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Med."],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Remote digital postoperative wound monitoring provides an opportunity to strengthen postoperative community care and minimise the burden of surgical-site infection (SSI). This study aimed to pilot a remote digital postoperative wound monitoring service and evaluate the readiness for implementation in routine clinical practice. This was a single-arm pilot implementational study of remote digital postoperative wound monitoring across two tertiary care hospitals in the UK (IDEAL stage 2b, clinicaltrials.gov: NCT05069103). Adults undergoing abdominal surgery were recruited and received a smartphone-delivered wound assessment tool for 30-days postoperatively. Patients received 30-day postoperative follow-up, including the Telehealth Usability Questionnaire (TUQ). A thematic mixed-methods approach was used, according to the WHO framework for monitoring and evaluating digital health interventions. 200 patients were enroled, of whom 115 (57.5%) underwent emergency surgical procedures. Overall, the 30-day SSI rate was 16.5% (<jats:italic>n<\/jats:italic>\u2009=\u200933\/200), with 72.7% (<jats:italic>n<\/jats:italic>\u2009=\u200924) diagnosed post-discharge. Usage of the intervention was 83.0% (<jats:italic>n<\/jats:italic>\u2009=\u2009166\/200), with subsequently 74.1% (<jats:italic>n<\/jats:italic>\u2009=\u2009123\/166) TUQ completion. There were no issues reported with feasibility of the technology, with the reliability (3.87, 95% CI: 3.73\u20134.00) and quality of the interface rated highly (4.18, 95%: 4.06\u20134.30). Patient acceptance was similarly high with regards to ease of use (4.51, 95% CI: 4.41\u20134.62), satisfaction (4.27, 95% CI: 4.13\u20134.41), and usefulness (4.07, 95% CI: 3.92\u20134.23). Despite the desire for more frequent and personalised interactions, the majority viewed the intervention as providing meaningful benefit over routine postoperative care. 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