Accepted for/Published in: JMIR Formative Research
Date Submitted: Mar 17, 2022
Date Accepted: Jun 27, 2022
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The Association of Medical Preoperative Evaluation using Clinical Video Telehealth with Hospital Length of Stay
ABSTRACT
The wake of the COVID-19 pandemic, the importance of providing a telehealth option in outpatient care has become even more apparent. We aimed to evaluate how telemedicine preoperative evaluations using clinical video telehealth (CVT) impacts hospital length of stay. We performed a retrospective chart review between summer 2016 and winter 2017 of adult patients who underwent evaluations in our hospitalist-run preoperative medicine clinic. Patients seen in our preoperative CVT program were compared to patients from in-person visits to evaluate the association of visit type (preoperative CVT versus in-person) with hospital length of stay, defined as hospital stay from postoperative day 0 to discharge. There were 62 patients included in this retrospective study. The age and Elixir score adjusted incident rate for hospital LOS was significantly shorter in patients who underwent preoperative CVT compared to in-person visit (IRR = 0.52, 95% CI 0.29-0.92, p=0.018).
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