Pd02-04 Comparative Study About Efficacy Assessment of Tytocare Telemedicine System for Home-Telemonitoring of Patients Undergoing Radical Cystectomy

You have accessJournal of UrologyBladder Cancer: Invasive I (PD02)1 May 2024PD02-04 COMPARATIVE STUDY ABOUT EFFICACY ASSESSMENT OF TYTOCARE TELEMEDICINE SYSTEM FOR HOME-TELEMONITORING OF PATIENTS UNDERGOING RADICAL CYSTECTOMY Daniele Amparore, Sabrina Titti De Cillis, Matteo Manfredi, Enrico Checcucci, Alberto Piana, Federico Piramide, Gabriele Volpi, Michele Sica, Paolo Verri, Juliette Meziere, Alberto Quara', Edoardo Cisero, Giovanni Busacca, Marco Colombo, Martina Mandaletti, Andrea Sterrantino, Valentina Garzena, Giulia Trapella, Nadia Ziani, Alessandro Enrico Maria Venezia, Francesco Rosi, Michele Di Dio, Cristian Fiori, and Francesco Porpiglia Daniele AmparoreDaniele Amparore , Sabrina Titti De CillisSabrina Titti De Cillis , Matteo ManfrediMatteo Manfredi , Enrico CheccucciEnrico Checcucci , Alberto PianaAlberto Piana , Federico PiramideFederico Piramide , Gabriele VolpiGabriele Volpi , Michele SicaMichele Sica , Paolo VerriPaolo Verri , Juliette MeziereJuliette Meziere , Alberto Quara'Alberto Quara' , Edoardo CiseroEdoardo Cisero , Giovanni BusaccaGiovanni Busacca , Marco ColomboMarco Colombo , Martina MandalettiMartina Mandaletti , Andrea SterrantinoAndrea Sterrantino , Valentina GarzenaValentina Garzena , Giulia TrapellaGiulia Trapella , Nadia ZianiNadia Ziani , Alessandro Enrico Maria VeneziaAlessandro Enrico Maria Venezia , Francesco RosiFrancesco Rosi , Michele Di DioMichele Di Dio , Cristian FioriCristian Fiori , and Francesco PorpigliaFrancesco Porpiglia View All Author Informationhttps://doi.org/10.1097/01.JU.0001008836.73392.92.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In this prospective observational single-center study, the effectiveness of using the TYTOCARE telemedicine system for home telemonitoring during the initial postoperative phase following radical cystectomies (RC) was evaluated. METHODS: Patients undergoing RC at our facility between March 2021 and August 2023 who matched the inclusion criteria (i.e., less than 80 years of age and internet access) were included in this study. Following their discharge, patients were given instructions on how to use the TYTOCARE telemedicine system (TYTO Group) for telemonitoring at home. At home, patients completed a daily questionnaire about their symptoms as well as a form measuring vital signs (using TYTOCARE), which included heart rate, body temperature, intestinal peristalsis sounds, diuresis monitoring, and a photo-based assessment of their surgical incisions and ostomy. Weekly telemedicine visits were scheduled, but more appointments could be planned as needed. From our prospectively managed database of patients who underwent RC at our facility, a retrospective control group was recruited. Demographics, perioperative data, and early (i.e., less than 30 days) postoperative complications data were collected. Univariate and multivariate logistic regression (MLR) analysis were performed to find independent predictors of readmissions and complications. RESULTS: 16 and 189 patients were included in the TYTO and retrospective control group, respectively. The TYTO group saw a significantly reduced rate of medical complications compared to the control group (12.5% vs. 35.1%, p=0.034), which also had a longer mean hospital stay (13.3 vs. 10.5 days, p=0.029). Even though it was not statistically significant (p>0.05), the TYTO group was characterized by a lower risk of major complications with respect to the control group (12.5% vs. 25.6%). Forty patients (20%) in the control group were readmitted to the hospital due to a complication occurring before the 30-day window, but no patients in the TYTO group were readmitted in the same timeframe. One ostomy infection, one wound infection, one wound dehiscence, and one fever case were identified and treated at home or in an ambulatory setting thanks to home telemonitoring with TYTOCARE. MLR demonstrated that the only independent predictor of hospital readmission within the first 30 days following surgery (OR 0.79; 95% CI: 0.33-0.91, p=0.041) and the only protective factor for both medical (OR 0.35; 95% CI: 0.09-0.98, p=0.040) and major complications (OR 0.76; 95% CI: 0.08-0.92, p=0.033) was postoperative monitoring with TYTOCARE. CONCLUSIONS: In the first 30 days following surgery, patient postoperative recovery monitoring following RC using the TYTOCARE system may lower the length of hospital stay, the incidence of medical postoperative complications, and the risk of readmissions to the hospital. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e71 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Daniele Amparore More articles by this author Sabrina Titti De Cillis More articles by this author Matteo Manfredi More articles by this author Enrico Checcucci More articles by this author Alberto Piana More articles by this author Federico Piramide More articles by this author Gabriele Volpi More articles by this author Michele Sica More articles by this author Paolo Verri More articles by this author Juliette Meziere More articles by this author Alberto Quara' More articles by this author Edoardo Cisero More articles by this author Giovanni Busacca More articles by this author Marco Colombo More articles by this author Martina Mandaletti More articles by this author Andrea Sterrantino More articles by this author Valentina Garzena More articles by this author Giulia Trapella More articles by this author Nadia Ziani More articles by this author Alessandro Enrico Maria Venezia More articles by this author Francesco Rosi More articles by this author Michele Di Dio More articles by this author Cristian Fiori More articles by this author Francesco Porpiglia More articles by this author Expand All Advertisement PDF downloadLoading ...