Dataset Information

Postoperative Home Monitoring After Joint Replacement: Feasibility Study.

ABSTRACT:

Background

We conducted a prospective observational study of patients undergoing elective primary hip or knee replacements to examine the feasibility of a postoperative home monitoring system as transitional care to support patients following their surgery in real time.

Objective

The primary outcome was the mean percentage of successful wireless transmissions from home of blood pressure levels, heart rate, oxygen saturation levels, and pain scores until postoperative day 4 with a feasibility target of ≥90%.

Methods

Patients with an expected length of stay ≤1 day, age 18-80 years, Revised Cardiac Risk Index ≤ class 2, and caretakers willing to assist at home were eligible. Patient satisfaction, as a secondary outcome, was also evaluated. Wireless monitoring equipment (remote patient monitoring, Telus Canada) was obtained and a multidisciplinary care team was formed.

Results

We conducted the study after obtaining Research Ethics Board approval; 54 patients completed the study: 21 males, 33 females. In total, we evaluated 9 hips, 4 hip resurfacing, 26 total knees, and 15 hemi-knees. The mean transmission rate was 96.4% (SD 5.9%; 95% CI 94.8-98.0). The median response to "I would recommend the Remote Monitoring System program to future patients" was 4.5 (interquartile range 4-5), with 1 being "strongly disagree" and 5 "strongly agree." At 30 days postop, there was no mortality or readmission.

Conclusions

This is an evolving new paradigm for postoperative care and the first feasibility study on monitoring biometrics after primary hip or knee replacement. Postoperative home monitoring combines current technology with real-time support by a multidisciplinary transitional care team after discharge, facilitating postsurgical care with successful wireless transmission of vitals. The postoperative home monitoring implementation is, therefore, generalizable to other surgical discharges from hospitals.

Trial registration

ClinicalTrials.gov NCT02143232; https://clinicaltrials.gov/ct2/show/NCT02143232 (Archived by WebCite at http://www.webcitation.org/71ugAhhIk).

SUBMITTER: Yang H

PROVIDER: S-EPMC7728409 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Postoperative Home Monitoring After Joint Replacement: Feasibility Study.

Yang Homer H Dervin Geoff G Madden Susan S Beaulé Paul E PE Gagné Sylvain S Crossan Mary L ML Fayad Ashraf A Wheeler Kathryn K Afagh Melody M Zhang Tinghua T Taljaard Monica M

JMIR perioperative medicine 20180905 2

<h4>Background</h4>We conducted a prospective observational study of patients undergoing elective primary hip or knee replacements to examine the feasibility of a postoperative home monitoring system as transitional care to support patients following their surgery in real time.<h4>Objective</h4>The primary outcome was the mean percentage of successful wireless transmissions from home of blood pressure levels, heart rate, oxygen saturation levels, and pain scores until postoperative day 4 with a ...[more]

PMID: 33401364

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Dataset Information

Postoperative Home Monitoring After Joint Replacement: Feasibility Study.

Background

Objective

Methods

Results

Conclusions

Trial registration

Publications

Postoperative Home Monitoring After Joint Replacement: Feasibility Study.

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