title: Using a mobile app for monitoring post-operative quality of recovery of patients at home: a feasibility study.
abstract: BACKGROUND
  Mobile apps are being viewed as a new solution for post-operative monitoring of surgical patients. Mobile phone monitoring of patients in the post-operative period can allow expedited discharge and may allow early detection of complications.
  
  
  OBJECTIVE
  The objective of the current study was to assess the feasibility of using a mobile app for the monitoring of post-operative quality of recovery at home following surgery in an ambulatory setting.
  
  
  METHODS
  We enrolled 65 consecutive patients (n=33, breast reconstruction surgery; n=32, orthopedic surgery) and asked them to use a mobile phone daily to complete a validated quality of recovery scale (QoR-9) and take photographs of the surgical site for the first 30 days post-op. Surgeons were asked to review patient-entered data on each patient in their roster daily. A semistructured questionnaire was administered to patients and surgeons to assess satisfaction and feasibility of the mobile device.
  
  
  RESULTS
  All 65 patients completed the study. The mean number of logins was 23.9 (range 7-30) for the breast patients and 19.3 (range 5-30) for the orthopedic patients. The mean number of logins was higher in the first 14 days compared to the 15-30 days post-op for both breast patients (13.4 vs 10.5; P<.001) and for the orthopedic patients (13.4 vs 6.0; P<.001). The mean score for overall satisfaction with using the mobile device was 3.9 for breast patients and 3.7 for orthopedic patients (scored from 1 (poor) to 4 (excellent)). Surgeons reported on the easy-to-navigate design, the portability to monitor patients outside of hospital, and the ability of the technology to improve time efficiency.
  
  
  CONCLUSIONS
  The use of mobile apps for monitoring the quality of recovery in post-operative patients at home was feasible and acceptable to patients and surgeons in the current study. Future large scale studies in varying patient populations are required.
authors: Women\'s College Hospital, Department of Surgery, University of Toronto, Toronto, ON, Canada. john.semple@wchospital.ca.
authors: John L
authors: http://orcid.org/0000-0003-2284-7977
authors: JL
authors: Semple
authors: Sarah
authors: http://orcid.org/0000-0002-6310-5315
authors: S
authors: Sharpe
authors: M Lucas
authors: http://orcid.org/0000-0002-9086-9193
authors: ML
authors: Murnaghan
authors: John
authors: http://orcid.org/0000-0003-3185-7800
authors: J
authors: Theodoropoulos
authors: Kelly A
authors: http://orcid.org/0000-0003-1803-2169
authors: KA
authors: Metcalfe
keywords: care; mobile; outpatient; post-operative; recovery; smartphone; technology