The Use of Videoconferencing for Monitoring of Patients Post Urologic Surgery

NCT02771431 | Completed

• 1 other identifier: 14-659
• Study Type: interventional
• Target: 107
• Locations: 1 country
• Sites: 1

Brief Summary

Our study would be the first randomized study investigating the use of video conferencing via tablet computers versus traditional bedside rounding and its effect on clinical data such as length of stay and complications as well as patient satisfaction. As technology improves, medicine has an obligation to incorporate this technology to improve efficiency and cost-effectiveness. If telerounding is proven to not change outcomes or patient satisfaction, it saves time for the physician during office hours to see more patients or be productive in other ways. Telerounding could be applied in remote areas with a dearth of specialists, allowing these specialists' expertise to reach areas it could not before.

Conditions

Urology

Outcome Measures

Primary Outcomes (4)

• Complication rates

  4 years

• length of inpatient stay

  4 years

• number of lab tests ordered

  4 years

• severity of complications

  4 years

Secondary Outcomes (1)

• Additionally patient satisfaction will be looked at based on post-operative questionnaire.

  4 years

Study Arms (2)

Standard

NO INTERVENTION

Group 1 will consist of patients receiving in-person attending-patient encounters while inpatients.

Tele-rounding

EXPERIMENTAL

Group 2 will consist of patients receiving video-conference attending-patient encounters. The intervention is being seen via ipad

Other: Tele-rounding in post operative care

Interventions

Tele-rounding in post operative care OTHER

Both groups will receive standard of care. The only difference between these groups would be the physical presence of the attending in the room. Both groups will receive a physical exam with supervision of the attending, one group will have attending in the room and the other will have the attending present via I-pad. In both cases if there was something of concern the attending would step in for the physical exam if needed, regardless of which group they were randomized for.

Tele-rounding

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients 18 years of age or older
• Undergo elective Urologic surgery requiring post-operative inpatient stay

You may not qualify if:

• Patients under 18 years of age
• Patients who are unable to provide their own consent
• Patients who undergo urgent or emergent Urologic procedures who are not already enrolled in the study
• Patients who do not require an inpatient post-operative stay
• Patients who are seen on the weekend (Saturday or Sunday)

Sponsors & Collaborators

• Northwell Health: lead

Study Sites (1)

North Shore LIJ

New Hyde Park, New York, 11042, United States

Location

Related Publications (7)

• Strehle EM, Shabde N. One hundred years of telemedicine: does this new technology have a place in paediatrics? Arch Dis Child. 2006 Dec;91(12):956-9. doi: 10.1136/adc.2006.099622.

  PMID: 17119071 BACKGROUND

• Lilly CM, Cody S, Zhao H, Landry K, Baker SP, McIlwaine J, Chandler MW, Irwin RS; University of Massachusetts Memorial Critical Care Operations Group. Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes. JAMA. 2011 Jun 1;305(21):2175-83. doi: 10.1001/jama.2011.697. Epub 2011 May 16.

  PMID: 21576622 BACKGROUND

• Young LB, Chan PS, Lu X, Nallamothu BK, Sasson C, Cram PM. Impact of telemedicine intensive care unit coverage on patient outcomes: a systematic review and meta-analysis. Arch Intern Med. 2011 Mar 28;171(6):498-506. doi: 10.1001/archinternmed.2011.61.

  PMID: 21444842 BACKGROUND

• Ellison LM, Pinto PA, Kim F, Ong AM, Patriciu A, Stoianovici D, Rubin H, Jarrett T, Kavoussi LR. Telerounding and patient satisfaction after surgery. J Am Coll Surg. 2004 Oct;199(4):523-30. doi: 10.1016/j.jamcollsurg.2004.06.022.

  PMID: 15454133 BACKGROUND

• Ellison LM, Nguyen M, Fabrizio MD, Soh A, Permpongkosol S, Kavoussi LR. Postoperative robotic telerounding: a multicenter randomized assessment of patient outcomes and satisfaction. Arch Surg. 2007 Dec;142(12):1177-81; discussion 1181. doi: 10.1001/archsurg.142.12.1177.

  PMID: 18086984 BACKGROUND

• Gandsas A, Parekh M, Bleech MM, Tong DA. Robotic telepresence: profit analysis in reducing length of stay after laparoscopic gastric bypass. J Am Coll Surg. 2007 Jul;205(1):72-7. doi: 10.1016/j.jamcollsurg.2007.01.070.

  PMID: 17617335 BACKGROUND

• Kaczmarek BF, Trinh QD, Menon M, Rogers CG. Tablet telerounding. Urology. 2012 Dec;80(6):1383-8. doi: 10.1016/j.urology.2012.06.060.

  PMID: 23206790 BACKGROUND

Study Officials

• Manish Vira, MD

  Physician

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Attending Urologist

Study Record Dates

• First Submitted: February 22, 2016
• First Posted: May 13, 2016
• Study Start: February 1, 2015
• Primary Completion: November 13, 2018
• Study Completion: November 13, 2018
• Last Updated: August 8, 2019

Record last verified: 2019-08

Locations

US (1)