PDF(Pubmed)
Abstract：
UNASSIGNED: In microsurgical tissue transfer, skin flap transplantation is frequently used to heal the surface of a wound. Effective microcirculation surveillance of the skin flap is crucial. However, with traditional monitoring methods-that is, clinical observation-vascular crisis can still occur, thereby impairing postoperative recovery. A smartphone application is required to assist health care professionals in the standardized collection of flap perfusion parameters for flap management.
UNASSIGNED: The Vascular Crisis Prewarning Application was created using a design science research methodology that prioritizes users and problems. The system usability scale was used to assess the application\'s usability among medical practitioners. The application was used at the clinic from December 2020 to September 2022. The unplanned return to the operating room, time to diagnose vascular crisis, and flap survival rate were compared with and without the application.
UNASSIGNED: The application consisted of 5 modules: patient addition and basic information entry, flap labeling, flap observation, crisis warning, and case archiving. The average rating for the application\'s usability among medical practitioners was 97.95 score (SD 2.36). With the application, the time to detect vascular crisis reduced from 26.71 to 16.26 h (P < 0.001), the unplanned return to the operation room increased from 8.18% to 10.24% (P = 0.587), and the flap survival rate went from 94.55% to 99.21% (P = 0.083).
UNASSIGNED: An easy-to-use flap perfusion monitoring and prewarning application for medical practitioners was produced using a user-centered development method. The application provided a more standardized and accurate platform for data collection in flap management and reduced the time to detect vascular crisis. Larger cohort studies are required in the future to better assess the full potential of the application.
UNASSIGNED: The Vascular Crisis Prewarning Application was created using a design science research methodology that prioritizes users and problems. The system usability scale was used to assess the application\'s usability among medical practitioners. The application was used at the clinic from December 2020 to September 2022. The unplanned return to the operating room, time to diagnose vascular crisis, and flap survival rate were compared with and without the application.
UNASSIGNED: The application consisted of 5 modules: patient addition and basic information entry, flap labeling, flap observation, crisis warning, and case archiving. The average rating for the application\'s usability among medical practitioners was 97.95 score (SD 2.36). With the application, the time to detect vascular crisis reduced from 26.71 to 16.26 h (P < 0.001), the unplanned return to the operation room increased from 8.18% to 10.24% (P = 0.587), and the flap survival rate went from 94.55% to 99.21% (P = 0.083).
UNASSIGNED: An easy-to-use flap perfusion monitoring and prewarning application for medical practitioners was produced using a user-centered development method. The application provided a more standardized and accurate platform for data collection in flap management and reduced the time to detect vascular crisis. Larger cohort studies are required in the future to better assess the full potential of the application.
摘要：
■在显微外科组织转移中，皮瓣移植通常用于愈合伤口表面。有效监测皮瓣的微循环至关重要。然而,使用传统的监测方法-也就是说，临床观察血管危象仍可发生,从而损害术后恢复。需要智能手机应用程序来帮助医疗保健专业人员标准化收集皮瓣灌注参数以进行皮瓣管理。
■血管危机预警应用程序是使用设计科学研究方法创建的，该方法优先考虑用户和问题。系统可用性量表用于评估应用程序在医疗从业人员中的可用性。该应用程序于2020年12月至2022年9月在诊所使用。意外返回手术室，是时候诊断血管危象了，比较应用和不应用的皮瓣成活率。
■该应用程序由5个模块组成：患者添加和基本信息输入，皮瓣标签,皮瓣观察,危机警告,和案件存档。医生对应用程序可用性的平均评分为97.95分（SD2.36）。有了应用程序，发现血管危象的时间从26.71小时减少到16.26小时(P<0.001),手术室的计划外回报率从8.18%增加到10.24%(P=0.587)，皮瓣成活率从94.55%提高到99.21%(P=0.083)。
■使用以用户为中心的开发方法，为医疗从业人员制作了易于使用的皮瓣灌注监测和预警应用程序。该应用为皮瓣管理中的数据收集提供了更规范和准确的平台，并减少了检测血管危象的时间。未来需要更大的队列研究，以更好地评估应用的全部潜力。
■血管危机预警应用程序是使用设计科学研究方法创建的，该方法优先考虑用户和问题。系统可用性量表用于评估应用程序在医疗从业人员中的可用性。该应用程序于2020年12月至2022年9月在诊所使用。意外返回手术室，是时候诊断血管危象了，比较应用和不应用的皮瓣成活率。
■该应用程序由5个模块组成：患者添加和基本信息输入，皮瓣标签,皮瓣观察,危机警告,和案件存档。医生对应用程序可用性的平均评分为97.95分（SD2.36）。有了应用程序，发现血管危象的时间从26.71小时减少到16.26小时(P<0.001),手术室的计划外回报率从8.18%增加到10.24%(P=0.587)，皮瓣成活率从94.55%提高到99.21%(P=0.083)。
■使用以用户为中心的开发方法，为医疗从业人员制作了易于使用的皮瓣灌注监测和预警应用程序。该应用为皮瓣管理中的数据收集提供了更规范和准确的平台，并减少了检测血管危象的时间。未来需要更大的队列研究，以更好地评估应用的全部潜力。
