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Evaluation of posto...
Evaluation of postoperative recovery in day surgery patients using a mobile phone application : a multicentre randomized trial
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- Jaensson, Maria, 1967- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Centre for Perioperative Nursing
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- Dahlberg, Karuna, 1979- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Perioperativ omvårdnad
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- Eriksson, Mats, 1957- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Perioperativ omvårdnad
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- Nilsson, Ulrica, 1960- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Centre for Perioperative Nursing
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(creator_code:org_t)
- Oxford University Press, 2017
- 2017
- English.
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In: British Journal of Anaesthesia. - : Oxford University Press. - 0007-0912 .- 1471-6771. ; 119:5, s. 1030-1038
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Abstract
Subject headings
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- Background: Many patients undergoing anaesthesia and surgery experience postoperative complications. Our aim was to investigate whether a systematic follow-up smartphone-based assessment, using recovery assessment by phone points (RAPP) compared with standard care, had a positive effect on day surgery patients' postoperative recovery. We also investigated whether there were differences in women and men's recovery and recovery scores.Methods: The study was a single-blind, multicentre randomized controlled trial. A total of 997 patients were randomly allocated to either RAPP or standard care. The Swedish web version of a quality of recovery (SwQoR) questionnaire was used to evaluate the patients' postoperative recovery, either on paper or using an application (RAPP) on postoperative days seven and 14.Results: On postoperative day seven the RAPP group reported significantly better values in seven out of 24 items of the SwQoR: sleeping difficulties; not having a general feeling of wellbeing; having difficulty feeling relaxed/comfortable; and dizziness; headache; pain in the surgical wound; and a swollen surgical wound compared with the control group, implying a good postoperative recovery. Both men and women in the RAPP group reported significantly better values (and, hence good postoperative recovery) compared with the control group in the items sleeping difficulties; not having a general feeling of wellbeing and pain in the surgical wound.Conclusions: Measurement of patient-reported outcomes using a smartphone-based application was associated with decreased discomfort from several postoperative symptoms. Systematic e-assessment can thereby increase patients' quality of recovery and identify key areas for improvement in perioperative care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Keyword
- Mobile application
- patient outcome assessment
- postoperative complications
- postoperative period
Publication and Content Type
- ref (subject category)
- art (subject category)
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