Development stage of novel digital health interventions for postoperative monitoring: protocol of a systematic review

Kenneth Mclean, Stephen Knight, Thomas M Diehl, Syed Nabeel Zafar, Matt-Mouley Bouamrane, Ewen M Harrison

Research output: Contribution to journalArticlepeer-review


Introduction: The postoperative period represents a time where patients are at a high-risk of morbidity, which warrants effective surveillance. While digital health interventions (DHIs) for postoperative monitoring arae promising, a coordinated, standardised, and evidence-based approach regarding their implementation and evaluation is currently lacking. This study aims to identify DHIs implemented and evaluated in postoperative care to highlight research gaps, and assess the readiness for routine implementation.
Methods: A systematic review will be conducted in accordance with PRISMA guidelines to identify studies describing the implementation and evaluation of digital health interventions for postoperative monitoring published since 2000 (PROSPERO ID: CRD42021264289). This will encompass the Embase, CINAHL, Cochrane Library, Web of Science, databases, and manual search of bibliographies for relevant studies and grey literature. Methodological reporting quality will be evaluated using the IDEAL (Idea, Development, Exploration, Assessment and Long-term follow-up) reporting guideline relevant to the IDEAL stage of the study, and risk of bias assessed using the GRADE framework. Data will be extracted according to the World Health Organisation (WHO) framework for monitoring and evaluating digital health interventions, and a narrative synthesis performed.
Discussion This review will assess the readiness for implementation of DHIs for routine postoperative monitoring, and will include studies describing best practice from service changes already being piloted out of necessity during the COVID-19 pandemic. This will identify interventions with sufficient evidence to progress to the next IDEAL stage, and promote standardised and comprehensive evaluation of future implementational studies.
Original languageEnglish
JournalBritish Medical Journal (BMJ)
Publication statusPublished - 4 Mar 2022


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