Ooney’s PrehabPal and Dr. Emily Finlayson featured on CNBC

Ooney was featured in the news again recently in the CNBC article, ” Older patients recover from surgery faster if they ‘train’ for it.” by Annie Nova:

“You train if you go on a hike or run a 5K race,” said Dr. Michael Englesbe, a professor of surgery at the University of Michigan. “But we never train our patients for their operations.” 

That’s changing.

At the University of California San Francisco’s Surgery Wellness Program, older patients gear up for surgery by meeting with dieticians, physical and occupational therapists. The program will soon launch a digital app called Prehab Pal, in which algorithms prescribe older patients a plan to prepare for their surgery.

Ooney advisor and Chair of the American College of Surgeons Geriatric Surgery Task Force also spoke to the importance of prehabilitation:

“Prep is as important if not more important than the surgery itself,” said Dr. Ronnie Rosenthal, chair of the American College of Surgeons Geriatric Surgery Task Force.

Because it can be hard to find the resources, and there are challenges to billing Medicare for this work, many of these innovative efforts around presurgery care are still limited to larger hospitals.

Yet experts say much of the preparation can be undertaken anywhere. (You should, of course, always consult with your doctor first).

Dr. Emily Finlayson and PrehabPal featured in California Healthline

Our Application PrehabPal was highlighted in the article “A Push To Get Older Adults In Better Shape For Surgery” published by California Healthline.

Excerpted here:

Surgery can be hard on older adults, resulting in serious complications and death far more often than in younger patients. But many seniors aren’t adequately prepared for the risks they might face.

Innovative hospitals such as Duke University Medical Center, the University of California-San Francisco Medical Center and Michigan Medicine are working to change that. In the weeks leading up to surgery, they prescribe exercise to seniors, make sure they’re eating healthy foods and try to minimize anxiety and stress, among other initiatives.

Research suggests these interventions can enhance seniors’ readiness for surgery and potentially lead to improved outcomes. “Changing how we approach older patients is really an imperative,” said Dr. Emily Finlayson, director of the Center for Surgery in Older Adults at UCSF.

 

And highlights Dr. Finlayson’s work and PrehabPal here:

At UCSF’s Surgery Wellness program for older adults, patients are seen by a geriatrician, nutritionist, physical therapist, occupational therapist and a health coach. Consultations last about 90 minutes and result in concrete suggestions for seniors and their families as well as referrals, if needed, to specialists who can undertake more extensive evaluations.

Hoping to expand the reach of UCSF’s approach, Finlayson and colleagues are developing a website and digital app, Prehab Pal, that will walk older adults and their caregivers through surgery prep. Created with input from seniors, it will have large-text fonts and easy-to-use design features. “We’re putting the final touches on the first product and will pilot in March,” Finlayson said.

 

Follow Up Visits After Surgery Reduced by App Usage

A new clinical trial published in JAMA shows promising results.

Costs and Consequences of Early Hospital Discharge After Major Inpatient Surgery in Older Adults
Question

For patients undergoing ambulatory surgery, can follow-up care via a mobile app avert in-person visits compared with conventional, in-person follow-up care during the first 30 days after the operation?

Findings

In this randomized clinical trial of 65 patients, those who used the mobile app attended fewer in-person visits for follow-up care during the first 30 days after the operation than patients in the in-person follow-up care group. This difference was statistically significant.

Meaning

Follow-up care delivered via a mobile app can be used to avert in-person visits following ambulatory surgery.

Read more on JAMA.