Journal of pediatric surgery · 2026
Impact of implementation of an e-health platform of perioperative education for families of children undergoing gastrostomy tube placement on patient outcomes.
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Dawson-Gore Catherine, Meraz Ana Ibarra, Easwaran Lavanya, Wilson Samantha N, Mata Claudia, Meneses Emily, Fingland Stephanie, Simmons Hope, Van Etten Elise, Diaz-Miron Jose, Kaar Jill L, Acker Shannon N
Аннотация
BACKGROUND: We previously created an e-health platform of perioperative education for families of children undergoing gastrostomy (GT) placement. We aimed to assess the impact of implementation of the e-health platform on readiness for surgery and patient outcomes.
METHODS: All families of patients who underwent GT placement at a single children's hospital between 1/25 and 7/25 were eligible to participate. Families were invited to create an account with our e-health platform and access the education. Surveys assessing readiness for surgery were administered. Patient outcomes were assessed via retrospective review of the medical record. Comparisons were made between a historic cohort of GT patients (9/22-5/23) and those who underwent GT placement during the study (1/25-7/25) using t-tests, chi-squared, and Fisher's exact tests. Poisson hurdle models were used to compare number of calls to clinic within 8 weeks between cohorts and across demographics and clinical characteristics.
RESULTS: During the study period, 207 patients underwent GT placement; 69 families created e-health accounts. Twenty-four completed the initial survey (46%) and 14 (27%) completed the second survey prior to the follow up clinic visit. In the first survey, 100% of e-health users understood why their child needed a GT, where the GT was placed, and reported their questions and concerns had been sufficiently addressed. Three families (12%) reported they did not know what to expect after surgery; two families (8%) reported they needed more information about caring for their child's GT. In the second survey, 100% reported watching the GT videos was helpful, they felt comfortable exchanging the GT with supervision, and they know where to go to find information about GT exchange. Thirteen of 14 families (93%) reported they felt comfortable exchanging their child's GT on their own. Most families reported using the website was useful for their child's health, it improved access to healthcare services, helped them care for the GT, and they would recommend it to a friend. When comparing clinical outcomes between cohorts, groups did not differ with regard to age, sex, race, or ethnicity. The study cohort had a lower rate of phone calls to the clinic nurses, readmissions, and tube dislodgements and a higher rate of granulation tissue episodes.
CONCLUSIONS: Implementation of an e-health platform of perioperative education is associated with adequate preparation for surgery by families as well as decreased utilization of hospital resources including clinic phone calls, ED visits, and tube dislodgements.
METHODS: All families of patients who underwent GT placement at a single children's hospital between 1/25 and 7/25 were eligible to participate. Families were invited to create an account with our e-health platform and access the education. Surveys assessing readiness for surgery were administered. Patient outcomes were assessed via retrospective review of the medical record. Comparisons were made between a historic cohort of GT patients (9/22-5/23) and those who underwent GT placement during the study (1/25-7/25) using t-tests, chi-squared, and Fisher's exact tests. Poisson hurdle models were used to compare number of calls to clinic within 8 weeks between cohorts and across demographics and clinical characteristics.
RESULTS: During the study period, 207 patients underwent GT placement; 69 families created e-health accounts. Twenty-four completed the initial survey (46%) and 14 (27%) completed the second survey prior to the follow up clinic visit. In the first survey, 100% of e-health users understood why their child needed a GT, where the GT was placed, and reported their questions and concerns had been sufficiently addressed. Three families (12%) reported they did not know what to expect after surgery; two families (8%) reported they needed more information about caring for their child's GT. In the second survey, 100% reported watching the GT videos was helpful, they felt comfortable exchanging the GT with supervision, and they know where to go to find information about GT exchange. Thirteen of 14 families (93%) reported they felt comfortable exchanging their child's GT on their own. Most families reported using the website was useful for their child's health, it improved access to healthcare services, helped them care for the GT, and they would recommend it to a friend. When comparing clinical outcomes between cohorts, groups did not differ with regard to age, sex, race, or ethnicity. The study cohort had a lower rate of phone calls to the clinic nurses, readmissions, and tube dislodgements and a higher rate of granulation tissue episodes.
CONCLUSIONS: Implementation of an e-health platform of perioperative education is associated with adequate preparation for surgery by families as well as decreased utilization of hospital resources including clinic phone calls, ED visits, and tube dislodgements.