V08-12 Home Telemonitoring of Patients Undergoing Radical Cystectomy Using Tytocare Device: Comparative Analysis of Early Post-Operative Outcomes

You have accessJournal of UrologyBladder & Urothelial Upper Tract Oncology (V08)1 May 2024V08-12 HOME TELEMONITORING OF PATIENTS UNDERGOING RADICAL CYSTECTOMY USING TYTOCARE DEVICE: COMPARATIVE ANALYSIS OF EARLY POST-OPERATIVE OUTCOMES Daniele Amparore, Alberto Quara', Sabrina Titti De Cillis, Marco Colombo, Valentina Garzena, Paolo Verri, Massimiliano Poggio, Enrico Checcucci, Alberto Piana, Federico Piramide, Gabriele Volpi, Michele Sica, Mariano Burgio, Juliette Meziere, Luca Marsero, Andrea Sterrantino, Nadia Ziani, Alexandru Turcan, Matteo Manfredi, Cristian Fiori, and Francesco Porpiglia Daniele AmparoreDaniele Amparore , Alberto Quara'Alberto Quara' , Sabrina Titti De CillisSabrina Titti De Cillis , Marco ColomboMarco Colombo , Valentina GarzenaValentina Garzena , Paolo VerriPaolo Verri , Massimiliano PoggioMassimiliano Poggio , Enrico CheccucciEnrico Checcucci , Alberto PianaAlberto Piana , Federico PiramideFederico Piramide , Gabriele VolpiGabriele Volpi , Michele SicaMichele Sica , Mariano BurgioMariano Burgio , Juliette MeziereJuliette Meziere , Luca MarseroLuca Marsero , Andrea SterrantinoAndrea Sterrantino , Nadia ZianiNadia Ziani , Alexandru TurcanAlexandru Turcan , Matteo ManfrediMatteo Manfredi , Cristian FioriCristian Fiori , and Francesco PorpigliaFrancesco Porpiglia View All Author Informationhttps://doi.org/10.1097/01.JU.0001009440.59296.9f.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: This prospective observational single-center study assessed the efficacy of employing TYTOCARE telemedicine system for home telemonitoring in the early postoperative period of Radical Cystectomy (RC). METHODS: This study enrolled patients who met the inclusion criteria (age less than 80 yrs and internet access) who underwent RC at our institution between March 2021 and August 2023. Patients were discharged at home with a telemonitoring protocol to perform via TYTOCARE telemedicine system (TYTO Group). After discharge, patients filled in a daily questionnaire on symptoms and a vital parameters form (measured with TYTOCARE) including Heart Rate, Body Temperature, intestinal peristalsis sounds, diuresis monitoring, and evaluation of surgical wounds and ostomy through photos. A weekly telemedicine visit scheme was set, but additional visits could be performed when needed. A retrospective control group was selected from our prospectively maintained database of patients underwent RC at our institution. Demographics, perioperative data and early (<30 days) postoperative complications were assessed. Univariate and multivariate logistic regression (MLR) analysis were built to identify independent predictive factors of complications and readmissions. RESULTS: 16 patients were enrolled in TYTO group, while 189 patients were included in the retrospective control group. The mean hospital stay was longer in the control group than in the TYTO group (13.3 vs 10.5, p=0.029) while the rate of medical complications resulted significantly lower in the TYTO group when compared with the control group (12.5% vs 35.1%, p=0.034). A lower rate of major complications was recorded in TYTO group in comparison with control group (12.5% vs 25.6%), even if not significant (p>0.05). In the TYTO any patients needed hospital readmissions group between discharge and 1 month postoperatively, while 40 patients (20%) of the control group were readmitted in hospital for a complication occurred in the same the timeframe. Home telemonitoring with TYTOCARE allowed identification of 1 ostomy infection, 1 wound infection, 1 wound dehiscence and 1 case of fever, all managed at home or in an ambulatory setting. At last, MRL showed that postoperative monitoring with TYTOCARE was 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), as well as the only independent predictor of hospital readmission within the first 30 days after surgery (OR 0.79; 95% CI: 0.33-0.91, p=0.041). CONCLUSIONS: Patient postoperative recovery monitoring after RC performed with TYTOCARE system may reduce hospital stay, occurrence of medical postoperative complications and risk of hospital readmissions in the first 30 days after surgery. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e560 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Daniele Amparore More articles by this author Alberto Quara' More articles by this author Sabrina Titti De Cillis More articles by this author Marco Colombo More articles by this author Valentina Garzena More articles by this author Paolo Verri More articles by this author Massimiliano Poggio 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 Mariano Burgio More articles by this author Juliette Meziere More articles by this author Luca Marsero More articles by this author Andrea Sterrantino More articles by this author Nadia Ziani More articles by this author Alexandru Turcan More articles by this author Matteo Manfredi More articles by this author Cristian Fiori More articles by this author Francesco Porpiglia More articles by this author Expand All Advertisement PDF downloadLoading ...