%0 Journal Article
%@ 2291-5222
%I JMIR Publications Inc.
%V 3
%N 1
%P e18
%T Using a Mobile App for Monitoring Post-Operative Quality of Recovery of Patients at Home: A Feasibility Study
%A Semple,John L
%A Sharpe,Sarah
%A Murnaghan,M Lucas
%A Theodoropoulos,John
%A Metcalfe,Kelly A
%+ Women\'s College Hospital, Department of Surgery, University of Toronto, 76 Grenville St, Toronto, ON, M5S 1B2, Canada, 1 416 323 7555, john.semple@wchospital.ca
%K outpatient
%K recovery
%K care
%K post-operative
%K smartphone
%K technology
%K mobile
%D 2015
%7 12.02.2015
%9 Original Paper
%J JMIR mHealth uHealth
%G English
%X Background: Mobile apps are being viewed as a new solution for post-operative monitoring of surgical patients. Mobile phone monitoring of patients in the post-operative period can allow expedited discharge and may allow early detection of complications. Objective: The objective of the current study was to assess the feasibility of using a mobile app for the monitoring of post-operative quality of recovery at home following surgery in an ambulatory setting. Methods: We enrolled 65 consecutive patients (n=33, breast reconstruction surgery; n=32, orthopedic surgery) and asked them to use a mobile phone daily to complete a validated quality of recovery scale (QoR-9) and take photographs of the surgical site for the first 30 days post-op. Surgeons were asked to review patient-entered data on each patient in their roster daily. A semistructured questionnaire was administered to patients and surgeons to assess satisfaction and feasibility of the mobile device. Results: All 65 patients completed the study. The mean number of logins was 23.9 (range 7-30) for the breast patients and 19.3 (range 5-30) for the orthopedic patients. The mean number of logins was higher in the first 14 days compared to the 15-30 days post-op for both breast patients (13.4 vs 10.5; P<.001) and for the orthopedic patients (13.4 vs 6.0; P<.001). The mean score for overall satisfaction with using the mobile device was 3.9 for breast patients and 3.7 for orthopedic patients (scored from 1 (poor) to 4 (excellent)). Surgeons reported on the easy-to-navigate design, the portability to monitor patients outside of hospital, and the ability of the technology to improve time efficiency. Conclusions: The use of mobile apps for monitoring the quality of recovery in post-operative patients at home was feasible and acceptable to patients and surgeons in the current study. Future large scale studies in varying patient populations are required. 
%M 25679749
%R 10.2196/mhealth.3929
%U http://mhealth.jmir.org/2015/1/e18/
%U https://doi.org/10.2196/mhealth.3929
%U http://www.ncbi.nlm.nih.gov/pubmed/25679749