联网监测在减重手术后早期出院后并发症的检测。
Connected Surveillance for Detection of Complications After Early Discharge from Bariatric Surgery.
机构信息
Clinique de la Sauvegarde, Lyon, France.
Espace Médico-Chirurgical, Immeuble Trait d'Union, Entrée A29, Av des Sources, 69009, Lyon, France.
出版信息
Obes Surg. 2020 Nov;30(11):4669-4674. doi: 10.1007/s11695-020-04817-5.
As part of a bariatric enhanced recovery after surgery (ERAS) program, at-home follow-up using a novel Internet application was used to detect early complications. The study aimed to evaluate the safety and effectiveness of this "connected surveillance" protocol over a 10-day follow-up. Patients were monitored 24/7 by a trained nursing team with daily surgeon review of patient self-reports. Morbidly obese patients (n = 281) underwent OAGB (126, 47.70%) or sleeve gastrectomy (138, 52.3%). Of 264 who completed the study (mean age 40 years [20-66]), 3 (1.1%) underwent revision for early complications; there were 6 (2.1%) readmissions and 22 (8.3%) consultations. In a bariatric surgery ERAS program, "Internet-connected surveillance" proved safe and effective in detecting 100% of early complications, and most patients were satisfied with their care.
作为减重手术增强康复后（ERAS）计划的一部分，使用新型互联网应用程序进行家庭随访，以检测早期并发症。本研究旨在评估这种“联网监测”方案在 10 天随访期间的安全性和有效性。经过培训的护理团队 24/7 对患者进行监测，外科医生每天审查患者的自我报告。281 例病态肥胖患者（n=281）接受 OAGB（126 例，47.70%）或袖状胃切除术（138 例，52.3%）。264 例完成研究的患者（平均年龄 40 岁[20-66]）中，有 3 例（1.1%）因早期并发症进行了修订；有 6 例（2.1%）再次入院和 22 例（8.3%）咨询。在减重手术 ERAS 计划中，“互联网连接监测”在检测 100%的早期并发症方面被证明是安全有效的，大多数患者对他们的护理感到满意。
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