Using robotic teleconferencing to monitor patients after urologic surgery appears to result in similar patient outcomes and satisfaction as traditional bedside rounds, according to a report in the December issue of Archives of Surgery, one of the JAMA/Archives journals.
The defining image of inpatient care is that of the physician conducting bedside rounds, the authors write as background information in the article. This bedside interaction has come to be a measure of physician compassion. The reality for elective surgical patients is that established critical pathways define postoperative care. To be sure, these require timely physician oversight, but the value of the bedside visit may be secondary to objective vital signs and laboratory data.
Lars M. Ellison, M.D., then of the University of California, Davis, Sacramento, and now at Penobscot Bay Medical Center, Rockport, Maine, and colleagues conducted a randomized controlled trial involving 270 adults. Participants were all undergoing a urologic procedure requiring a hospital stay of 24 to 72 hours. The patients were randomly assigned to receive either traditional bedside rounds (136 patients) or robotic telerounds (134 patients) daily during their time in the hospital. The telerounding robot is a 60-inchtall wheel-driven device, the authors write. The robot consists of the motor base unit, a central processing unit, a high-definition digital camera, a flat-screen monitor and a microphone. Data to and from the robot is transferred over a high-speed wireless network and is integrated with proprietary software. The physician connects remotely to the robot via a base station.