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Digital health interventions for postoperative recovery in children: a systematic review.
Plummer, Karin; Adina, Japheth; Mitchell, Amy E; Lee-Archer, Paul; Clark, Justin; Keyser, Janelle; Kotzur, Catherine; Qayum, Abdul; Griffin, Bronwyn.
Afiliación
  • Plummer K; School of Nursing and Midwifery, Menzies Health Institute, Griffith University, Gold Coast, QLD, Australia; Department of Anaesthesia and Pain, Queensland Children's Hospital, South Brisbane, QLD, Australia. Electronic address: k.plummer@griffith.edu.au.
  • Adina J; Parenting and Family Support Centre, School of Psychology, Brisbane, QLD, Australia.
  • Mitchell AE; Parenting and Family Support Centre, School of Psychology, Brisbane, QLD, Australia; Griffith Centre for Mental Health, Griffith University, Brisbane, QLD, Australia; Midwifery and Social Work, School of Nursing, The University of Queensland, Brisbane, QLD, Australia.
  • Lee-Archer P; Department of Anaesthesia and Pain, Queensland Children's Hospital, South Brisbane, QLD, Australia; Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
  • Clark J; Institute for Evidence-Based Healthcare, Bond University, Gold Coast, QLD, Australia.
  • Keyser J; Department of Anaesthesia and Pain, Queensland Children's Hospital, South Brisbane, QLD, Australia.
  • Kotzur C; Department of Anaesthesia and Pain, Queensland Children's Hospital, South Brisbane, QLD, Australia.
  • Qayum A; Department of Critical Care, Queensland Children's Hospital, South Brisbane, QLD, Australia.
  • Griffin B; School of Nursing and Midwifery, Menzies Health Institute, Griffith University, Gold Coast, QLD, Australia; Pegg Leditschke Children's Burns Centre, Queensland Children's Hospital, South Brisbane, QLD, Australia.
Br J Anaesth ; 132(5): 886-898, 2024 May.
Article en En | MEDLINE | ID: mdl-38336513
ABSTRACT

BACKGROUND:

Digital health interventions offer a promising approach for monitoring during postoperative recovery. However, the effectiveness of these interventions remains poorly understood, particularly in children. The objective of this study was to assess the efficacy of digital health interventions for postoperative recovery in children.

METHODS:

A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with the use of automation tools for searching and screening. We searched five electronic databases for randomised controlled trials or non-randomised studies of interventions that utilised digital health interventions to monitor postoperative recovery in children. The study quality was assessed using Cochrane Collaboration's Risk of Bias tools. The systematic review protocol was prospectively registered with PROSPERO (CRD42022351492).

RESULTS:

The review included 16 studies involving 2728 participants from six countries. Tonsillectomy was the most common surgery and smartphone apps (WeChat) were the most commonly used digital health interventions. Digital health interventions resulted in significant improvements in parental knowledge about the child's condition and satisfaction regarding perioperative instructions (standard mean difference=2.16, 95% confidence interval 1.45-2.87; z=5.98, P<0.001; I2=88%). However, there was no significant effect on children's pain intensity (standard mean difference=0.09, 95% confidence interval -0.95 to 1.12; z=0.16, P=0.87; I2=98%).

CONCLUSIONS:

Digital health interventions hold promise for improving parental postoperative knowledge and satisfaction. However, more research is needed for child-centric interventions with validated outcome measures. Future work should focus development and testing of user-friendly digital apps and wearables to ease the healthcare burden and improve outcomes for children. SYSTEMATIC REVIEW PROTOCOL PROSPERO (CRD42022351492).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Systematic_reviews Idioma: En Revista: Br J Anaesth Año: 2024 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Systematic_reviews Idioma: En Revista: Br J Anaesth Año: 2024 Tipo del documento: Article
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