Effectiveness of an Information Platform-Based Multidisciplinary Enhanced Recovery After Surgery Program on Recovery After Transcatheter Aortic Valve Implantation: A Non-Concurrent Controlled Study.
Shaoping Lin, Cuicui Feng, Lian Lin and 4 others
PMID 42746691WHAT IT FOUND
Patients receiving a nurse-led multidisciplinary ERAS pathway with digital support after TAVI had shorter hospital stays and better early mobility than those receiving standard care.
The benefit came from the entire package of extra staff time and rehab, not just the app.
Key findings
01The intervention group had significantly shorter ICU, postoperative, and total hospital stays compared to the control group.
02Patients in the intervention group showed less early postoperative frailty and higher independence in daily activities (Barthel Index) than controls.
03The study cannot determine if the digital platform, ERAS content, or simply increased professional contact caused the improvements, as they were delivered together.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was non-concurrent and single-center, meaning the intervention group was treated in a different time period than the control group. This makes it impossible to rule out that other changes in hospital practice or operator experience over time caused the better outcomes. The intervention was a 'package' including more staff time, more rehab, and a digital platform. The study cannot tell which part of this package was actually effective. Patients had to be able to use a smartphone and have clear consciousness, so the results do not apply to patients with cognitive impairment or low digital literacy. The knowledge questionnaire was created specifically for this study and not externally validated. Follow-up was limited to 12 months, so long-term sustainability of the benefits is unknown.
Declared interests
The authors report no conflicts of interest or funding sources.
The easy way to misread this
Do not attribute the improved outcomes specifically to the digital information platform. The intervention group also received more frequent multidisciplinary contact and rehabilitation support, so the benefit may stem from increased human attention rather than the technology itself.