Fit4Surgery应用程序:为接受选择性结肠直肠癌手术的老年患者提供家庭预康复应用程序
Lennaert Cb Groen1, Thomas Gc Timmers2, Freek D Daams3
1Department of Surgery, Northwest Clinics, Alkmaar, NL, the Netherlands.
概括
使用Fit4Surgery应用程序进行家庭预康复对结直肠癌患者显示出有前途的结果,维持功能能力并减少并发症. 这种基于应用程序的方法为监督计划提供了具有成本效益的替代方案.
科学领域:
- 在瘤学瘤学.
- 老年医学 老年医学
- 数字健康数字健康
背景情况:
- 对结直肠癌 (CRC) 手术的监督预康复改善了结果,但资源密集.
- 人口老龄化和医疗保健成本压力需要创新的,可访问的预康复策略.
- 使用移动应用程序进行家庭预康复 (HBP) 对慢性慢性病患者来说是一个潜在的解决方案.
研究的目的:
- 评估Fit4Surgery应用程序在接受结肠直肠癌 (CRC) 手术的患者的家庭多式预康复中的有效性.
- 评估基于应用程序的HBP对功能能力,并发症率和医疗保健成本的影响.
主要方法:
- 一项前性队列研究,涉及100名年龄在60岁及以上的CRC患者.
- 主要结局是手术后六周保持或改善6分钟步行测试 (6MWT).
- 二次结果包括90天的并发症和再入院率,停留时间长度,6MWT,短性能物理电池 (SPPB) 评分和总成本.
主要成果:
- 在使用该应用至少3周的97名患者中,74.7%的患者在手术后6周保持或改善了6分钟步行测试 (6MWT).
- 与基线相比,在不同时间点观察到6MWT和SPPB的显著改善.
- 90天的并发症率为25.8%,再入院率为6.3%,死亡率为2.1%,每名患者的总成本为518.50欧元.
结论:
- Fit4Surgery应用程序为CRC手术患者的多式家庭预康复提供了高合规性.
- 基于应用程序的HBP展示了有前途的功能能力改善和低并发症率,与监督程序相比.
- 这种数字健康方法有效地将预康复费用减半,提供了一个可持续的解决方案.
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