SAR EMA, Centre Hospitalier Universitaire de Bordeaux, F-33076 Bordeaux cedex, France.
SAR EMA, Centre Hospitalier Universitaire de Bordeaux, F-33076 Bordeaux cedex, France; Département d'anesthésiologie, Centre Hospitalier Universitaire de Montréal, Montréal, Québec, Canada.
Anaesth Crit Care Pain Med. 2021 Jun;40(3):100879. doi: 10.1016/j.accpm.2021.100879. Epub 2021 May 6.
Few studies assess postoperative outcomes after discharge in the ambulatory setting. The aim of this study was to investigate postoperative pain and adverse effects at 24 h and at 7 days after day surgery using an e-health follow-up smartphone-based application named SATELIA®.
This retrospective, observational and monocentric cohort study was conducted at the University Hospital of Bordeaux. All eligible patients for SATELIA® follow-up between May 2018 and June 2019 were screened for the analysis. Data were extracted from two databases. Those with a missing primary outcome were excluded from the analysis. The main outcome was the worst pain score on POD 1, self-reported via SATELIA®. The secondary outcomes were the incidence of adverse effects on POD1, as well as the worst pain score and adverse effects on POD7. Quantitative data were reported by the median (IQR) and categorical data were presented as absolute numbers (%).
A total of 2283 patients were screened for analysis, from which 592 were excluded due to missing data for the main outcome; 1691 patients were thus finally included. The median worst pain score at POD 1 was 3.0 (1.0-5.0); 35.5% (n = 601/1691) and 29.1% (n = 492/1691) of the patients reported moderate-to-severe pain at POD1 and POD7, respectively.
This retrospective study shows that 35.5% of patients experience moderate-to-severe pain after day surgery. Even if SATELIA® should be further developed and evaluated, it also demonstrates the interest of using phone based software to follow patients after discharge and ensure a better personalised management.
很少有研究评估门诊环境下出院后的术后结局。本研究旨在使用名为 SATELIA®的电子健康随访智能手机应用程序来调查日间手术后 24 小时和 7 天的术后疼痛和不良影响。
这是一项回顾性、观察性和单中心队列研究，在波尔多大学医院进行。所有符合 SATELIA®随访条件的患者均被筛选纳入分析。数据从两个数据库中提取。缺失主要结局的患者被排除在分析之外。主要结局是术后第 1 天（POD1）通过 SATELIA®报告的最严重疼痛评分。次要结局为 POD1 时的不良影响发生率，以及 POD7 时的最严重疼痛评分和不良影响。定量数据以中位数（IQR）报告，分类数据以绝对数（%）表示。
共筛选了 2283 例患者进行分析，其中 592 例因主要结局数据缺失而被排除；因此，最终纳入了 1691 例患者。POD1 时最严重疼痛评分中位数为 3.0（1.0-5.0）；35.5%（n=601/1691）和 29.1%（n=492/1691）的患者在 POD1 和 POD7 时报告了中重度疼痛。
这项回顾性研究表明，35.5%的日间手术后患者经历中重度疼痛。即使 SATELIA®应该进一步开发和评估，它也证明了使用基于电话的软件在出院后随访患者并确保更好的个性化管理的重要性。
