Unaizah College of Medicine, Qassim University, Kingdom of Saudi Arabia.
Pol Przegl Chir. 2021 May 7;94(1):70-74. doi: 10.5604/01.3001.0015.7657.
<br><b>Aim:</b> This study was undertaken with an aim to assess the feasibility of monitoring of wound healing by replacement of the traditional real-life clinical follow-up with a review of smartphone-captured digital photographs of post-surgical wounds by a clinician.</br> <br><b>Method:</b> The postoperative patients who understood the objectives got enrolled in the prospective study and were followed up. They were requested to capture digital photographs of the wounds using smartphones and send them through WhatsApp on postoperative days 3, 5, 7, 15 and 30 or else whenever they felt need for review due to symptoms like fever, pain, redness or swelling.</br> <br><b>Results:</b> 24 abdominal, 2 extremity and 1 neck wounds were followed up in 27 patients. Three patients developed complications and all were detected with 100% accuracy. As many as 81% of the patients were satisfied with this mode of postoperative wound assessment.</br> <br><b>Conclusion:</b> The experience shows that in the follow-up of postsurgical wounds, there is a good correlation between real-life clinical and remote photographic review. Incorporating photographic wound assessment into the postoperative follow-up care pathway can potentially decrease the number of postoperative hospital visits and decrease the burden on healthcare facilities.</br>.
目的:本研究旨在评估通过临床医生查看智能手机拍摄的术后伤口数字照片来替代传统的实际临床随访,以监测伤口愈合的可行性。
方法:理解研究目的的术后患者被纳入前瞻性研究并进行随访。他们被要求使用智能手机拍摄伤口的数字照片,并在术后第 3、5、7、15 和 30 天,或因出现发热、疼痛、红肿或肿胀等症状需要复诊时,通过 WhatsApp 发送照片。
结果:在 27 名患者中,共随访了 24 例腹部、2 例四肢和 1 例颈部伤口。3 名患者出现并发症,均 100%准确地发现。多达 81%的患者对这种术后伤口评估模式感到满意。
结论:经验表明,在术后伤口的随访中,实际临床和远程照片复查之间存在良好的相关性。将拍照伤口评估纳入术后随访护理路径中,可以减少术后住院次数,减轻医疗设施的负担。
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