Rehospitalization
Conditions
Brief summary
To calculate the incidence rates of postoperative adverse events (moderate and severe) and rehospitalization in patients undergoing thoracic surgery followed in follow-up using a smartphone application.
Detailed description
This is an observational, exploratory, cohort, retrospective study. For this study, data acquired on patients who participated in the trial period of the app will be retrospectively analyzed. Our Operating Unit used the care4today app on a trial basis during the period between March 1 and October 31, 2023, focusing on monitoring the first 30 days after discharge. The app was offered to patients scheduled for thoracic surgery involving access to the pleura. After a few setup questions, the app was activated upon discharge. For the first 15 days it sent daily questions via notification regarding general health status, postoperative pain, respiratory capacity, and resumption of activities. From day 15 to day 30 after discharge, questions were asked every 4 days. All relevant responses were forwarded via e-mail to the clinician in the form of an orange or red alert in relation to lesser or greater severity. Patients were treated according to clinical practice in accordance with the clinician's judgment and the information in the Data Sheet of each individual product of any concomitant therapies administered according to clinical practice. Informed consent will be collected during follow-ups.
Interventions
None listed
Sponsors
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients aged ≥18 years * Patients undergoing thoracic surgery * Patients who used the care4today app * Obtaining informed consent to participate in the study
Exclusion criteria
* nothing
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adverse event rate | 30 days after surgery | Complications are reported by patients using the mobile phone app. |
| Moderate adverse event rate | 30 days after surgery | Complications are reported by patients using the mobile phone app. |
| Severe adverse event rate | 30 days after surgery | Complications are reported by patients using the mobile phone app. |
| Rehospitalization rate | At 30 days from surgery | Rehospitalization rate in the first 30 days from home discharge. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Non-response rate to questions asked by the application | Throughout the study period, an average of 30 days | Use of the app |
Countries
Italy
Contacts
Primary ContactPietro Bertoglio, MD
Outcome results
None listed