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Development of a telehealth monitoring service after colorectal surgery:A feasibility study

World Journal of Gastrointestinal Surgery 2017年第9期9卷 193-199页

作者： Damian D Bragg helena edis Sian Clark Simon L Parsons Binoy Perumpalath Dileep N Lobo Charles A Maxwell-Armstrong Gastrointestinal Surgery Nottingham Digestive Diseases Centre and National Institute of Health Research(NIHR)Nottingham Biomedical Research CentreNottingham University Hospitals and University of NottinghamQueen’s Medical CentreNottingham NG7 2UHUnited Kingdom

AIM To evaluate the feasibility of a text-messaging system to remotely monitor and support patients after discharge following elective colorectal surgery,within an enhanced recovery *** Florence(FLO) is a National Health Service telehealth solution utilised for monitoring chronic health conditions,such as hypertension,using *** were designed to monitor the well-being,basic physiological observations and any patient-reported symptoms,and provide support messages to patients undergoing colorectal surgery within an enhanced recovery after surgery protocol for 30 d after *** interactions with FLO and physiological readings were recorded and patients were invited to provide *** Over a four-week period,16 out of 17 patients used the FLO telehealth service at *** patients did not receive telephone follow-up at three days,as per our standard protocol,unless they reported being unwell or did not make use of the *** patients were readmitted within 30 d,and two of these were identified as being unwell by FLO prior to *** adverse events attributable to the use of the technology were *** The utilisation of telehealth in the early follow-up of patients who have undergone major colorectal surgery after discharge is *** use of this technology may assist in the early recognition and management of complications after discharge.

关键词： Telehealth Remote monitoring Colorectalsurgery Telephone follow up Readmission

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