Utilization of a handheld telemedicine device in postoperative pediatric surgical care

Purpose: The purpose of this study was to assess the utilization of a handheld telemedicine (TM) device in the postoperative care of pediatric surgical patients. Methods: We performed postoperative TM evaluations using an advanced medical tablet immediately prior to seeing the patients in clinic aswell as at two different time points fromtheir home. The caregivers and physicians were surveyed about their overall satisfaction. Results: Twenty-four postoperative patients who underwent a variety of general surgical operations were included. There were no changes to the TM plan of care following in person evaluations (n = 12) and no complications, missed diagnoses, emergency department visits, or additional clinic visits in those who only had TM postoperative evaluations (n = 12). Caregiver satisfaction ratingswere 3.92 +/- 0.28 out of 4 (4 = very satisfied). Ninety-two percent of caregivers responded that they would be comfortable with a TM-only postoperative evaluation in the future. The physician was able to formulate an accurate assessment and plan using the device. The average travel distance saved was 44.7 +/- 45.5 miles (range = 10-150 miles). Conclusions: These preliminary data suggest safe and effective care with high caregiver and physician satisfaction can be provided by utilizing TM in the postoperative care of pediatric surgical patients. (C) 2019 Elsevier Inc. All rights reserved.