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Using a Patient-Reported Outcome (PRO) Questionnaire to Assess Postoperative Care Following Pediatric Outpatient
Hjördis Osk Atladottir1,2, Anne Treschow Phillipsen3, Karen Arnt Krøyer1
1Department of Anesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Insights
An electronic patient-reported outcome (PRO) questionnaire helps monitor pediatric day surgery recovery at home. This tool identified many families needing extra support, improving postoperative care and guidance.
Area of Science:
- Pediatric Surgery
- Health Informatics
- Patient Outcomes
Background:
- Increasing incidence of pediatric day surgery necessitates improved home recovery monitoring.
- Postoperative care transition to home requires robust caregiver support systems.
Purpose of the Study:
- To introduce an electronic patient-reported outcome (PRO) questionnaire for monitoring pediatric day surgery patients at home.
- To provide families with essential support and guidance during the home recovery phase.
Main Methods:
- Development and implementation of an electronic PRO questionnaire for parents.
- Data collection on response rates, nonresponse reasons, and postdischarge hospital contact.
- Analysis of questionnaire utility in assessing and managing pediatric postoperative care.
Main Results:
- The PRO questionnaire collected data from 530 families since 2020.
- 157 families were identified as needing additional postoperative support.
- Pain was the most common postoperative complication, followed by nausea and vomiting.
Conclusions:
- Electronic PRO questionnaires are effective tools for postoperative home care monitoring.
- This method facilitates timely guidance and support for families after pediatric day surgery.
Introduction:
In recent years, there has been a marked rise in the incidence of pediatric day surgery across Western countries. As postoperative recovery transitions to the home environment, it is incumbent on healthcare systems to develop methods for patient follow-up and caregiver support.
Aim:
To describe a method of monitoring the postoperative home treatment of children, as well as giving families appropriate support and guidance.
Method:
We developed and implemented an electronic patient-reported outcome (PRO) questionnaire, designed to assist parents in assessing and managing pediatric postoperative care at home following day surgery. We present questionnaire response rates, reasons for nonresponse, and the frequency and causes of postdischarge contact with the hospital.
Results:
Since its implementation in 2020, our PRO questionnaire has captured postoperative home-care data from 530 families. The questionnaire facilitated the identification of 157 families requiring additional postoperative support following discharge. The primary postoperative complication identified was pain, with nausea and vomiting being less frequently reported as isolated concerns.
Conclusion:
We have found the use of a postdischarge electronic questionnaire helpful in the postoperative care and provision of timely guidance to families.
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