{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T11:07:34Z","timestamp":1789211254288,"version":"build-2803163510"},"reference-count":0,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"am","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Postoperative complications and readmissions remain common after cardiac surgery, and intermittent manual vital-sign checks leave patients unmonitored for much of the recovery period. We implemented a phygital care pathway combining Enhanced Recovery After Surgery (ERAS) protocols, and 21-day continuous remote monitoring (heart rate, respiratory rate, temperature, blood pressure, oxygen saturation) with daily review and escalation to a cardiac surgeon when indicated. Quality of Recovery (QoR-15) was assessed on preoperative days \u20131 and postoperative days 3 and 7, and patient-reported experience (PREM) on day 30. Outcomes in 221 monitored patients (May\u2013November 2025) were compared, retrospectively, with a historical, non-monitored cohort of 206 patients. In the monitored patients, a good-to-excellent QoR increase from 25% to 56% between days 3 and 7 was noticed. Seventy-five patients (34%) required 98 interventions, most commonly primary-care referral or medication adjustment. Thirty-day readmission (12.7% vs 12.1%, Fisher p\u2009=\u20090.88) and mortality (0.45% vs 1.4%, Fisher p\u2009=\u20090.36) did not differ significantly from the control cohort; the monitored group was significantly younger (66.7 vs 70.1 years, p\u2009=\u20090.0004), reflecting probable selection bias from smartphone and digital-literacy eligibility criteria. PREM scores were high (&amp;gt;91%). This pilot demonstrates the feasibility of a digital, patient-centered cardiac surgical pathway; readmission and mortality findings are hypothesis-generating and require prospective confirmation.<\/jats:p>","DOI":"10.1093\/icvts\/ivag253","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T11:53:31Z","timestamp":1789041211000},"source":"Crossref","is-referenced-by-count":0,"title":["A digital, patient-centered carepath for cardiac surgical care with continuous remote patient monitoring"],"prefix":"10.1093","author":[{"given":"Guylian","family":"Stevens","sequence":"first","affiliation":[{"name":"Staf Member CTO, Maria Middelares VZW , buitenring Sint-Denijs 30, 9000 Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jelle","family":"Fleerakkers","sequence":"additional","affiliation":[{"name":"Cardiac Surgeon, Maria Middelares VZW , buitenring Sint-Denijs 30, 9000 Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jules","family":"Fran\u00e7ois","sequence":"additional","affiliation":[{"name":"Cardiac Surgeon, Maria Middelares VZW , buitenring Sint-Denijs 30, 9000 Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillipe","family":"Ballaux","sequence":"additional","affiliation":[{"name":"Cardiac Surgeon, Maria Middelares VZW , buitenring Sint-Denijs 30, 9000 Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koen","family":"Cathenis","sequence":"additional","affiliation":[{"name":"Cardiac Surgeon, Maria Middelares VZW , buitenring Sint-Denijs 30, 9000 Ghent,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Verdonck","sequence":"additional","affiliation":[{"name":"Ghent University Departement of electronics and information systems - IBiTech, , Korneel Heymanslaan, Gent, 9000, East-Flanders,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,11]]},"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag253\/71035072\/ivag253.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag253\/71035072\/ivag253.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T10:27:10Z","timestamp":1789208830000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article\/doi\/10.1093\/icvts\/ivag253\/8790847"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,11]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivag253","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,11]]},"article-number":"ivag253"}}