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Postoperative monitoring with a mobile application after ambulatory lumbar discectomy: an effective tool for spine surgeons

Overview of attention for article published in European Spine Journal, June 2016
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Title
Postoperative monitoring with a mobile application after ambulatory lumbar discectomy: an effective tool for spine surgeons
Published in
European Spine Journal, June 2016
DOI 10.1007/s00586-016-4680-4
Pubmed ID
Authors

Bertrand Debono, Philippe Bousquet, Pascal Sabatier, Jean-Yves Plas, Jean-Paul Lescure, Olivier Hamel

Abstract

The rise of eHealth, with the increasing use of a Mobile application provides a new perspective for outpatient spine surgery follow-up. Assess the feasibility of Mobile app for postoperative monitoring after outpatient lumbar discectomy. Sixty consecutive patients, who underwent an ambulatory lumbar discectomy, were proposed the use of Mobile app to optimize their home monitoring for 15 days. Contact was maintained with the clinic based on the level of symptom severity: pain, temperature, deficit, bleeding, to provide a suitable solution. Use of Mobile app compared to the standard follow-up procedure was evaluated daily and a satisfaction survey was carried-out 3 months after surgery. Thirty-six patients (60.0 %) completed the initial checklist within 48 h, with no triggered severity. Five patients (8.3 %) triggered a non-response alarm; no action was required in the follow-up of 41 patients. However, 19 patients (31.7 %) triggered a total of 29 alarms, automatically resulting in a neurosurgeon contact for: postoperative pain management and optimization of analgesics, 21 cases (72.4 %), low-grade fever <38.5°, 4 cases (13.8 %), voiding delay, 2 cases (6.9 %) and a problem related to dressing, 2 cases (6.9 %). The scale ranged from 1 (poor) to 4 (excellent), with a 3.5/4 overall satisfaction mean score for the mobile handheld-device. Most patients (91.6 %) responded that they would agree to repeat the postoperative experience. Overall patient satisfaction was excellent. Mobile app provides an effective useful tool for outpatient spine surgery monitoring and minimizes the need for in-person visits for postoperative patients.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 144 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Netherlands 1 <1%
Canada 1 <1%
Switzerland 1 <1%
Unknown 141 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 22 15%
Student > Doctoral Student 19 13%
Other 17 12%
Student > Ph. D. Student 14 10%
Student > Bachelor 11 8%
Other 27 19%
Unknown 34 24%
Readers by discipline Count As %
Medicine and Dentistry 51 35%
Nursing and Health Professions 15 10%
Computer Science 8 6%
Agricultural and Biological Sciences 5 3%
Psychology 5 3%
Other 15 10%
Unknown 45 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 June 2016.
All research outputs
#20,335,423
of 22,880,230 outputs
Outputs from European Spine Journal
#3,652
of 4,645 outputs
Outputs of similar age
#304,902
of 352,119 outputs
Outputs of similar age from European Spine Journal
#46
of 92 outputs
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So far Altmetric has tracked 4,645 research outputs from this source. They receive a mean Attention Score of 4.0. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 92 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.