Key result
An Internet-connected surveillance protocol for at-home follow-up after early discharge from bariatric surgery successfully detected 100% of early complications over a 10-day period.
Why the study?
The study aimed to evaluate the safety and effectiveness of an Internet-connected surveillance protocol to detect early complications during at-home follow-up after bariatric surgery.
Does an Internet-connected surveillance protocol safely and effectively detect early complications in morbidly obese patients after early discharge from bariatric surgery?
Observational (n=281)
No
Does an Internet-connected surveillance protocol safely and effectively detect early complications in morbidly obese patients after early discharge from bariatric surgery?
An Internet-connected surveillance program with 24/7 nursing monitoring is safe and effective for detecting early complications after early discharge in bariatric surgery patients.
May support connected post-bariatric surveillance; hypothesis-generating and requires randomized trials before practice change.
As part of a bariatric enhanced recovery after surgery (ERAS) program, at-home follow-up using a novel Internet application was used to detect early complications. The study aimed to evaluate the safety and effectiveness of this "connected surveillance" protocol over a 10-day follow-up. Patients were monitored 24/7 by a trained nursing team with daily surgeon review of patient self-reports. Morbidly obese patients (n = 281) underwent OAGB (126, 47.70%) or sleeve gastrectomy (138, 52.3%). Of 264 who completed the study (mean age 40 years [20-66]), 3 (1.1%) underwent revision for early complications; there were 6 (2.1%) readmissions and 22 (8.3%) consultations. In a bariatric surgery ERAS program, "Internet-connected surveillance" proved safe and effective in detecting 100% of early complications, and most patients were satisfied with their care.
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Neuberg et al. (2020) conducted an observational in Morbid obesity undergoing bariatric surgery (n=281). Internet-connected surveillance protocol was evaluated on Detection of early complications. An Internet-connected surveillance protocol for at-home follow-up after early discharge from bariatric surgery successfully detected 100% of early complications over a 10-day period.
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