Fit 4 surgery, a bespoke app with biofeedback delivers rehabilitation at home before and after elective lung resection.

Kadiri, Salma Bibi and Kerr, Amy Pamela and Oswald, Nicola Katy and Budacan, Alina-Maria and Flanagan, Sarah and Golby, Christopher and Lightfoot, Stuart and Naidu, Babu V (2019) Fit 4 surgery, a bespoke app with biofeedback delivers rehabilitation at home before and after elective lung resection. Journal of cardiothoracic surgery, 14 (1). p. 132. ISSN 1749-8090. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Abstract

BACKGROUND

Pulmonary rehabilitation programme for lung surgery patients can reduce the risk of post-operative complications but compliance to programmes can be limited by access to health care. We developed a home-based rehabilitation app and tested its feasibility in patients undergoing lung resection surgery.

METHODS

A cohort study was conducted over 18 months at a regional thoracic unit. The Fit 4 Surgery app included ten exercises. Patients were instructed to exercise for at least three minutes for each exercise. Data was transmitted back to the researchers remotely. Data was also collected from a contemporaneous group of surgery patients who attended local outpatient-based Chronic Obstructive Pulmonary Disease rehabilitation classes. Quality of Life and outcomes data in the app group were collected. Patients were also interviewed about their experience of the app.

RESULTS

App patients had a shorter wait before surgery compared to patients attending rehabilitation classes (24 vs 45 days) but managed four times as many sessions (2 vs 9), improving incremental shuttle walk test distance by 99 ± 83 (p < 0.05) metres before surgery. Five themes were gathered from the interviews.

CONCLUSION

An app based programme of rehabilitation can be delivered in a timely fashion to lung surgery patients with demonstrable physiological benefits; this will need to be confirmed in further clinical trials.

CLINICAL TRIAL REGISTRATION NUMBER

ISRCTN00061628. Registered 27 May 2011.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: QA Mathematics. Computing
WF Respiratory system. Respiratory medicine
WO Surgery
Divisions: Planned IP Care > Thoracic Surgery
Related URLs:
Depositing User: Miss Emily Johnson
Date Deposited: 12 Jul 2019 14:59
Last Modified: 12 Jul 2019 14:59
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/2227

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