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Automatic 1-year follow-up appointment creation and reminders can improve long-term follow-up after carotid revascularization.
Stonko, David P; Mohammed, Shira; Skojec, Diane; Rutkowski, Joanna; Call, Diana; Verdi, Katherine G; Tsai, Lillian L; Black, James H; Perler, Bruce A; Abularrage, Christopher J; Lum, Ying Wei; Salameh, Maya J; Hicks, Caitlin W.
Afiliação
  • Stonko DP; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA; Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: dstonko1@jhmi.edu.
  • Mohammed S; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: smoham14@jhmi.edu.
  • Skojec D; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: dskojec1@jhmi.edu.
  • Rutkowski J; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: jrutkow1@jhmi.edu.
  • Call D; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: dcall@jhmi.edu.
  • Verdi KG; Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: kgiuliano@jhmi.edu.
  • Tsai LL; Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: ltsai2@jhmi.edu.
  • Black JH; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: jhblack@jhmi.edu.
  • Perler BA; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: bperler@jhmi.edu.
  • Abularrage CJ; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: cabular1@jhmi.edu.
  • Lum YW; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: ylum1@jhmi.edu.
  • Salameh MJ; Johns Hopkins Center for Vascular Medicine, Division of Cardiology, The Johns Hopkins Hospital, Baltimore, MD, USA; Cardiovascular Specialist of Frederick, Frederick, MD, USA. Electronic address: msalame1@jhmi.edu.
  • Hicks CW; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: chicks11@jhmi.edu.
Am J Surg ; 227: 57-62, 2024 Jan.
Article em En | MEDLINE | ID: mdl-37827870
ABSTRACT

BACKGROUND:

Long-term follow-up (LTFU) following carotid revascularization is important for post-surgical care, stroke risk optimization and post-market surveillance of new technologies.

METHODS:

We instituted a quality improvement project to improve LTFU rates for carotid revascularizations (primary outcome) by scheduling perioperative and one-year follow-up appointments at time of surgery discharge. A temporal trends analysis (Q1 2019 through Q1 2022), multivariable regression, and interrupted time series (ITS) were performed to compare pre-post intervention LTFU rates.

RESULTS:

269 consecutive patients were included (151 pre-intervention, 118 post-intervention; mean 71 â€‹± â€‹12 years-old, 39% female, 77% White). The overall LTFU rate improved (64.9%-78.8%; P â€‹= â€‹0.013) after the intervention. After controlling for patient factors, procedures performed after the intervention were associated with increased odds of being seen for 1-year follow-up (OR 2.2 95%CI 1.2-4.0). Quarterly ITS analysis corroborated this relationship (P â€‹= â€‹0.01).

CONCLUSIONS:

Time-of-surgery appointment creation and automated patient reminders can improve LTFU rates following carotid revascularizations.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Endarterectomia das Carótidas / Estenose das Carótidas / Acidente Vascular Cerebral / Procedimentos Endovasculares Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Endarterectomia das Carótidas / Estenose das Carótidas / Acidente Vascular Cerebral / Procedimentos Endovasculares Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article