Smartband Use During Enhanced Recovery After Surgery Facilitates Inpatient Recuperation Following Minimally Invasive Colorectal Surgery
Background: Enhanced recovery after surgery (ERAS) is valuable in perioperative care for its ability to improve short-term surgical outcomes and facilitate patient recuperation after major surgery. Early postoperative mobilization is a vital component of the integrated care pathway and is a factor s...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2020.608950/full |
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| author | Tzu-Chieh Yin Tzu-Chieh Yin Tzu-Chieh Yin Ching-Wen Huang Ching-Wen Huang Hsiang-Lin Tsai Hsiang-Lin Tsai Wei-Chih Su Cheng-Jen Ma Cheng-Jen Ma Tsung-Kun Chang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang |
| author_facet | Tzu-Chieh Yin Tzu-Chieh Yin Tzu-Chieh Yin Ching-Wen Huang Ching-Wen Huang Hsiang-Lin Tsai Hsiang-Lin Tsai Wei-Chih Su Cheng-Jen Ma Cheng-Jen Ma Tsung-Kun Chang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang |
| author_sort | Tzu-Chieh Yin |
| collection | DOAJ |
| description | Background: Enhanced recovery after surgery (ERAS) is valuable in perioperative care for its ability to improve short-term surgical outcomes and facilitate patient recuperation after major surgery. Early postoperative mobilization is a vital component of the integrated care pathway and is a factor strongly associated with successful outcomes. However, early mobilization still has various definitions and lacks specific strategies.Methods: Patients who underwent minimally invasive surgery for colorectal cancer followed our perioperative ERAS program, including mobilization from the first postoperative day. After perioperative care skills were improved in our well-established program, compliance, inpatient surgical outcomes, and complications associated with adding smartband use were evaluated and compared with the outcomes for standard protocol. Quality of recovery was evaluated using patient-rated QoR-40 questionnaires the day before surgery, on postoperative days 1 and 3, and on the day of discharge.Results: Smartband use after minimally invasive colorectal surgery failed to increase compliance with early mobilization or reduce the occurrence of postoperative complications significantly compared with standard ERAS protocol. However, when smartbands were utilized, quality of recovery was optimized and patients returned to their preoperative status earlier, at postoperative day 3. The length of hospital stay, as defined by discharge criteria, and hospital stay of patients without complications was reduced by 1.1 and 0.9 days, respectively (P = 0.009 and 0.049, respectively).Conclusions: Smartbands enable enhanced communication between patients and surgical teams and strengthen self-management in patients undergoing minimally invasive colorectal resection surgery. Accelerated recovery to preoperative functional status can be facilitated by integrating smartbands into the process of early mobilization during ERAS. |
| first_indexed | 2024-12-20T02:02:47Z |
| format | Article |
| id | doaj.art-b26242ba64fb407a97375f95476a530e |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-12-20T02:02:47Z |
| publishDate | 2021-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-b26242ba64fb407a97375f95476a530e2022-12-21T19:57:17ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2021-01-01710.3389/fsurg.2020.608950608950Smartband Use During Enhanced Recovery After Surgery Facilitates Inpatient Recuperation Following Minimally Invasive Colorectal SurgeryTzu-Chieh Yin0Tzu-Chieh Yin1Tzu-Chieh Yin2Ching-Wen Huang3Ching-Wen Huang4Hsiang-Lin Tsai5Hsiang-Lin Tsai6Wei-Chih Su7Cheng-Jen Ma8Cheng-Jen Ma9Tsung-Kun Chang10Jaw-Yuan Wang11Jaw-Yuan Wang12Jaw-Yuan Wang13Jaw-Yuan Wang14Jaw-Yuan Wang15Division of General and Digestive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Surgery, Kaohsiung Municipal Tatung Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of General and Digestive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Colorectal Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanGraduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanGraduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanCenter for Cancer Research, Kaohsiung Medical University, Kaohsiung, TaiwanBackground: Enhanced recovery after surgery (ERAS) is valuable in perioperative care for its ability to improve short-term surgical outcomes and facilitate patient recuperation after major surgery. Early postoperative mobilization is a vital component of the integrated care pathway and is a factor strongly associated with successful outcomes. However, early mobilization still has various definitions and lacks specific strategies.Methods: Patients who underwent minimally invasive surgery for colorectal cancer followed our perioperative ERAS program, including mobilization from the first postoperative day. After perioperative care skills were improved in our well-established program, compliance, inpatient surgical outcomes, and complications associated with adding smartband use were evaluated and compared with the outcomes for standard protocol. Quality of recovery was evaluated using patient-rated QoR-40 questionnaires the day before surgery, on postoperative days 1 and 3, and on the day of discharge.Results: Smartband use after minimally invasive colorectal surgery failed to increase compliance with early mobilization or reduce the occurrence of postoperative complications significantly compared with standard ERAS protocol. However, when smartbands were utilized, quality of recovery was optimized and patients returned to their preoperative status earlier, at postoperative day 3. The length of hospital stay, as defined by discharge criteria, and hospital stay of patients without complications was reduced by 1.1 and 0.9 days, respectively (P = 0.009 and 0.049, respectively).Conclusions: Smartbands enable enhanced communication between patients and surgical teams and strengthen self-management in patients undergoing minimally invasive colorectal resection surgery. Accelerated recovery to preoperative functional status can be facilitated by integrating smartbands into the process of early mobilization during ERAS.https://www.frontiersin.org/articles/10.3389/fsurg.2020.608950/fullenhanced recovery after surgerySmartbandminimal invasive surgerycolorectal surgeryquality of recovery |
| spellingShingle | Tzu-Chieh Yin Tzu-Chieh Yin Tzu-Chieh Yin Ching-Wen Huang Ching-Wen Huang Hsiang-Lin Tsai Hsiang-Lin Tsai Wei-Chih Su Cheng-Jen Ma Cheng-Jen Ma Tsung-Kun Chang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Jaw-Yuan Wang Smartband Use During Enhanced Recovery After Surgery Facilitates Inpatient Recuperation Following Minimally Invasive Colorectal Surgery Frontiers in Surgery enhanced recovery after surgery Smartband minimal invasive surgery colorectal surgery quality of recovery |
| title | Smartband Use During Enhanced Recovery After Surgery Facilitates Inpatient Recuperation Following Minimally Invasive Colorectal Surgery |
| title_full | Smartband Use During Enhanced Recovery After Surgery Facilitates Inpatient Recuperation Following Minimally Invasive Colorectal Surgery |
| title_fullStr | Smartband Use During Enhanced Recovery After Surgery Facilitates Inpatient Recuperation Following Minimally Invasive Colorectal Surgery |
| title_full_unstemmed | Smartband Use During Enhanced Recovery After Surgery Facilitates Inpatient Recuperation Following Minimally Invasive Colorectal Surgery |
| title_short | Smartband Use During Enhanced Recovery After Surgery Facilitates Inpatient Recuperation Following Minimally Invasive Colorectal Surgery |
| title_sort | smartband use during enhanced recovery after surgery facilitates inpatient recuperation following minimally invasive colorectal surgery |
| topic | enhanced recovery after surgery Smartband minimal invasive surgery colorectal surgery quality of recovery |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2020.608950/full |
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