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Am J Surg ; 229: 156-161, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38158263

RESUMO

BACKGROUND: Telehealth utilization rapidly increased following the pandemic. However, it is not widely used in the Veteran surgical population. We sought to evaluate postoperative telehealth in patients undergoing general surgery. METHODS: Retrospective review of Veterans undergoing general surgery at a level 1A VA Medical Center from June 2019 to September 2021. Exclusions were concomitant procedure(s), discharge with drains or non-absorbable sutures/staples, complication prior to discharge or pathology positive for malignancy. RESULTS: 1075 patients underwent qualifying procedures, 124 (12 â€‹%) were excluded and 162 (17 â€‹%) did not have follow-up. 443 (56 â€‹%) patients followed-up in-person (56 â€‹%) vs 346 (44 â€‹%) via telehealth. Telehealth patients had a lower rate of complications, 6 â€‹% vs 12 â€‹%, p â€‹= â€‹0.013. There were no significant differences in ED visits, 30-day readmission, postoperative procedures or missed adverse events. CONCLUSION: Telehealth follow-up after general surgical procedures is safe and effective. Postoperative telehealth care should be considered after low-risk general surgery procedures.


Assuntos
Alta do Paciente , Telemedicina , Humanos , Cuidados Pós-Operatórios/métodos , Readmissão do Paciente , Estudos Retrospectivos , Complicações Pós-Operatórias/epidemiologia
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