Connected Surveillance for Detection of Complications After Early Discharge from Bariatric Surgery

As part of a bariatric enhanced recovery after surgery (ERAS) program, at-home follow-up using a novel Internet application was used to detect early complications. The study aimed to evaluate the safety and effectiveness of this “connected surveillance” protocol over a 10-day follow-up. Patients wer...

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Bibliographic Details
Published in:Obesity surgery 2020-11, Vol.30 (11), p.4669-4674
Main Authors: Neuberg, Maud, Blanchet, Marie-Cécile, Gignoux, Benoit, Frering, Vincent
Format: Article
Language:English
Subjects:
Adult
Bariatric Surgery
Bariatric Surgery - adverse effects
Brief Communication
Chirurgie
Connected surveillance
Endocrinology, Diabetes and Metabolism
Enhanced recovery after surgery
ERAS, bariatric surgery
Gastrectomy
Gastrectomy - adverse effects
Gastrointestinal surgery
Human health sciences
Humans
Medicine
Medicine & Public Health
Nutrition and Dietetics
OAGB
Obesity, Morbid
Obesity, Morbid - surgery
One-anastomosis gastric bypass
Patient Discharge
Postoperative Complications
Recovery (Medical)
Retrospective Studies
Sciences de la santé humaine
Surgery
Surveillance
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Summary:As part of a bariatric enhanced recovery after surgery (ERAS) program, at-home follow-up using a novel Internet application was used to detect early complications. The study aimed to evaluate the safety and effectiveness of this “connected surveillance” protocol over a 10-day follow-up. Patients were monitored 24/7 by a trained nursing team with daily surgeon review of patient self-reports. Morbidly obese patients ( n  = 281) underwent OAGB (126, 47.70%) or sleeve gastrectomy (138, 52.3%). Of 264 who completed the study (mean age 40 years [20–66]), 3 (1.1%) underwent revision for early complications; there were 6 (2.1%) readmissions and 22 (8.3%) consultations. In a bariatric surgery ERAS program, “Internet-connected surveillance” proved safe and effective in detecting 100% of early complications, and most patients were satisfied with their care.
ISSN:0960-8923
1708-0428
1708-0428
DOI:10.1007/s11695-020-04817-5