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Pain evaluation after day-surgery using a mobile phone application.

Jérome Carlier1, Florian Robin2, Nicolas Pages1

  • 1SAR EMA, Centre Hospitalier Universitaire de Bordeaux, F-33076 Bordeaux cedex, France.

Anaesthesia, Critical Care & Pain Medicine
|May 9, 2021
PubMed
Summary

A study found that 35.5% of patients experience moderate-to-severe pain after day surgery. Smartphone-based e-health follow-up, like SATELIA®, shows promise for personalized post-discharge patient management.

Keywords:
Day surgeryPostoperative outcome assessmentPostoperative painmobile application

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Area of Science:

  • Ambulatory Surgery
  • Postoperative Care
  • Digital Health

Background:

  • Postoperative outcomes after discharge in ambulatory settings are understudied.
  • Effective patient monitoring post-discharge is crucial for managing pain and adverse events.

Purpose of the Study:

  • To investigate postoperative pain and adverse effects at 24 hours and 7 days after day surgery.
  • To evaluate the utility of a smartphone-based e-health application (SATELIA®) for patient follow-up.

Main Methods:

  • Retrospective, observational, monocentric cohort study.
  • Utilized the SATELIA® e-health application for patient-reported outcomes.
  • Included 1691 patients undergoing day surgery, excluding those with missing primary outcome data.

Main Results:

  • 35.5% of patients reported moderate-to-severe pain at postoperative day 1 (POD1).
  • 29.1% of patients reported moderate-to-severe pain at postoperative day 7 (POD7).
  • The median worst pain score at POD1 was 3.0 (IQR 1.0-5.0).

Conclusions:

  • A significant proportion of patients experience moderate-to-severe pain following day surgery.
  • Smartphone-based e-health tools like SATELIA® demonstrate potential for enhanced personalized patient management after discharge.
  • Further development and evaluation of e-health applications are warranted.