Evidence map›Paper›PMID 29366555›Full record

ArticleJournal of the American College of Surgeons2018

Feasibility of an Image-Based Mobile Health Protocol for Postoperative Wound Monitoring.

Rebecca L Gunter, Sara Fernandes-Taylor, Shahrose Rahman, Lola Awoyinka, Kyla M Bennett, Sharon M Weber, Caprice C Greenberg, K Craig Kent

2 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American College of Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 54 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02735525 nacompletednot on this map

Feasibility Trial for Postoperative Wound Surveillance Using Smartphones

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2016 to 2016Enrolled40ConditionsSurgical Wound InfectionArmsSmartphone monitoring
NCT05455710 nacompletednot on this mapstarted 2023, after this paper: background citation

Evaluation of Post-discharge Surveillance Mobile Application for Surgical Site Infection as a Clinical Decision Support System

TypeinterventionalSponsorUniversity of Sao PauloRan2023 to 2024Enrolled242ConditionsSurgical Wound InfectionArmsVigiApp
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. [Deep Learning-Based Identification of Common Complication Features of Surgical Incisions].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Rebecca L GunterWisconsin Institute of Surgical Outcomes Research, Department of Surgery, University of Wisconsin, Madison, WI. Electronic address: rgunter@uwhealth.org.
Sara Fernandes-TaylorWisconsin Institute of Surgical Outcomes Research, Department of Surgery, University of Wisconsin, Madison, WI.
Shahrose RahmanWisconsin Institute of Surgical Outcomes Research, Department of Surgery, University of Wisconsin, Madison, WI.
Lola AwoyinkaWisconsin Institute of Surgical Outcomes Research, Department of Surgery, University of Wisconsin, Madison, WI.
Kyla M BennettWisconsin Institute of Surgical Outcomes Research, Department of Surgery, University of Wisconsin, Madison, WI.
Sharon M WeberWisconsin Institute of Surgical Outcomes Research, Department of Surgery, University of Wisconsin, Madison, WI.
Caprice C GreenbergWisconsin Institute of Surgical Outcomes Research, Department of Surgery, University of Wisconsin, Madison, WI.
K Craig KentWisconsin Institute of Surgical Outcomes Research, Department of Surgery, University of Wisconsin, Madison, WI.

Funding

Vascular Surgery Research Training ProgramT32HL110853 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI MATSUMURA, JON STEVEN · 2012 to 2021
$2.6M
Surgery Summer Research Experience for Medical StudentsT35DK062709 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI MEZRICH, JOSHUA D · 2006 to 2023
$870k
Patient-Centered Postoperative Wound Surveillance Using Current TechnologyR21HS023395 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI KENT, K CRAIG · 2014 to 2014
$299k
AHRQ HHS R21 HS023395NHLBI NIH HHS T32 HL110853NIDDK NIH HHS T35 DK062709
6 · The paper itself

Abstract

backgroundSurgical site infection (SSI) is the most common nosocomial infection and the leading cause of readmission among surgical patients. Many SSIs develop in the postdischarge period and are inadequately recognized by patients. To address this, we developed a mobile health protocol of remote wound monitoring using smartphone technology. The current study aims to establish its feasibility among patients and providers. STUDY

designWe enrolled vascular surgery patients during their inpatient stay. They were trained to use our mobile health application, which allowed them to transmit digital images of their surgical wound and answer a survey about their recovery. After hospital discharge, participants completed the application daily for 2 weeks. Providers on the inpatient team reviewed submissions daily and contacted patients for concerning findings.

resultsForty participants were enrolled. Forty-five percent of participants submitted data every day for 2 weeks, with an overall submission rate of 90.2%. Submissions were reviewed within an average of 9.7 hours of submission, with 91.9% of submissions reviewed within 24 hours. We detected 7 wound complications with 1 false negative. Participant and provider satisfaction was universally high.

conclusionsPatients and their caregivers are willing to participate in a mobile health program aimed at remote monitoring of postoperative recovery, and they are able to complete it with a high level of fidelity and satisfaction. Preliminary results indicate the ability to detect and intervene on wound complications.

Indexed as

Mobile ApplicationsAdultAgedAged, 80 and overFeasibility StudiesFemaleHumansLength of StayMaleMiddle AgedMonitoring, PhysiologicPatient ReadmissionPostoperative CareReproducibility of ResultsSurgical Wound InfectionTelemedicine

Identifiers

PMID29366555
PMCPMC6919967

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.