Department of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Higgs Boson Health, Durham, North Carolina, USA.
J Card Surg. 2022 Jul;37(7):2017-2022. doi: 10.1111/jocs.16515. Epub 2022 Apr 17.
Despite abundant evidence indicating that digital health solutions improve outcomes in chronic medical conditions, there are few validated solutions for acute surgical episodes. Transcatheter aortic valve replacement (TAVR) is a less invasive alternative to open surgery that is becoming more prevalent. We assessed the feasibility of ManageMySurgery (MMS), a smartphone application that combines patient education and outcomes tracking for patients undergoing TAVR procedures.
MMS was offered to patients receiving TAVR at an academic health center. Pre- and postoperatively, patients completed app-based tasks and reported clinical results using validated NYHA and KCCQ-12 surveys. Additionally, users reported levels of satisfaction with the digital platform.
Sixty-nine patients were invited to use MMS, of which 43 (62%) downloaded and used the platform. The median age of patients was 77 years and 66.7% were male. The platform was accessed at an average of 2.6 times per user, with 79.1% of patients logging in one to three times. On average, 5.2 frequently asked questions were viewed. Of the 37 patients who completed the feedback survey (86%), 73.0% said it was helpful in preparation for surgery and 86.5% would recommend MMS to others.
It is possible to utilize a digital health platform to guide patients undergoing TAVR through their interventional journey. Additional research is warranted to assess whether digital patient navigation tools provide an added benefit over traditional perioperative care alone, in terms of long-term patient engagement and outcomes.
尽管有大量证据表明，数字健康解决方案可改善慢性疾病的治疗效果，但针对急性手术发作的有效解决方案却寥寥无几。经导管主动脉瓣置换术（TAVR）是一种侵入性较小的手术替代方案，其应用越来越广泛。我们评估了 ManageMySurgery（MMS）的可行性，这是一款智能手机应用程序，可结合患者接受 TAVR 手术的教育和结果跟踪。
MMS 应用程序提供给在学术医疗中心接受 TAVR 的患者。在手术前和手术后，患者通过应用程序完成任务，并使用经过验证的 NYHA 和 KCCQ-12 调查报告临床结果。此外，用户还报告了对数字平台的满意度。
共有 69 名患者受邀使用 MMS，其中 43 名（62%）下载并使用了该平台。患者的平均年龄为 77 岁，其中 66.7%为男性。每位患者平均使用该平台 2.6 次，其中 79.1%的患者登录 1-3 次。平均有 5.2 个常见问题被浏览。在完成反馈调查的 37 名患者（86%）中，73.0%表示它有助于为手术做准备，86.5%会向其他人推荐 MMS。
可以使用数字健康平台来指导接受 TAVR 的患者完成介入治疗过程。需要进一步研究，以评估数字患者导航工具在长期患者参与和结果方面是否比传统围手术期护理更有优势。
