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

World Journal of Gastrointestinal Surgery
Damian D BraggCharles A Maxwell-Armstrong

Abstract

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 protocol. Florence (FLO) is a National Health Service telehealth solution utilised for monitoring chronic health conditions, such as hypertension, using text-messaging. New algorithms 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 discharge. All interactions with FLO and physiological readings were recorded and patients were invited to provide feedback. Over a four-week period, 16 out of 17 patients used the FLO telehealth service at home. These 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 technology. Three patients were readmitted within 30 d, and two of these were identified as being unwell by FLO prior to readmission. No adverse events attributable to the use of the technology were encountered. The utilisation of telehealth in the early follow-up of ...Continue Reading

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Dec 6, 2014·Journal of Telemedicine and Telecare·Nai-Ching Chi, George Demiris

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Citations

Aug 11, 2018·Current Opinion in Anaesthesiology·Christa BoerStephan A Loer
Jun 10, 2021·The American Surgeon·Joseph J LopezUNKNOWN Comprehensive Colorectal Center
Mar 23, 2021··Johannes Calvin TjahajaNani Asna Dewi

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