{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:36:23Z","timestamp":1787016983511,"version":"build-2736575974"},"reference-count":23,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T00:00:00Z","timestamp":1737763200000},"content-version":"unspecified","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"NIHR","doi-asserted-by":"crossref","award":["NIHR202620"],"award-info":[{"award-number":["NIHR202620"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,1,10]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore patients\u2019 and carers\u2019 preferences for postdischarge surgical wound monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Explanatory mixed methods study with an online survey followed by online interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The online survey was distributed via the Cardiothoracic Interdisciplinary Research Network and cardiac surgery patient and public involvement groups in London and Leicester, UK. Participants were invited to share the survey link with other patients and carers. Interviewees were recruited through the survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Seventy participants completed the survey: 74% patients and 26% carers. A range of ages, sex, ethnicities and geographical locations were represented. Six survey patient participants volunteered to be interviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Themes identified were the impact on patients of having a surgical site infection, patients\u2019 preferences for postdischarge surgical wound follow-up, access to specialist support, wound monitoring using digital technology and receiving information from the hospital about wounds and wound care. Interviewees described feeling isolated after discharge from hospital and 10% of survey patient respondents, including four of the six interviewees, reported hospital readmissions. Survey respondents\u2019 preferred routes for providing hospitals with wound information were over the telephone (30%), emails (24%), text messages (16%) and photos sent securely (14%). All six interviewees\u2019 preference was for digital approaches using images. Survey respondents were least likely (50%) to reply to questionnaires that required software to be downloaded and installed. Interviewees considered digital wound monitoring to be convenient and the best use of patient and staff resources. A new theme was identified where patients wanted to become more involved in treating their surgical wounds at home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Experiences described by participants suggests there is a need to improve post-discharge wound monitoring. A new approach should be proactive, ongoing and provide easy access to healthcare services. Digital surgical wound monitoring offers these benefits and is acceptable to patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"isrctn\" xlink:href=\"ISRCTN13950775\">ISRCTN13950775<\/jats:ext-link>\n                      ; Post-results.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-087320","type":"journal-article","created":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T06:45:39Z","timestamp":1737787539000},"page":"e087320","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Exploratory study of patients\u2019 and carers\u2019 preferences for postdischarge surgical wound monitoring using survey and interviews"],"prefix":"10.1136","volume":"15","clinical-trial-number":[{"clinical-trial-number":"isrctn13950775","registry":"10.18810\/isrctn"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0023-3149","authenticated-orcid":false,"given":"Judith","family":"Tanner","sequence":"first","affiliation":[{"name":"University of Nottingham, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyn","family":"Brierley Jones","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences, Teesside University, Middlesbrough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel","family":"Westwood","sequence":"additional","affiliation":[{"name":"Patient Researcher, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Rochon","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Wloch","sequence":"additional","affiliation":[{"name":"UK Health Security Agency, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6240-0120","authenticated-orcid":false,"given":"Luke J","family":"Rogers","sequence":"additional","affiliation":[{"name":"Peter Munk Cardiac Surgery Centre, Toronto General Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricky","family":"Vaja","sequence":"additional","affiliation":[{"name":"Guy\u2019s and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1007-1895","authenticated-orcid":false,"given":"Jeremy","family":"Dearling","sequence":"additional","affiliation":[{"name":"Patient and Public Advisor, King's Lynn, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Wilson","sequence":"additional","affiliation":[{"name":"Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Harrington","sequence":"additional","affiliation":[{"name":"UK Health Security Agency, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin S","family":"Brown","sequence":"additional","affiliation":[{"name":"UK Health Security Agency, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Murphy","sequence":"additional","affiliation":[{"name":"Cardiovascular Sciences, University of Leicester College of Medicine Biological Sciences and Psychology, Leicester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,1,25]]},"reference":[{"key":"2025081403002264000_15.1.e087320.1","unstructured":"WHO . 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Briefing: The Impact of Covid-19 on the Use of Digital Technology in the NHS. London: Nuffield Trust, 2020."},{"key":"2025081403002264000_15.1.e087320.11","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/jan.15830","article-title":"Digital tools for post-discharge surveillance of surgical site infection","volume":"80","author":"Dalc\u00f3l","year":"2024","journal-title":"J Adv Nurs"},{"key":"2025081403002264000_15.1.e087320.12","doi-asserted-by":"crossref","first-page":"10","DOI":"10.25270\/wmp.2021.6.1019","article-title":"The Impact of Surgical Site Infection on Health-related Quality of Life: A Systematic Review","volume":"67","author":"Avsar","year":"2021","journal-title":"Wound Manag Prev"},{"key":"2025081403002264000_15.1.e087320.13","unstructured":"Cresswell JW . Research Design: Qualitative, Quantitative and Mixed Methods Approaches 4th ed. 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