SRS164 - Evaluating Digital Follow-Up (DFU) using IslaCare® After elective abdominal High Volume Low Complexity (HVLC) surgery a 1 year study: is cost effective by reducing Surgical Triage Unit (STU) reattendance

Abstract Introduction The NHS is increasingly embracing digital technologies to improve care efficiency and reduce unnecessary face-to-face contact. This pilot study explores the safety, acceptability, and effectiveness of digital follow-up (DFU) using the IslaCareâ platform for patients recovering from elective abdominal high volume low complexity (HVLC) general surgical procedures. Methods Patients were invited to complete digital follow up by submitting questionnaires and photographs, and receive structured responses from clinicians. The primary aim was to evaluate postoperative complication and readmission rates in patients undergoing digital follow up compared to those not in the study (PIFU). Secondary aims included examining patient satisfaction and potential system advantages. Results STU attendance was significantly lower among invited participants (9.2%) compared with non-invited patients (19.5%) (χ² = 18.35, P < 0.0001 RR = 2.08, 95% c.i. 1.47–2.92). Consent to DFU further reduced attendance, with 7.2% of participants attending STU versus 50% of non-consenting patients (χ² = 36.43, P < 0.0001). Data obtained at NUH Trust for our patients admitted as an emergency after (HVLC surgery) had an average cost following a hernia operation of £831.90 and a laparoscopic cholecystectomy of £1010.80. STU attendance was 9.2% in the study versus 19.2% outside; matching the study rate could have avoided further attendances, saving £59 000. Most of the 117 participants who completed the patient satisfaction questionnaire (n = 109,84%) felt reassured, and (n = 108, 83%) reported time savings. Conclusions Our findings support DFU as safe, shows considerable economic benefit associated with reducing unnecessary STU attendances and patient preferred model for postoperative care.