ArticleInfection prevention in practice2025
The impact of smartphone-based monitoring on reducing National Health Service visits for cardiothoracic patients with surgical site infections.
Article in Infection prevention in practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Surgical site infections (SSIs) are a leading cause of postoperative morbidity, contributing to significant healthcare resource utilisation and economic burden. This study evaluates the impact of smartphone-based remote monitoring of surgical wounds on reducing healthcare visits for cardiothoracic patients with SSIs within the National Health Service (NHS). Methods: A retrospective, multi-site service evaluation was conducted at Guy's and St Thomas' NHS Foundation Trust (GSTT), encompassing three specialised cardiac hospitals in London. Adult patients having cardiothoracic surgery were monitored for SSI using the Isla digital platform. SSI rates and associated NHS visits were analysed and compared against national cardiothoracic data. Results: 1,248 patients enrolled onto the Isla wound monitoring platform over a six-month period, showed an SSI rate of 6.7% and an overall response rate to Isla of 88%. 77 patients with an SSI at GSTT used 295 NHS visits, significantly fewer healthcare resources across nearly all visit types compared to national cardiothoracic SSI patients, including general practitioner (GP), nurse, outpatient and Accident and Emergency attendances ( Conclusion: Smartphone-based remote wound monitoring significantly reduced healthcare visits while maintaining effective SSI management, aligning with NHS objectives to enhance resource efficiency and patient convenience. These findings underscore the potential of remote monitoring in postoperative care and warrant further studies to assess its broader applicability.
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