The utility of mobile phone based patient reported outcome measures in patients with acetabular fracture fixation

Background
These remote modes of follow-up have been demonstrated to be safe by studies, and patients are equally satisfied with them as they are with in-person follow-up care. The objective of this trial was to assess the feasibility of a remote patient monitoring system that utilizes mobile phone calls in patients who have undergone surgery and have a fractured acetabulum that is equal to or older than 18 years. The system was evaluated in terms of the frequency of data interruptions and patient acceptance.


Methods
This case series study was carried out on patients aged greater than 18 years old, both sexes, who had surgery for an acetabular fracture at 3, 6, and 12 months by using a mobile phone call by (Sf-36) scoring system. All patients were subjected to mobile and questionnaire (Arabic validated form of SF-36 scoring system, first call; introduced myself, at the first call verbal consent obtained from the patient, the regimen, all red flags (severe pain, discharge, and limitation of movement), and duration of the trail were explained to the patients, 2 numbers at least obtained from the patients, and times of next calls informed to the patients.


Results
From 3 months to 6 and 12 months, there was a statistically significant increase in scores and improvement in physical functioning and role limitations as a result of physical health, energy, and fatigue. At 6 and 12 months, there was a statistically significant increase in scores and improvement in role limitations due to emotional well-being, emotional health, pain, general health, social functioning, and health change compared with 3 months (P<0.001).


Conclusions
Our research indicates that the functional outcomes of patients with acetabular fractures can be enhanced using a remote patient monitoring system that employs a mobile phone call program. Over 1 year, patients observed substantial enhancements in their emotional well-being, pain management, and physical function.