Table 4.

Simulated remote management recommendations from pediatric surgery clinicians at 5 institutions in response to telephone scenario 2 presented without wearable data, then with reassuring and concerning wearable data. Scenario 2: 10-year-old female patient on postoperative day 3 following laparoscopic appendectomy for simple appendicitis, now with 2 days of fevers, abdominal pain, and periumbilical erythema.

		No wearable data	Reassuring wearable data	Concerning wearable data
Initial recommendation (n=28), n (%)
	Seek care immediately	7 (25)	—a	—
	Prescription and outpatient follow-up	7 (25)	—	—
	Outpatient follow-up	14 (50)	—	—
	Reassurance and no follow-up	0 (0)	—	—
Likelihood of EDb referral, median (IQR)		4 (2 to 6.75)	2 (1 to 4)	5.5 (3 to 7.75)
	Change in likelihood of ED referral, median (IQR)	—	–1 (–2.5 to 0)	0 (0 to 2)
	P value	—	<.001	.17
Increased confidence, n/N (%)		—	23/27 (85)	19/25 (76)
Would reach out to patient or caregiver, n/N (%)		—	7/23 (30)	20/25 (80)

^aNot applicable.

^bED: emergency department.