Remote symptom monitoring in thoracic surgery patients after discharge Journal Article
| Authors: | Sewell, M.; Boerner, T.; Harrington, C.; Hsu, M.; Tan, K. S.; Carr, R. A.; Jones, S.; Zocco, D.; Adusumilli, P. S.; Bains, M. S.; Bott, M. J.; Downey, R. J.; Huang, J.; Isbell, J. M.; Park, B. J.; Rocco, G.; Rusch, V. W.; Sihag, S.; Jones, D. R.; Cracchiolo, J.; Molena, D. |
| Article Title: | Remote symptom monitoring in thoracic surgery patients after discharge |
| Abstract: | Objective: To evaluate an electronic platform for remote symptom monitoring to enhance postdischarge care in thoracic surgery using patient reporting of symptoms. Background: Owing to the increased use of enhanced recovery after surgery protocols, patients are spending a larger portion of their postoperative course at home. For patients undergoing complex operations, this represents an opportunity for early identification of abnormal symptoms at home before deterioration. Methods: An online symptom-tracking platform for thoracic surgery patients was created on the basis of opinions from stakeholders and a review of the literature. Starting in February 2021, patients were educated about the symptom tracker in preoperative clinics. After discharge, patients received a series of electronic surveys covering 23 symptom domains assessed using a Likert Scale for severity. Moderate symptoms prompted a "yellow alert,"and severe symptoms prompted a "red alert,"both notifying the nursing team and prompting appropriate action. Patients were considered responders if they completed at least 1 survey. Results: In total, 1997 patients were enrolled; 76% (n = 1520) were responders. Responders were younger, more likely to be White, less likely to have medical comorbidities, and less likely to be readmitted [odds ratio: 0.53 (95% CI: 0.37-0.76); P < 0.001]. Responders who were readmitted had a higher percentage of red alerts (47% vs 24%; P < 0.001) and yellow alerts (74% vs 61%; P = 0.016) compared with responders who were not readmitted. Conclusions: Electronic reporting adds an additional mechanism of communication between the patient and the clinical team, with the potential to lower the odds of readmission. Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. |
| Keywords: | aged; middle aged; lung cancer; postoperative complication; postoperative complications; diagnosis; hospital discharge; patient discharge; patient-reported outcomes; thorax surgery; thoracic surgical procedures; thoracic surgery; monitoring, physiologic; procedures; physiologic monitoring; humans; human; male; female; symptom assessment; symptom tracking; electronic surveys |
| Journal Title: | Annals of Surgery |
| Volume: | 281 |
| Issue: | 6 |
| ISSN: | 0003-4932 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2025-06-01 |
| Start Page: | 1063 |
| End Page: | 1069 |
| Language: | English |
| DOI: | 10.1097/sla.0000000000006619 |
| PUBMED: | 39774469 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Corresponding authors is MSK author: Daniela Molena -- Source: Scopus |
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