2025-03-252025-03-252017-07Segura Sampedro, J.J., Rivero Belenchón, I., Pino Díaz, V., Rodríguez Sánchez, M.C., Pareja Ciuró, F., Padillo Ruiz, F.J. y Jiménez Rodríguez, R.M. (2017). Feasibility and safety of surgical wound remote follow-up by smart phone in appendectomy: A pilot study. Annals Of Medicine And Surgery, 21, 58-62. https://doi.org/10.1016/j.amsu.2017.07.040.2049-0801https://hdl.handle.net/11441/170846Introduction: 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% (0.92–0.08), 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.application/pdf5 p.engAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/appendectomytelemedicinefollow-upmobile ponee-mailsurgical woundinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccesshttps://doi.org/10.1016/j.amsu.2017.07.040