Smartphone-based stent tracking application for prevention of forgotten ureteral double-J stents: a prospective study



Título del documento: Smartphone-based stent tracking application for prevention of forgotten ureteral double-J stents: a prospective study
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000434807
ISSN: 1677-5538
Autores: 1
2
1
1
1
1
Instituciones: 1Health Sciences University, Tepecik Training and Research Hospital, Izmir. Turquía
2Health Sciences University, Okmeydani Training and Research Hospital, Estambul. Turquía
Año:
Periodo: Mar-Abr
Volumen: 45
Número: 2
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, crítico
Resumen en inglés Purpose: Retained or forgotten ureteral stents (FUS) have a potential to cause significant morbidity as well as medico-legal issues and increased cost. We aimed to evaluate the efficacy and usefulness of smartphone-based Ureteral Stent Tracker (UST) application and compare the results with basic appointment card system to prevent FUS, prospectively. Materials and Methods: A total of 90 patients who underwent ureteroscopic stone treatment procedure with indwelling DJ stents were equally distributed into two groups. In group-1, patients were followed using UST application. In group-2, only appointment cards were given to the patients. Two groups were compared in terms of stent overdue times and complete lost to follow up rates. Results: Forty-four patients in group-1 and 43 patients in group-2 completed the study. Among patients, 22.7% in group-1 and 27.9% in group-2 did not return for the stent removal on the scheduled day. In group-1, these patients were identified using the UST and called for the stent removal on the same day. After 6 weeks of maximal waiting period, mean overdue times in group-1 and group-2 were 3.5 days and 20 days, respectively (p = 0.001). In group-2, 3 patients (6.9%) were lost to follow up, while in group-1, it was none (p = 0.001). Conclusions: We found that the patients who were followed by the smartphone-based UST application has less overdue times and lost to follow up cases compared to the basic appointment card system. The UST application easily follows patients with indwelling ureteral stents and can identify patients when overdue
Disciplinas: Medicina
Palabras clave: Urología,
Cirugía,
Ureteroscopía,
Urolitiasis,
Iatrogenia,
Seguridad del paciente
Keyword: Urology,
Surgery,
Ureteroscopy,
Urolithiasis,
Iatrogeny,
Patient safety
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