Postoperative remote first care for financially and environmentally sustainable healthcare.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 40399460.
- Also identified by DOI 10.1038/s41746-025-01585-3 and PMC identifier 12095528.
- Licence recorded as CC BY-NC-ND.
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Abstract
This study aims to quantify the financial and environmental savings associated with remote follow up in patients undergoing lower limb arterial surgery. A prospective observational study evaluating financial cost(fC) and environmental cost(eC) of postoperative follow-up models. Remote-first screening(RFS), where all patients were reviewed remotely, and complications triaged for face-to-face assessment and treatment. The second model was remote-first treatment(RFT): all patients were reviewed remotely, but only high-risk complications trigger face-to-face review. Both were compared with conventional face-to-face review. All participants received both face-to-face and remote review. 105 patients were included. RFS has a per patient mean reduction of 30.8.0±26.2 kgCO<sub>2</sub>e(RR 71.0%, p < 0.001) and fC reduction of £60.17±42.98(RR 87.0%, p < 0.001). RFT has a mean reduction of 38.5±17.4 kgCO<sub>2</sub>e(RR 88.8%, p < 0.001) and fC reduction of £83.29±45.51(RR 87.0%, p < 0.001). Remote models demonstrated economic and environmental gains over routine face-to-face assessments. Integration of these analyses into health intervention assessment is important to reducing climate change.