Thiel Bram, Blaauboer Jamey, Seesing Chiem, Radmanesh Jamshid, Koopman Seppe, Kalkman Cor, Godfried Marc
Department of anaesthesia, OLVG Hospital, Amsterdam, the Netherlands.
Faculty of medicine, University of Amsterdam, Amsterdam, the Netherlands.
PLOS Digit Health. 2024 Jul 10;3(7):e0000342. doi: 10.1371/journal.pdig.0000342. eCollection 2024 Jul.
Contact with the hospital is usually limited for patients after day care surgery. Dedicated smartphone applications can improve communication and possibly enhance outcomes. The objective of this retrospective study was to evaluate patients' self-reported pain and nausea and assess the success of routine implementation of a smartphone application for outcome reporting. During preoperative assessment, patients were instructed to download and activate the smartphone application to report pain, nausea and to be in contact with the hospital after discharge. Main outcome was the number of patients actively using the smartphone application and the incidence of pain and nausea on postoperative day 1 to 7. In total, 4952 patients were included in the study. A total of 592 (12%) participants downloaded the application, of whom 351 (7%) were active users. A total of 4360 (88%) participants refrained from downloading the application. 56% (2,769) were female, the median age was 46 (18-92), and 4286 (87%) were classified as 1 or 2 American Society of Anesthesiologists Physical Status (ASA). Postoperative pain was experienced by 174 (76%) of 229 active users on postoperative day (POD) 1 and decreased to 44 (44%) of 100 active users on POD7. Postoperative nausea was experienced by 63 (28%) of 229 active users on POD1 and decreased to 12 (12%) of 100 active users on POD7. Female sex (p .000), socioeconomic status (p .001), and surgical severity (p .001) showed statistically significant differences between active users, non-active users, and non-downloaders. Most patients active with the application experienced pain and nausea on the first and second day after discharge. Only a minority of the patients used the application. Those who used it were satisfied with the possibilities offered to them. Future research should focus on increasing the uptake and effect of this application on the quality of recovery.
日间手术患者术后与医院的接触通常有限。专门的智能手机应用程序可以改善沟通，并可能提高治疗效果。这项回顾性研究的目的是评估患者自我报告的疼痛和恶心情况，并评估常规使用智能手机应用程序进行结果报告的成功率。在术前评估期间，指导患者下载并激活智能手机应用程序，以报告疼痛、恶心情况，并在出院后与医院保持联系。主要结果是积极使用智能手机应用程序的患者数量以及术后第1至7天疼痛和恶心的发生率。该研究共纳入4952例患者。共有592名（12%）参与者下载了该应用程序，其中351名（7%）为活跃用户。共有4360名（88%）参与者未下载该应用程序。56%（2769名）为女性，年龄中位数为46岁（18 - 92岁），4286名（87%）被归类为美国麻醉医师协会身体状况分级（ASA）1级或2级。229名活跃用户中有174名（76%）在术后第1天经历了术后疼痛，到术后第7天，100名活跃用户中这一比例降至44名（44%）。229名活跃用户中有63名（28%）在术后第1天经历了术后恶心，到术后第7天，100名活跃用户中这一比例降至12名（12%）。活跃用户、非活跃用户和未下载者在性别（p = 0.000）、社会经济地位（p = 0.001）和手术严重程度（p = 0.001）方面存在统计学显著差异。大多数使用该应用程序的患者在出院后的第一天和第二天经历了疼痛和恶心。只有少数患者使用了该应用程序。使用该程序的患者对所提供的功能感到满意。未来的研究应侧重于提高该应用程序的使用率及其对恢复质量的影响。
