MP58-19 ROLE OF 3D MOTION TRACKING TECHNOLOGY IN POST-OPERATIVE RECOVERY AFTER MAJOR UROLOGIC SURGERY: A PILOT STUDY

Abstract

You have accessJournal of UrologyHealth Services Research: Quality Improvement & Patient Safety IV (MP58)1 Sep 2021MP58-19 ROLE OF 3D MOTION TRACKING TECHNOLOGY IN POST-OPERATIVE RECOVERY AFTER MAJOR UROLOGIC SURGERY: A PILOT STUDY Umar Iqbal, Somayeh B. Shafiei, Zhe Jing, Philippa Doherty, Mohammad Durrani, Ahmed S. Elsayed, Ahmed A. Hussein, and Khurshid A. Guru Umar IqbalUmar Iqbal More articles by this author , Somayeh B. ShafieiSomayeh B. Shafiei More articles by this author , Zhe JingZhe Jing More articles by this author , Philippa DohertyPhilippa Doherty More articles by this author , Mohammad DurraniMohammad Durrani More articles by this author , Ahmed S. ElsayedAhmed S. Elsayed More articles by this author , Ahmed A. HusseinAhmed A. Hussein More articles by this author , and Khurshid A. GuruKhurshid A. Guru More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002088.19AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Early ambulation post-operatively is key to promote recovery and decrease complications after major surgery. However, there is lack of objective evaluation of ambulation in terms of quantity (time) and quality (type of movement). We sought to utilize commercially available 3D-motion tracking technology to measure the kinematic features of postoperative ambulation explore its association with recovery. METHODS: 16 consecutive patients who underwent robot-assisted radical cystectomy were included (I-80918). Xsens® 3D motion capture technology was used to measure kinematic features of the participants during their post-operative inpatient stay period. Data was recorded for duration, position, velocity, angular velocity, acceleration, and angular acceleration of pelvis, upper leg (left & right), lower leg (left & right) and foot (left & right) (Table 1). Motion segments of recorded XSENS® data were extracted and decontaminated using signal processing algorithms proposed in XSENS MVN® Software. The association of kinematic features with time to flatus, time to bowel motion, pain scores and length of inpatient stay was examined using a multivariate mixed model. RESULTS: Median age was 67 years (IQR 60-73) and patients were followed for 4.25 ± 1.53 days postoperatively. All participants had similar kinematic features between left-side and right-side on their feet, lower legs and upper legs. The ‘average velocity of pelvis’ was negatively associated with inpatient stay: every 0.1 m/sec increase of daily average pelvis velocity was associated with 0.32 days shorter hospital stay (Figure 1). Higher daily ‘average velocity of pelvis’ was positively correlated with having flatus: every 0.1 m/s increase of daily average pelvis linear velocity was associated with 2.05 times more likelihood of passing flatus. CONCLUSIONS: Kinematic metrics, as a surrogate for postoperative ambulation, are associated with length of inpatient stay and time to flatus post cystectomy. Source of Funding: Roswell Park Alliance Foundation © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e995-e996 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Umar Iqbal More articles by this author Somayeh B. Shafiei More articles by this author Zhe Jing More articles by this author Philippa Doherty More articles by this author Mohammad Durrani More articles by this author Ahmed S. Elsayed More articles by this author Ahmed A. Hussein More articles by this author Khurshid A. Guru More articles by this author Expand All Advertisement Loading ...