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Teams, Rapid Recovery Protocols and Technology to Resume Cardiac Surgery in the COVID-19 Era
Mariana Kabakura do Amaral Lima1, Gabrielle Barbosa Borgomoni1,2, Omar Asdrúbal Vilca Mejia1,2
1Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (INCOR), São Paulo, Brazil.
Insights
Rapid recovery protocols can improve cardiac surgery outcomes. Combining these protocols with mobile apps may enhance patient engagement for safer surgery resumption post-COVID-19.
Area of Science:
- Cardiology
- Health Informatics
- Surgical Recovery
Background:
- The COVID-19 pandemic has significantly challenged healthcare systems, impacting elective cardiac surgery resumption.
- Pre-pandemic rapid recovery protocols (ERPs) showed benefits in reducing hospital stay, infection rates, and costs through multidisciplinary approaches.
- Despite proven benefits, ERPs have faced slow adoption and implementation.
Purpose of the Study:
- To explore the integration of ERPs with mobile applications for the safe resumption of elective cardiac surgery.
- To enhance patient, caregiver, and care team engagement in the context of post-pandemic surgical recovery.
Main Methods:
- Review of pre-pandemic ERP strategies and their components.
- Conceptual framework for integrating mobile health (mHealth) applications into ERPs.
- Analysis of potential benefits for patient engagement and care coordination.
Main Results:
- ERPs are effective in optimizing surgical recovery and reducing healthcare burdens.
- Mobile applications offer a novel approach to improve communication and engagement within ERPs.
- The combination of ERPs and mHealth is proposed as a strategy for safe surgical resumption.
Conclusions:
- Integrating mobile applications with rapid recovery protocols can enhance patient engagement and support the safe resumption of elective cardiac surgery.
- This combined approach addresses pandemic-related challenges by improving communication and care coordination.
- Further research and implementation are needed to validate the efficacy of this integrated model.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic brings numerous challenges to the health ecosystem, including the safe resumption of elective cardiac surgery. In the pre-pandemic period, rapid recovery protocols demonstrated, through strategies focused on the multidisciplinary approach, reduction of hospital length of stay, infection rates and, consequently, costs. Even with several studies proving the benefits of these protocols, their acceptance and implementation have been slow. It is believed that the resumption of surgeries in the current context requires the use of rapid recovery protocols combined with the use of a mobile application promoting greater engagement between patients, caregivers and care teams.
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