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Remote monitoring after elective colorectal surgery, a pilot study
Carine Dornbush1, Aditi Mishra1, Jennifer Hrabe1
1Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA.
Surgery
|September 22, 2024
Summary
Remote patient monitoring is safe and feasible for patients after colorectal surgery in rural areas, enabling early discharge. This approach is well-liked and effective, even with complex conditions.
Area of Science:
- Surgical Innovation
- Remote Patient Monitoring
- Colorectal Surgery Outcomes
Background:
- Established safety of short hospital stays post-colorectal resection.
- Potential for remote patient monitoring to facilitate earlier discharge.
- Need to evaluate feasibility in rural settings.
Purpose of the Study:
- To assess the feasibility of remote patient monitoring for early discharge after elective colorectal surgery.
- To evaluate patient satisfaction with remote monitoring in a rural population.
Main Methods:
- Pilot study (May-August 2023) involving adult patients undergoing minimally invasive colorectal surgery.
- Home monitoring included pulse oximetry, heart rate, blood pressure, and weight for two weeks.
- Daily patient surveys on symptoms and remote nursing assessment with escalation protocols.
Main Results:
- Sixteen patients enrolled; average length of stay was 3.0 days.
- Remote nurse identified two complications (port site infection, delayed ileus); one readmission occurred.
- High patient satisfaction reported throughout the study period.
Conclusions:
- Remote home monitoring is a safe, feasible, and acceptable option for post-colorectal surgery patients in rural areas.
- Early discharge is viable even for patients with complex disease or requiring conversion to open surgery.
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