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Appl Clin Inform 2025; 16(03): 526-537
DOI: 10.1055/a-2539-1283
Research Article

An Interactive Voice Response System for Postoperative Care in Primary Total Joint Arthroplasty Patients: A Pilot Study

José L. Ayala-Ortiz
1   Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Matthew McCrosson
1   Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Roshan Jacob
1   Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Vinoth A. Nagabooshanam
1   Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Tapan Mehta
1   Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Waleed Al-Hardan
1   Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Gerald McGwin
1   Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Sameer Naranje
1   Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
› Author Affiliations
Funding This study was supported by the University of Alabama at Birmingham Faculty Development Grant Program.
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Abstract

Objective

Effective postoperative care is crucial for the success of total joint arthroplasty (TJA) and prevention of unnecessary emergency department (ED) visits. We explore the feasibility and acceptability of utilizing an Interactive Voice Response System (IVRS) to enhance postoperative monitoring in primary TJA patients.

Methods

This pilot study was conducted with 24 participants undergoing primary TJA randomly assigned to an intervention group receiving IVRS calls (n = 12) or a control group (n = 12) receiving standard postoperative follow-up. Feasibility and acceptability were assessed through patient satisfaction and willingness to participate. Outcome measures included the Short Form 36 Health Survey Questionnaire, the Hip Disability and Osteoarthritis Outcome Score (HOOS), the Knee Injury and Osteoarthritis Outcome Score (KOOS), and pain assessments using the Visual Analog Scale.

Results

The IVRS group exhibited a 92.3% retention rate, with 100% completion of the 12-week study. IVRS calls triggered 10 notifications, addressing pain control and respiratory concerns, leading to timely interventions and preventing ED visits. The IVRS demonstrated an 81% (95% confidence interval, 77.1–86.0%) overall response rate, with high patient satisfaction (92% finding calls “very useful”).

Conclusion

This pilot study demonstrates the feasibility and acceptability of an IVRS-based postoperative follow-up system for TJA patients. Patients reported high satisfaction and expressed willingness to use the IVRS service again.

Keywords

telemedicine and telehealth - interactive response voice system - postoperative - arthroplasty - follow-up - patient satisfaction

Protection of Human and Animal Subjects

The study was performed in compliance with the World Medical Association Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects and was approved by our institution's internal review board (UAB, IRB-300005894). Informed consent was received from all participants prior to participation. This study was registered at ClinicalTrials.gov (identifier: NCT04586296).


Supplementary Material



Publication History

Received: 21 July 2024

Accepted: 13 February 2025

Accepted Manuscript online:
14 February 2025

Article published online:
11 June 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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