间中位数为5分钟（范围2 - 118分钟）。“等待期”中位数为16分钟。（范围2 - 166分钟），门诊时间中位数为81分钟（范围4 - 428分钟）。门诊时间高于对照组（中位数67分钟（范围18 - 242分钟）），但这无统计学意义（曼-惠特尼U检验；p = 0.199）。
在肌肉骨骼创伤门诊诊所使用基于网络的APP收集电子PROMs是可行的，APP时间完全在“等待期”内，并且对预约总时长没有显著影响。
