ArticleJournal of orthopaedic surgery and research2019
Modern instant messaging platform for postoperative follow-up of patients after total joint arthroplasty may reduce re-admission rate.
Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effect of health information technology (HIT)-based discharge transition interventions on patient readmissions and emergency room visits: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2022Pooled it
- Application of telerehabilitation in home care for older adult patients with postoperative hip fractures: A scoping review.PloS one · 2026Article
- Comparison of outcomes between resurfaced and unresurfaced patella in total knee arthroplasty using medial congruent liners: A retrospective study.Journal of orthopaedics · 2025Article
- Initiation of a novel text messaging system in total knee and hip arthroplasty.Arthroplasty (London, England) · 2024Article
- Articulation of postsurgical patient discharges: coordinating care transitions from hospital to home.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Recommendations for the Design and Delivery of Transitions-Focused Digital Health Interventions: Rapid Review.JMIR aging · 2022Review
- Process of Posthospital Care Involving Telemedicine Solutions for Patients after Total Hip Arthroplasty.International journal of environmental research and public health · 2021Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundFollow-up after artificial joint replacement greatly helps achieve surgical outcomes. Mobile internet technology and mobile terminal equipment may increase the effectiveness of artificial joint replacement. However, only a few studies have evaluated the effectiveness of this technology. We aimed to analyze the reasons and outcomes of patients who used the instant messaging platform after undergoing artificial joint replacement.
methodsAmong the 548 cases of arthroplasty (250 hips, 298 knees) performed between December 2015 and June 2018 in the Department of Joint Surgery of our institution; 358 (164 hip joints, 194 knee joints) participated in instant messaging platform consultation, whereas the remaining 190 (86 hip joints, 104 knee joints) participated in traditional telephone consultation, as a control group. Follow-up time was from December 2015 to August 2018 (follow-up period was 2-32 months). Data on age, sex, type of surgery, date of surgery, date of discharge, and length of hospital stay were collected from electronic medical records.
resultsWe analyzed the consultation contents of 358 patients who participated in instant messaging platform consultation. Counseling was mainly related to pain (13.6%), appointment review (12.4%), activity problems (10.5%), and incision problems (8.9%). Most problems were resolved through online guidance, with 8.4% of patients requiring only outpatient treatment and 2.5% of patients requiring rehospitalization. A total of 190 patients were followed up through traditional telephone consultation; 6.8% of patients required outpatient department treatment and 7.4% were eventually re-admitted.
conclusionThe instant messaging platform consultation service effectively informs patients of potential postoperative problems and helps resolve them. It allows early detection and management of postoperative adverse events, including problems related to medication, wound, and activity, thereby effectively reducing readmission rate.
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