AIM The aim of this study is to assess if a patient-focused mobile application can increase compliance with active Enhanced Recovery After Surgery (ERAS) items and thereby improve surgery-related outcomes and patient satisfaction. METHOD This is a prospective observational study of patients admitted for elective colorectal surgery, under the ERAS protocol, and having access to the mobile application iColon during all perioperative phases. RESULTS The 444 participants were included in the study. The overall adherence to the use of iColon was 62.4%. The overall adherence to active ERAS items was 74.1%. Adherence to the use of iColon significantly impacted adherence to active ERAS items. The use of the application was negatively related with factors such as age, type of disease, and postoperative complications. In the postdischarge phase, low adherence to active ERAS items typically indicates an increased likelihood of readmission; however, the use of iColon correlated significantly with a reduction in the 30-day readmission rate. A survey regarding patient satisfaction and confidence in using iColon resulted in positive feedback in more than 94% of cases, while 92.7% reported better quality of care. CONCLUSION Our findings suggest that digital health tools are beneficial and effective in the follow up of patients after early discharge. Our mobile application, iColon, represents user-friendly technology that is well-accepted. It has real-world implications in increasing adherence to active ERAS items, which results in an improvement in perceived quality of care by its users.

中文翻译：

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iColon，一款以患者为中心的移动应用程序，用于结直肠手术的围手术期护理：444 名患者的结果。

目的 本研究的目的是评估以患者为中心的移动应用程序是否可以提高对主动加速康复外科 (ERAS) 项目的依从性，从而改善手术相关的结果和患者满意度。方法 这是一项前瞻性观察性研究，对象是根据 ERAS 协议入院接受择期结直肠手术并在所有围手术期均可使用移动应用程序 iColon 的患者。结果 444 名参与者被纳入研究。总体坚持使用 iColon 的比例为 62.4%。积极 ERAS 项目的总体遵守率为 74.1%。坚持使用 iColon 显着影响对主动 ERAS 项目的坚持。该应用程序的使用与年龄、疾病类型和术后并发症等因素呈负相关。在出院后阶段，对主动 ERAS 项目的低依从性通常表明再入院的可能性增加；然而，iColon 的使用与 30 天再入院率的降低显着相关。一项关于患者对使用 iColon 的满意度和信心的调查在超过 94% 的病例中产生了积极反馈，而 92.7% 的病例报告了更好的护理质量。结论 我们的研究结果表明，数字健康工具对于患者早期出院后的随访是有益且有效的。我们的移动应用程序 iColon 代表了广受认可的用户友好技术。它对于提高对主动 ERAS 项目的依从性具有现实意义，从而提高用户感知的护理质量。