Is nurse-led telephone follow-up for post-operative obstructive sleep apnoea patients effective? A prospective observational study at a paediatric tertiary centre

Walijee, Hussein; Sood, S; Markey, Anne; Krishnan, M.N.; Lee, Anita; De, Sujata

doi:10.1016/j.ijporl.2019.109766

Cited by 17 publications

(17 citation statements)

References 17 publications

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“…6 Medical hotlines had been set up to tackle out-of-hours services, serving as a triaging service for either urgent emergency hospital review or scheduled community appointments. 15 Secondary and tertiary care clinics had also started to integrate telephone consultation services, [16][17][18][19] as demonstrated by specialist nurse-led post-natal care and prostate cancer follow-up clinics. 17,19 Additionally, a respiratory medicine clinic demonstrated similar 21-point Medical Interview Satisfaction Scale satisfaction scores from both telephone and traditional face-to-face consultations, citing the lack of travelling and waiting time as major advantages for the participating patients.…”

Section: Telephone Consultation Preferencementioning

confidence: 99%

Patient satisfaction from ENT telephone consultations during the coronavirus disease 2019 pandemic

et al. 2020

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BackgroundTelephone consultations have rapidly increased in the out-patient setting because of the coronavirus pandemic. A quality improvement project was implemented to improve patient satisfaction of telephone consultations in our unit.MethodsThis was a prospective complete-cycle project. Patient satisfaction questionnaires were sent to patients following telephone consultations in ENT clinics. Based on a literature review and initial results, clinicians were encouraged to follow a structured consultation format. A second questionnaire survey was conducted following its implementation.ResultsOne hundred patient questionnaires were collected during the survey (April and June 2020). There was significant improvement over the two surveys in terms of satisfaction scores (p = 0.026), along with a significantly increased preference for telephone consultations over face-to-face consultations (p = 0.021).ConclusionThis study showed significant improvement in patient satisfaction and an increased telephone consultation preference through the use of a structured consultation model. The potential benefits in terms of infection control and impact on out-patient workload may see telephone consultations persist in the post-coronavirus era.

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Section: Telephone Consultation Preferencementioning

confidence: 99%

Patient satisfaction from ENT telephone consultations during the coronavirus disease 2019 pandemic

et al. 2020

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“…Telemedicine through phone call follow up-visits also has been studied in pediatric obstructive sleep apnea (OSA). 3 , 4 , 5 Most recently, a study found that of 535 children who underwent an otolaryngologic (ear, nose, and throat) procedure of adenoidectomy, adenotonsillectomy, or tonsillectomy, all 535 parents were contacted by phone 6 weeks after the procedure to assess the need for further follow-up in the clinic; 55 of these parents were invited to evaluate the nurse-led telephone visit and 100% were “fully satisfied” and felt the phone call follow-up provided convenience, personalized care, and reassurance. In all, only 11 of the 55 children were seen later in the clinic.…”

Section: Use Of Telemedicine In Pediatric Sleepmentioning

confidence: 99%

Telemedicine in Pediatric Sleep

Paruthi

2020

Sleep Medicine Clinics

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Prior to the COVID-19 pandemic, few pediatric sleep medicine clinicians routinely engaged in telemedicine visits because thorough examinations were difficult to perform; there was lack of consistent reimbursement; and many clinicians were busy with their in-office practices. This article reviews how telemedicine has been explored in pediatric sleep medicine prior to the pandemic, current applications of telemedicine, challenges, and reimagining pediatric sleep within the realm of telemedicine.

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“…Reports show that postoperative telephone calls are a successful means of follow-up, and they provide a means to assess outcomes after common ambulatory surgical procedures like T&A. [2][3][4][5][6][7][8] The postoperative phone call allows for decreased time away from work, school, and day care for family members and patients and also provides a satisfying, preferred means of postoperative assessment when compared to traditional office visits. 2,4 In person, postoperative clinic visits after outpatient surgery have not been shown to identify problems or require interventions.…”

Section: Introductionmentioning

confidence: 99%

“…2,4 In person, postoperative clinic visits after outpatient surgery have not been shown to identify problems or require interventions. Reducing clinic visits for postoperative patients provides opportunities for reduced allocation of clinic resources to these visits, 4,6,9 thereby freeing up time for additional patients and programmatic growth.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of a Postoperative Data‐Extraction Questionnaire After Adenotonsillectomy in Children

et al. 2021

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Objectives/Hypothesis: To evaluate outcomes of a postoperative telephone questionnaire for children who underwent adenotonsillectomy (T&A). To determine whether episodes of postoperative hemorrhage were not captured until the call, and whether this impacted knowledge of physician rates of hemorrhage.Study Design: Retrospective database analysis.Methods: Retrospective analysis of outcomes of an 11-question data extraction tool utilized at a tertiary care children's hospital for follow-up in T&A patients <18 years of age over a 2-year period. Sub-analysis of positive responses to the question asking about incidence of postoperative hemorrhage.Results: During the study period, 1,068/3,142 (34.0%) parents responded to the phone call. Median age was 6.0 years (interquartile range [IQR] 4.0-8.2), and 566 (53.0%) were male. Ninety (8.4%) noted that the child was still snoring, but only 9 (0.84%) reported signs of obstructed breathing. A total of 402 (37.6%) reported a voice change after surgery. Most children (n = 885, 82.9%) did not receive opioid analgesics, and 252 (23.6%) received acetaminophen/ibuprofen 7 days postoperatively. Return visits to the emergency department were reported in 149 patients; primarily for hemorrhage in 46 (30.8%). In 7 (15.2%) patients, the hemorrhage event was not recorded until the call. The majority-of respondents (n = 1,031, 96.5%) were satisfied with the outcome of the procedure.Conclusions: The postoperative T&A tool provided a means of gathering information on success and satisfaction with surgical outcomes. Children were able to be managed primarily with acetaminophen and ibuprofen. Most complications were captured in the electronic record, although some episodes of hemorrhage were not noted until the call, emphasizing the importance of follow-up.

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Is nurse-led telephone follow-up for post-operative obstructive sleep apnoea patients effective? A prospective observational study at a paediatric tertiary centre

Cited by 17 publications

References 17 publications

Patient satisfaction from ENT telephone consultations during the coronavirus disease 2019 pandemic

Patient satisfaction from ENT telephone consultations during the coronavirus disease 2019 pandemic

Telemedicine in Pediatric Sleep

Outcomes of a Postoperative Data‐Extraction Questionnaire After Adenotonsillectomy in Children

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