RT Journal Article T1 The use of Fissios App© in patients scheduled for thoracic surgical procedures reduces the risk of developing postoperative pulmonary complications when compared with a face-to-face respiratory physiotherapy program. A quasi-experimental study A1 Fraile Olivero, Carlos Alfredo A1 Jarabo Sarceda, José Ramón A1 Fernández Martín, Elena A1 Alen Villamayor, Verónica A1 Calatayud Gastardi, Joaquín A1 Gómez Martínez, Ana María A1 Santos Capa, Passio Beatriz A1 Arribas Manzanal, Pedro Daniel A1 Cerdán Santacruz, Carlos A1 Hernando Trancho, Florentino A2 Dell’Amore, Andrea A2 Nanda, Narvin C. AB Postoperative pulmonary complications (PPCs) increase the hospital length of stay (LOS) and the cost of healthcare associated with surgical procedures. Strategies to reduce PPCs begin before surgery and continue in the postoperative period. Fissios App© is a smartphone application that contains perioperative medical advice and a structured respiratory physiotherapy program. The objective was to implement the use of this app in a group of patients scheduled for a thoracic surgical procedure and determine its efficacy in reducing PPCs. This was a quasi-experimental study in which all patients attended a face-to-face respiratory physiotherapy program, and the intervention group used Fissios App© as a complement. We prospectively recorded the postoperative evolution of both groups, analyzed the categorical differences and quantitative variables, and created a binary logistic regression model. We recruited 393 patients (131 intervention and 262 control). The intervention group had a lower incidence of PPCs (12.2% versus 24% in the control group, p = 0.006), a shorter LOS (a median of 3 days (IQR = 2–5) versus 4 days (IQR = 3–6, p = 0.001) in the control group), and a reduction in the risk of developing PPCs by 63.5% (OR: 0.365, 95% CI: 0.17–0.78). The use of Fissios App© improved the clinical outcomes after surgery and reduced the probability of developing PPCs. PB MDPI SN 2077-0383 YR 2023 FD 2023-10-26 LK https://hdl.handle.net/20.500.14352/92049 UL https://hdl.handle.net/20.500.14352/92049 LA eng NO Fraile Olivero, C.A.; Jarabo Sarceda, J.R.; Fernández Martín, E.; Alen Villamayor, V.; Calatayud Gastardi, J.; Gómez Martínez, A.M.; Santos, P.; Arribas Manzanal, P.D.; Cerdán Santacruz, C.; Hernando Trancho, F. The Use of Fissios App© as a Complement to a Face-to-Face Respiratory Physiotherapy Program versus an Attendance-Only Face-to-Face Physiotherapy Program in Patients Scheduled for Thoracic Surgical Procedures Reduces the Risk of Developing Postoperative Pulmonary Complications—A Quasi-Experimental Study. J. Clin. Med. 2023, 12, 6774. https:// doi.org/10.3390/jcm12216774 NO Fundación Sociedad Española de Cirugía Torácica DS Docta Complutense RD 6 abr 2025