Table 3.

Simulated remote management recommendations from pediatric surgery clinicians at 5 institutions in response to telephone scenario 1 presented without wearable data, then with reassuring and concerning wearable data. Scenario 1: 13-year-old female patient on postoperative day 7 following laparoscopic appendectomy for complicated appendicitis, now with 2 days of abdominal pain, loose stools, and incisional drainage.

		No wearable data	Reassuring wearable data	Concerning wearable data
Initial recommendation (n=28), n (%)
	Seek care immediately	10 (36)	—a	—
	Prescription and outpatient follow-up	0 (0)	—	—
	Outpatient follow-up	17 (61)	—	—
	Reassurance and no follow-up	1 (4)	—	—
Likelihood of EDb referral, median (IQR)		5 (3 to 7)	2 (1 to 3)	5 (3 to 7)
	Change in the likelihood of ED referral, median (IQR)	—	–2 (–4 to –1)	0 (0 to 2)
	P value	—	<.001	.72
Increased confidence, n/N (%)		—	22/26 (85)	21/24 (88)
Would reach out to patient or caregiver, n/N (%)		—	6/25 (24)	22/26 (85)

^aNot applicable.

^bED: emergency department.