Dederichs Rebecca, Voß Johannes, Falz Roberto
Institut für Sportmedizin und Prävention, Universität Leipzig, Rosa-Luxemburg-Str. 20-30, 04103, Leipzig, Deutschland.
Chirurgie (Heidelb). 2024 Jun;95(6):443-450. doi: 10.1007/s00104-024-02060-7. Epub 2024 Mar 8.
eHealth applications can support early mobilization and physical activity (PA) after surgery. This systematic review provides an overview of eHealth services to enhance or record PA after visceral surgery interventions.
Two electronic databases (MEDLINE PubMed and Web of Science) were systematically searched (November 2023). Articles were considered eligible if they were controlled trials and described digital devices used to promote PA after visceral surgery. The Cochrane risk of bias (RoB-2) tool was used to determine the methodological quality of studies.
A total of nine randomized controlled studies (RCT) were included in this systematic review. The studies differed with respect to the interventions, surgical indications and evaluation variables. The risk of bias of the individual studies was moderate. The six studies using activity trackers (AT) predominantly showed insignificant improvements in the postoperative step count. The more complex fitness applications could partially reveal significant advantages compared to the control groups and the home-based online training also showed a significant increase in functional capacity.
Activity tracking alone has so far failed to show clinically relevant effects. In contrast, the more complex eHealth applications revealed advantages compared to usual postoperative care. More high-quality studies are needed for evidence-based recommendations for eHealth services in conjunction with visceral surgery.
电子健康应用程序可以支持术后的早期活动和体育锻炼（PA）。本系统评价概述了用于增强或记录内脏手术后体育锻炼的电子健康服务。
系统检索了两个电子数据库（MEDLINE PubMed和Web of Science）（2023年11月）。如果文章为对照试验且描述了用于促进内脏手术后体育锻炼的数字设备，则被认为符合纳入标准。使用Cochrane偏倚风险（RoB - 2）工具来确定研究的方法学质量。
本系统评价共纳入9项随机对照研究（RCT）。这些研究在干预措施、手术适应症和评估变量方面存在差异。各研究的偏倚风险为中等。六项使用活动追踪器（AT）的研究主要显示术后步数改善不显著。与对照组相比，更复杂的健身应用程序可能部分显示出显著优势，并且基于家庭的在线训练也显示功能能力有显著提高。
迄今为止，单独的活动追踪未能显示出临床相关效果。相比之下，与术后常规护理相比，更复杂的电子健康应用程序显示出优势。需要更多高质量研究，以便为与内脏手术相关的电子健康服务提供循证建议。
