Basile Giuseppe, Accetta Riccardo, Marinelli Susanna, D'Ambrosi Riccardo, Petrucci Quirino Alessandro, Giorgetti Arianna, Nuara Alessandro, Zaami Simona, Fozzato Stefania
IRCCS Galeazzi Orthopedics Institute, 20161 Milano, Italy.
School of Law, Università Politecnica delle Marche, 60121 Ancona, Italy.
J Clin Med. 2022 Jun 23;11(13):3644. doi: 10.3390/jcm11133644.
Telemedicine is the combination of technologies and activities that offer new remote ways of medical care. The Sm@rtEven application project is a remote assistance service that follows patients affected by lower limb fractures surgically treated at Galeazzi Orthopedic Institute (Milan, Italy). The Sm@rtEven application aims to evaluate the clinical conditions of patients treated for lower limb fracture after discharge from hospital using remote follow-up (FU). The project is not a substitute for traditional clinical consultations but an additional tool for a more complete and prolonged view over time. The Sm@rtEven application is installed on patients' smartphones and is used daily to communicate with healthcare personnel. In the first protocol, patients had to complete different tasks for 30 days, such as monitoring the load progression on the affected limb, the number of steps during the day, and body temperature and completing a questionnaire. A simplified protocol was proposed due to the pandemic and logistical issues. The revised protocol enrolled patients after more than 30 days of their operation, prioritized the rehabilitation phase, and required patients to use the app for fewer days. After an initial phase of correct use, a reduction in patient compliance was gradually reported in the first protocol. However, patient compliance in the second protocol remained high (96.25%) in the recording of all the required parameters. The Sm@rtEven application has proven to be a valuable tool for following patients remotely, especially during the pandemic. Telemedicine has the same value as traditional clinical evaluations, and it enables patients to be followed over long distances and over time, minimizing any discomfort.
远程医疗是多种技术与活动的结合，它提供了新型的远程医疗方式。Sm@rtEven应用项目是一项远程协助服务，针对在意大利米兰盖拉齐骨科研究所接受下肢骨折手术治疗的患者。Sm@rtEven应用旨在通过远程随访评估出院后接受下肢骨折治疗患者的临床状况。该项目并非传统临床会诊的替代品，而是一种辅助工具，有助于随着时间推移更全面、更长期地了解患者情况。Sm@rtEven应用安装在患者的智能手机上，患者每天使用它与医护人员沟通。在首个方案中，患者需在30天内完成不同任务，如监测患肢负重进展、白天步数、体温，并填写一份问卷。由于疫情和后勤问题，提出了一个简化方案。修订后的方案在患者术后30多天后招募患者，将康复阶段列为优先事项，并要求患者使用该应用的天数减少。在经过正确使用的初始阶段后，首个方案中逐渐出现患者依从性下降的情况。然而，在第二个方案中，患者在记录所有所需参数方面的依从性仍然很高（96.25%）。Sm@rtEven应用已被证明是远程跟踪患者的宝贵工具，尤其是在疫情期间。远程医疗与传统临床评估具有同等价值，它能够长期远程跟踪患者，将不适感降至最低。
