eHealth in Pediatric Surgery: Impact on Postsurgical Care After Reconstructive Surgery for Anorectal Malformations and Hirschsprung's Disease

IF 2.4 2区医学 Q1 PEDIATRICS

Journal of pediatric surgery Pub Date : 2025-02-19 DOI:10.1016/j.jpedsurg.2025.162251

Matilda Wester Fleur , Björn A. Johnsson , Charlotte Castor , Pernilla Stenström

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引用次数: 0

Abstract

Background

To support care after discharge following surgery for anorectal malformations (ARM) and Hirschsprung's disease (HD), an eHealth device was invented, offering families bilateral communication through chat, photo, questionaries and video.

Aim

To explore the impact of eHealth on postoperative patterns of expert consultation, complications and treatment after discharge following surgery for ARM and HD, respectively, compared to conventional care.

Method

Interventional prospective case control study observing postoperative care 30 days after discharge after ARM and HD-reconstructions July 2018–July 2023, comparing outcomes between families using the eHealth device versus conventional care.

Results

Consecutively included were 95/141 families (eHealth: ARM n = 48, HD n = 25; respective conventional care: ARM n = 16, HD n = 6). Days to first contact after discharge were fewer for eHealth users, both for ARM 2 vs. 5.5 (p = 0.000) and HD 1 vs 7 (p = 0.000). Days with consultations were more numerous using eHealth: ARM 9 vs 4 (p = 0.000) and HD 12 vs 3.5 (p = 0.001) specifically nurse counseling; ARM 6 versus 1 (p = 0.000) and HD 11 vs 2.5 (p = 0.001). In ARM patients the complication frequency was 23 % (eHealth) versus 50 % (conventional), and the complication severity was lower: Clavien-Madadi 0 (0–4) versus 1 (0–3) (p = 0.040). Treatment adjustments were more frequent for HD patients using eHealth (3 vs. 2 (p = 0.041)).

Conclusion

Use of eHealth after ARM respective HD reconstructions implies earlier and more frequent postoperative counseling, especially with nurses. When using eHealth complications were less severe in ARM-patients and treatment adjustments more frequent in the HD patients, compared to those under conventional care.

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儿童外科中的电子健康：对肛肠畸形和巨结肠病重建手术后护理的影响

为了支持肛肠畸形（ARM）和巨结肠病（HD）手术后的出院护理，发明了一种电子健康设备，通过聊天、照片、问卷和视频为家庭提供双边交流。目的探讨与传统护理相比，电子健康对ARM和HD术后专家会诊模式、并发症和出院后治疗的影响。方法介入前瞻性病例对照研究，观察2018年7月- 2023年7月ARM和hd重建术后出院后30天的护理情况，比较使用eHealth设备的家庭与传统护理的结果。结果连续纳入95/141个家庭(eHealth: ARM n = 48, HD n = 25；各自的常规护理：ARM n = 16, HD n = 6)。eHealth用户出院后第一次接触的天数更少，无论是ARM 2 vs. 5.5 (p = 0.000)，还是HD 1 vs. 7 （p = 0.000）。使用eHealth咨询的天数更多：特别是护士咨询，ARM 9 vs 4 (p = 0.000), HD 12 vs 3.5 (p = 0.001)；ARM 6 vs 1 (p = 0.000), HD 11 vs 2.5 （p = 0.001）。在ARM患者中，并发症发生率为23% （eHealth）比50%（常规），并发症严重程度较低：Clavien-Madadi 0（0 - 4）比1 (0 - 3)（p = 0.040）。使用eHealth的HD患者调整治疗的频率更高（3比2 (p = 0.041)）。结论在ARM各自HD重建后使用eHealth意味着更早和更频繁的术后咨询，特别是与护士的咨询。与接受传统护理的患者相比，使用电子健康服务时，arm患者的并发症不那么严重，HD患者的治疗调整更频繁。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of pediatric surgery 医学-外科

CiteScore

1.10

自引率

12.50%

发文量

569

审稿时长

38 days

期刊介绍： The journal presents original contributions as well as a complete international abstracts section and other special departments to provide the most current source of information and references in pediatric surgery. The journal is based on the need to improve the surgical care of infants and children, not only through advances in physiology, pathology and surgical techniques, but also by attention to the unique emotional and physical needs of the young patient.