Viabilidad y aceptabilidad de una app para el seguimiento del dolor agudo postoperatorio en cirugía mayor ambulatoria

Abstract

Introduction

By allowing intensive monitoring of acute postoperative pain (APP), mHealth could be clinically useful in contexts with a high prevalence of moderate to severe APP.

Objectives

The primary objective was to evaluate the feasibility and acceptability of an app for monitoring APP. The secondary objectives were to describe APP during the first week of the postoperative period, to analyse factors associated with it and to assess adherence and satisfaction with analgesic treatment.

Materials and methods

Observational and prospective study in patients undergoing surgery under major ambulatory surgery regimen who reported the intensity of APP for 7 days with an app. We determined the proportions that agreed to use it and who made trajectories of APP ≥ 5 days, the pattern of use of the app and the results. Risk factors associated with APP were analyzed. Satisfaction with APP control and adherence to the analgesic regimen were assessed through surveys.

Results

A percentage of 53.4 of patients measured their APP with the app. The main reason for exclusion was technological limitations (75.1%). An uninterrupted APP trajectory of ≥ 5 days was traced in 74.4% of patients and a high prevalence of moderate to severe APP was observed, as well as a high proportion of patients who adhered little or not at all and were little or not at all satisfied with the analgesic results obtained.

Conclusions

Monitoring APP with the app used was feasible and accepted by patients. It provided clinically useful information by allowing APP trajectories to be traced and detecting high proportions of patients with moderate to severe APP, dissatisfied with the analgesic results obtained and non-compliant with analgesic guidelines.