Feasibility of Postoperative Home Monitoring Using Video Consultation and Vital Sign Monitoring of Bariatric Patients
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ORIGINAL CONTRIBUTIONS
Feasibility of Postoperative Home Monitoring Using Video Consultation and Vital Sign Monitoring of Bariatric Patients L. M. G. Nijland 1
&
R. N. van Veen 1 & A. T. Ruys 1 & C. L. van Veldhuisen 1 & T. H. Geerdink 1 & S. M. M. de Castro 1
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Rationale The length of hospital stay after bariatric surgery has decreased rapidly in recent years to an average of 1 day (one midnight). The transition from a controlled hospital environment to home environment may be a big step for patients. For these patients, home monitoring can be a substitute. Methods A pilot study of 84 morbidly obese patients undergoing either laparoscopic Roux-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LGS) was performed. Home monitoring consisted of daily contact via video consultation and measurement of vital signs at home. The primary outcome was feasibility of home monitoring. Secondary outcomes were complications and patient satisfaction measured with a questionnaire (PSQ-18). Results In 77 of the 84 patients (92%), videoconference was possible on day 1, 74 patients (88%) on day 2 and 76 patients (90%) on day 3. Four patients (5%) were never reached. On day 1, 52 patients (62%) performed all instructed measurements, on day 2, 49 patients (58%) and on day 3, 63 patients (75%). Only 47 out of 84 patients (56%) measured the instructed amount of times on all 3 days. High satisfaction rates were reported in the patients receiving home monitoring. Conclusion Our first experience with home monitoring was disappointing since home monitoring of vital signs had poor compliance and not all patients were able to use the application. Further refinement of the home monitoring tool is needed to increase compliance and utility of the tool. Keywords Bariatric surgery . Postoperative . Telemedicine . Wearable . Monitoring . Remote consultation . Vital signs
Introduction Obesity has become a worldwide problem with an estimated 650 million obese people in 2016 according to the WHO [1]. Bariatric surgery has proven to be the most effective long-term method to treat morbid obesity. However, as a result of the growing number of bariatric procedures every year [2], costs of bariatric care including follow-up and resource utilization is exceeding the health care capacity [3–5]. Consequently, health care providers are asking for cost-effective ways to keep the health care financially viable and secure high quality care. The length of hospital stay of bariatric patients decreased to a median of 1 day (one midnight) following the Enhanced Presented at the 24th World Congress of IFSO, 2019, Madrid * L. M. G. Nijland [email protected] 1
Department of Surgery, OLVG West, Jan Tooropstraat 164, 1061 AE Amsterdam, The Netherlands
Recovery after Surgery (ERAS) implementation reducing hospital costs [6]. However, early discharge may feel as a large transition, moving from a safe and supportive hospital environment into an independent environment at home. Pa
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