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Master Thesis

Développement du projet SATELIA en chirurgie ambulatoire. Mise en place d’un recueil généralisé, automatisé et répété des PROMS (Patient Reported Outcomes Measures) à J+1 et J+7.

Abstract : Introduction: ambulatory surgery brings new challenges and responsibilities. Prolonged follow-up as well as its implementation in all the operations of an ambulatory surgery center (ASC) represent two important issues. This follow-up is most often described the day after the intervention (D+1), on a single type of intervention, by SMS. There are also many unknowns about the integration of a web application in the outpatient journey. The objective was to assess the feasibility of a prolonged follow-up and implementation in current practice of a web-application, at the scale of an entire ASC. Materials and methods: 2,307 consecutive patients with a French phone number were included between May 2018 and May 2019 in two outpatient units of the Bordeaux University Hospital. The patients were included, after agreement, in the follow-up manager. Several questionnaires were sent to the patient: on D-2, D+1 and D+7. The patients received an SMS with a link to a web-application, accessible from phone or computer, in which were presented information videos and a questionnaire collecting the main adverse effects (pain, PONV), patient satisfaction, and the quality criteria put in place by government authorities (HAS). Result: The spontaneous response rate was 76% on D+1 and 58% on D+7. The rate of patients with at least one alert was 28% (including 26% for moderate or severe pain, 6% for nausea and 2% for vomiting). Responses were obtained within a median time of 102 min on D+1 and 90 min for D+7. Conclusion: this web tool appears effective for interviewing patients postoperatively, over time. Its implementation at the scale of a service makes it possible to adapt the support.
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https://dumas.ccsd.cnrs.fr/dumas-03363611
Contributor : Médecine Ub Connect in order to contact the contributor
Submitted on : Monday, October 4, 2021 - 9:45:15 AM
Last modification on : Tuesday, October 26, 2021 - 3:21:51 AM

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Nicolas Pages. Développement du projet SATELIA en chirurgie ambulatoire. Mise en place d’un recueil généralisé, automatisé et répété des PROMS (Patient Reported Outcomes Measures) à J+1 et J+7.. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03363611⟩

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