How Realize-365 helped detect early complications and streamline recovery for a post-operative tibial fracture patient.
Per patient review session
Early complication detection
By 1 day avg. via timely mobilization
Patient: Liam Torres, 28y (Diagnosis: Left tibial shaft fracture, post-ORIF)
Post-operative inpatient rehabilitation transitioning to outpatient follow-up. History of asthma and smoking. Active prior to injury. The challenge was managing early mobilization while monitoring for subtle post-op complications often buried in fragmented EMR data.
On post-op day 2, pain is controlled, but PT reports light-headedness and nursing logs show borderline urine output. These findings are buried in separate EMR sections, obscuring an early pattern of hypovolemia which could delay therapy.
Query: "Summarize last 24-hour vitals, urine output, and PT tolerance — flag any indicators of hypovolemia."
Insight: Pattern consistent with mild volume depletion. Recommend oral fluid bolus and reassess ambulation readiness.
Post-op Day 6: Patient reports mild calf pain and bruising. Nurse documents slight tachycardia and darker urine. These findings are scattered, delaying recognition of potential bleeding or DVT.
Query: "Summarize anticoagulation adherence, vitals, and lab results... flag bleeding risk."
Insight: Possible early bleeding complication or developing DVT. Recommend STAT Doppler ultrasound and repeat CBC.
Day 8 post-discharge: Home health nurse notes mild drainage and redness. The note sits in the EMR without immediate review, risking delayed SSI recognition.
Query: "Show wound appearance, temp trends, and WBC changes since discharge — flag for infection risk."
| Day | Temp | WBC | Insight |
|---|---|---|---|
| Day 8 | 98.6°F | 10.2 | Healing |
| Day 10 | 100.8°F | 12.2 | Infection Suspected |
Insight: Trend suggests superficial SSI. Early response reduces risk of deep infection. Consistent with CDC postoperative wound surveillance guidelines.
4-week post discharge: Surgeon needs to evaluate healing and adherence. Data is scattered across radiology, PT notes, and home logs. Compiling this manually takes 20+ minutes.
Realize-365 automatically generates an AI-driven clinical summary:
Fracture Healing: X-ray shows early callus formation. Intact hardware. No displacement.
PT Adherence: 88% adherence. Week 3 missed session flagged for reinforcement.
Pain Trend: Reduced from 6/10 (Week 1) to 2/10. Controlled on non-opioids.
Plan: Suggest clearance for full weight-bearing at Week 6. Continue calcium supplementation.
This case demonstrates how Realize-365 unifies fragmented data (vitals, nurse notes, PT logs) to reveal hidden clinical patterns like hypovolemia.
By spotting subtle trends (HR increase, urine color change) 24-48 hours early, Realize-365 prevents serious complications like DVT or SSI.
Saving 20+ minutes per patient review allows clinicians to focus on decision-making rather than data gathering.