• Br J Anaesth · Nov 2017

    Randomized Controlled Trial Multicenter Study

    Evaluation of postoperative recovery in day surgery patients using a mobile phone application: a multicentre randomized trial.

    • M Jaensson, K Dahlberg, M Eriksson, and U Nilsson.
    • Faculty of Medicine and Health, School of Health Sciences, Örebro University, 701 82 Örebro, Sweden.
    • Br J Anaesth. 2017 Nov 1; 119 (5): 1030-1038.

    BackgroundMany patients undergoing anaesthesia and surgery experience postoperative complications. Our aim was to investigate whether a systematic follow-up smartphone-based assessment, using recovery assessment by phone points (RAPP) compared with standard care, had a positive effect on day surgery patients' postoperative recovery. We also investigated whether there were differences in women and men's recovery and recovery scores.MethodsThe study was a single-blind, multicentre randomized controlled trial. A total of 997 patients were randomly allocated to either RAPP or standard care. The Swedish web version of a quality of recovery (SwQoR) questionnaire was used to evaluate the patients' postoperative recovery, either on paper or using an application (RAPP) on postoperative days seven and 14.ResultsOn postoperative day seven the RAPP group reported significantly better values in seven out of 24 items of the SwQoR: sleeping difficulties; not having a general feeling of wellbeing; having difficulty feeling relaxed/comfortable; and dizziness; headache; pain in the surgical wound; and a swollen surgical wound compared with the control group, implying a good postoperative recovery. Both men and women in the RAPP group reported significantly better values (and, hence good postoperative recovery) compared with the control group in the items sleeping difficulties; not having a general feeling of wellbeing and pain in the surgical wound.ConclusionsMeasurement of patient-reported outcomes using a smartphone-based application was associated with decreased discomfort from several postoperative symptoms. Systematic e-assessment can thereby increase patients' quality of recovery and identify key areas for improvement in perioperative care.Clinical Trial RegistrationNCT02492191.© The Author 2017. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.

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