Key result
A bundled digital intervention significantly increased the response rate to app-based follow-up by 40.5% and the inclusion rate by 57.9% compared to standard care after major emergency abdominal surgery.
Why the study?
The feasibility and challenges of app-based follow-up after major emergency abdominal surgery were investigated to identify barriers and requirements for implementing digital solutions to increase inclusion and response rates.
Does a digitalization bundle improve inclusion and response rates for app-based follow-up in patients undergoing major emergency abdominal surgery?
Observational (n=206)
No
Does a digitalization bundle improve inclusion and response rates for app-based follow-up in patients undergoing major emergency abdominal surgery?
Effect estimate: 40.5% relative increase
Absolute Event Rate: 81.1% vs 57.7%
p-value: p=0.02
A bundled digital implementation strategy significantly increases inclusion and response rates for app-based follow-up after major emergency abdominal surgery.
App-based follow-up feasibility after emergency abdominal surgery needs prospective validation; leaves open optimal strategies for digital inclusion and response.
Summary Background This study investigated the feasibility and challenges of app-based follow-up after major emergency abdominal surgery. The increasing use of digital health presents great potential benefits for both patients and the healthcare system. This study aims to identify barriers to and requirements for implementing digital solutions, seeking to increase inclusion and response rates. Methods A controlled before-and-after study was conducted from April to November 2023. The intervention bundle included dedicated staff, app installation guidance, involvement of relatives, and reminders. Three electronic questionnaires were sent to patients on postoperative days 14, 30, 90, and 180. The primary outcome was the feasibility of app-based follow-up, measured by inclusion and response rates at each timepoint. Results A total of 206 patients were included, 142 in the before group (control) and 64 in the after group (intervention). The intervention bundle resulted in a relative increase of 57.9% in the inclusion rate and of 40.5% in the response rate. The first of the three questionnaires was generally the most answered. Conclusion App-based follow-up after major emergency abdominal surgery is feasible but requires dedicated efforts and a bundled approach.
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Thorhauge et al. (2025) conducted an observational in Major emergency abdominal surgery (n=206). Digitalization bundle (dedicated staff, app installation guidance, involvement of relatives, reminders) vs. Standard care (usual clinical practice) was evaluated on Response rate to app-based follow-up questionnaires (40.5% relative increase, p=0.02). A bundled digital intervention significantly increased the response rate to app-based follow-up by 40.5% and the inclusion rate by 57.9% compared to standard care after major emergency abdominal surgery.
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