at Campus Bio-Medico Roma App ‘follows’ the patient after bariatric surgery

Rome, April 4 (Adnkronos Health) – An application “follows” the obese patient after bariatric surgery. At the Campus Bio-Medico University Hospital Foundation in Rome, a new digital solution enables better clinical outcomes and shorter hospital stays. It is called Get Ready* and is aimed at all severely obese people who are candidates for bariatric surgery to support them in all phases of their preparation and post-operative recovery. Developed by Medtronic, a leading company in the field of health technologies, the multidisciplinary and multi-specialist team of the Bariatric Surgery Center of the Campus Bio-Medico University Hospital Foundation was involved in the design and development phase, where an average of 500 interventions are carried out each year.

The innovation, reads a joint memo from Medtronic and Campus Bio-Medico, “stems from the need to actively and carefully follow the patient throughout the treatment, to bring him to the best possible recovery after surgery and to reduce the abandonment of controls, which still stands at 60% today, of which about 30% regain weight Since the beginning of the year, 135 patients at the Center have been using the application Optimization of the use of resources, reduction of the number of medical consultations in the presence, a constant follow-up of the patient’s parameters, as well as a better controlled planning of the course of preparation for the intervention, are just some of the benefits expected from the use of the application “.

Obesity is a very complex chronic disease and affects 10% of the population in Italy, or about six million people. It profoundly affects health status as it is associated with many sometimes serious comorbidities such as type 2 diabetes mellitus and cardiovascular diseases, hypertension and strokes, various forms of cancer and mental health problems which worsen in varying degrees the quality of life and they reduce its duration. In patients suffering from severe obesity who have not obtained results with behavioral and drug therapy, bariatric surgery may represent a choice for a lasting cure and to reduce the risk of associated pathologies as well as to regain a better quality of life. .

Almost 25,000 bariatric surgeries are performed each year in Italy, made increasingly safe by new technologies and the application of the Erabs protocol (accelerated recovery after bariatric surgery). However, the intervention is only one step in the journey of the bariatric patient, a difficult and demanding journey that must be faced with awareness and supported by an effective and efficient multidisciplinary team. Today, technology offers valuable assistance in patient care because it optimizes the management of the entire obese patient care pathway through the use of a multi-channel digital platform (web, mobile, sms) and a digitized care protocol that allow adequate and conscious preparation of the patient for the surgical intervention, as well as the remote monitoring of his state of health by the clinical team throughout the course.

The application is made available to patients when they are treated by the hospital, immediately creating a direct link with the center. The patient journey supported by Get Ready is developed in three phases: the pre-operative phase, i.e. the pre-surgical and pre-hospitalization phase, with the multidisciplinary assessment which will or will not determine the aptitude to bariatric surgery, the immediate post-operative phase – the operative phase for the early management of possible complications, and the medium-long term follow-up phase, crucial for maintaining lost weight and good condition general over time.

Each of these phases corresponds to informative content that helps patients take an active role in their care journey thanks to the possibility of recording symptoms, measurements of biometric parameters and providing answers to questionnaires on their state of health. general health. In addition, patients receive educational content, information on administrative procedures, lifestyle guidelines, reminders about exams or activities to perform and can communicate with their clinical team via the messaging system integrated into the device. ‘application.

In turn, the clinical team is able to provide concrete and effective remote assistance thanks to Get Ready, defining the course and protocol of care for its patients, monitoring their state of health thanks to the data received and communicating directly with patients when needed. All in complete security, given that the platform is a SaaS (Software as a Service) in the cloud, compliant with data privacy and security legislation and able to integrate with hospital IT systems. A useful innovation, especially in the current Covid 19 emergency period as it reduces the need for hospital or outpatient access.

“The need to maintain constant contact with patients who are candidates for or have undergone bariatric surgery, especially in a historical period such as this which forces us to reduce travel and contact to the essentials, has prompted us to welcome with enthusiastic about Medtronic’s proposal to contribute to the realization of a digitized protocol that allows clinical staff to follow the patient in the pre- and post-operative process”, says Vincenzo Bruni, director of bariatric surgery at the Campus University Hospital Foundation Bio-Medico.

“The pathological obesity treatment process – continues Bruni – due to its characteristics such as preoperative evaluation, surgical intervention and short and long-term postoperative follow-up, is well suited to the use of the digital tool that allows on the one hand to maintain continuous contact with the patient, on the other hand to rationalize the time and use of resources.In addition, the adoption of the Erabs treatment protocol (accelerated recovery after bariatric surgery ), requires close monitoring of the patient in the first week after discharge”.

Among the benefits of Get Ready for the doctor and the patient: simplicity of configuration and activation of the solution for all users, optimization of the use of resources thanks to the possibility of reducing the days of hospitalization and the number of in-person medical consultations, as well as better managed scheduling with a significant reduction in the number of last-minute appointment cancellations due to inadequate patient preparation or other clinical reasons. But above all better health results thanks to the adequate preparation of the patient for the surgical intervention and the possibility of early detection of critical situations with a consequent reduction in complications and rehospitalizations. Additionally, actively involving the patient in their own care journey generally improves their experience, reduces anxiety and stress, and therefore has positive impacts on the timing and quality of post-procedure recovery.

“Get Ready is an innovative solution with which Medtronic contributes to the digital transformation of the health system, a process that has received extraordinary impetus from the pandemic and the increasingly urgent need to use innovative digital solutions for the management at patient distance,” says Marco De Luigi, general manager of integrated health solutions at Medtronic Italy and CEO of Ngc Medical.

“This option offers a double advantage: it offers patients the opportunity to play a leading role in their care journey, guaranteeing better health outcomes, and optimizes the use of hospital establishments’ resources, facilitating their economic sustainability. With these goals, Medtronic’s integrated Health Solutions division works to facilitate physician-patient interaction through innovative digital and collaborative solutions in clinical settings.We have been pioneers in remote management and cardiology monitoring, the therapeutic area that always sets Medtronic apart and today, with Get Ready, we are taking a step further, enabling real process innovation, thus going beyond technological content,” he concludes.

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