Rainey Joshua P, Metz Allan K, Blackburn Brenna E, Campbell Kevin J, Erickson Jill A, Peters Christopher L, Anderson Lucas A
Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
Orthopedic & Sports Institute of the Fox Valley, Appleton, WI, USA.
Arthroplast Today. 2025 Jun 26;34:101752. doi: 10.1016/j.artd.2025.101752. eCollection 2025 Aug.
The role of technology in the perioperative care of patients continues to grow. A surgeon-specific perioperative chatbot may improve the care of patients by answering questions or concerns. The purpose of this retrospective review was to assess if enrollment in a perioperative chatbot was associated with differences in clinical outcomes or patient satisfaction following periacetabular osteotomy.
We identified 62 patients who enrolled in a short message service (SMS) chatbot from December 1, 2020 to August 1, 2023. A consecutive historical cohort of 64 patients from August 1, 2018 to November 30, 2020 was identified for comparative purposes. Descriptive statistics were used to compare demographic differences between patients enrolled vs not enrolled in the chatbot. Independent t-tests, Fischer's exact tests, and chi-squared tests were also used for comparative purposes.
Patients who were enrolled in a perioperative SMS-based chatbot requested significantly fewer narcotic refills ( = .0001). There were also significantly fewer clinic calls placed for patients enrolled in the chatbot compared to those not enrolled (1.1 calls vs 3.3 calls, < .0001). There were no significant differences in emergency department visits or readmissions within 90 days of surgery, reoperations, or infections. Patients enrolled in a perioperative chatbot had significantly higher satisfaction compared to those not enrolled (4.7 vs 4.3, = .039).
Enrollment in an SMS-based perioperative chatbot for patients undergoing periacetabular osteotomy was associated with fewer narcotic refills, fewer telephone calls to clinic, and increased patient satisfaction compared to a historical cohort not enrolled perioperative chatbot.
技术在患者围手术期护理中的作用持续增强。特定于外科医生的围手术期聊天机器人可能通过回答问题或解决担忧来改善患者护理。本回顾性研究的目的是评估加入围手术期聊天机器人是否与髋臼周围截骨术后的临床结果或患者满意度差异相关。
我们确定了2020年12月1日至2023年8月1日期间加入短信聊天机器人的62例患者。为了进行比较，确定了2018年8月1日至2020年11月30日期间连续的64例患者作为历史队列。使用描述性统计来比较加入和未加入聊天机器人的患者之间的人口统计学差异。还使用独立t检验、费舍尔精确检验和卡方检验进行比较。
加入围手术期基于短信的聊天机器人的患者要求的麻醉剂补充显著减少（P = .0001）。与未加入聊天机器人的患者相比，加入聊天机器人的患者拨打的诊所电话也显著减少（1.1次电话 vs 3.3次电话，P < .0001）。在术后90天内的急诊科就诊、再入院、再次手术或感染方面没有显著差异。加入围手术期聊天机器人的患者的满意度显著高于未加入的患者（4.7 vs 4.3，P = .039）。
与未加入围手术期聊天机器人的历史队列相比，接受髋臼周围截骨术患者加入基于短信的围手术期聊天机器人与麻醉剂补充减少、诊所电话减少以及患者满意度提高相关。
