2026-06-14T03:42:56Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/203822024-11-29T02:03:28Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Segura-Sampedro, Juan José author Rivero-Belenchon, Ines author Pino-Diaz, Veronica author Rodriguez Sanchez, Maria Cristina author Pareja-Ciuro, Felipe author Padillo-Ruiz, Javier author Maria Jimenez-Rodriguez, Rosa author 2017-09 Introduction: The objective of the present study is to assess the safety and feasibility of the use of telemedicine-based services for surgical wound care and to measure patient satisfaction with telemedicine-based follow-up. Material and methods: 24 patients were included, they were provided with a corporate mail address. On day 7 after surgery patients sent, via email, an image of their surgical wound together with a completed questionnaire in order to obtain an early diagnosis. Two independent physicians studied this information and the histologic analysis of the specimen. On day 8, all patients underwent face-to-face office examination by a third physician and all of them completed a satisfaction questionnaire at the end of the study. Results: The use of telemedicine-based services showed a sensitivity of 100%, a specificity of 91.6%, a positive predictive value of 75% and a negative predictive value of 100%. Degree of concordance between the two physicians, as regards the necessity of face-to-face follow-up yielded a kappa coefficient of 0.42 (standard error 0.25 and confidence interval 95% (0.92e0.08), which means a moderate agreement between the two evaluations. 94% of patients were satisfied with telemedicine-based follow-up and 93% showed their preference for this procedure over conventional methods. Conclusions: The telemedicine-based follow-up, has proven to be feasible and safe for the evaluation of early postoperative complications. Patients reported high levels of satisfaction with the procedure. Telemedicine-based follow-up could become standard practice with the development of a specific mobile application. Segura-Sampedro JJ, Rivero-Belenchon I, Pino-Diaz V, Rodriguez Sanchez MC, Pareja-Ciuro F, Padillo-Ruiz J, et al. Feasibility and safety of surgical wound remote follow-up by smart phone in appendectomy: A pilot study. Ann Med Surg. 2017 Sep;21:58-62. 10.1016/j.amsu.2017.07.040 2049-0801 Annals of Medicine and Surgery http://hdl.handle.net/20.500.13003/17293 28794868 L617522885 2-s2.0-85026407253 http://hdl.handle.net/20.500.12105/20382 413811800012 Appendectomy Telemedicine Follow-up Mobile phone E-mail Surgical wound Feasibility and safety of surgical wound remote follow-up by smart phone in appendectomy: A pilot study