Telemedicine may increase visit completion rates in postpartum patients with preeclampsia.

Autor:	Sanghavi M; Department of Medicine, Division of Cardiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States of America., Packard E; Department of Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, United States of America., Sperling S; Division of Cardiology, University of Pittsburgh Medical Center Heart and Vascular Institute, Harrisburg, Pennsylvania, Pennsylvania, United States of America., Eberly LA; Department of Medicine, Division of Cardiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.; Penn Cardiovascular Outcomes, Quality, and Evaluative Research Center, Cardiovascular Institute, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.; Penn Cardiovascular Center for Health Equity and Social Justice, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America., Ambrose M; Department of Medicine, Division of Cardiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States of America., Julien HM; Department of Medicine, Division of Cardiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.; Penn Cardiovascular Center for Health Equity and Social Justice, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.; Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania, United States of America., Hirshberg A; Department of Obstetrics and Gynecology, University of Pennsylvania, Perelman School of Medicine, Pennsylvania, United States of America., Adusumalli S; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.; CVS Health, Woonsocket, Rhode Island, United States of America., Lewey J; Department of Medicine, Division of Cardiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States of America.
Jazyk:	angličtina
Zdroj:	PloS one [PLoS One] 2022 Oct 21; Vol. 17 (10), pp. e0275741. Date of Electronic Publication: 2022 Oct 21 (Print Publication: 2022).
DOI:	10.1371/journal.pone.0275741
Abstrakt:	Postpartum cardiovascular (CV) evaluation of women with preeclampsia is recommended to screen for and treat modifiable risk factors to reduce lifetime CV risk. However, attendance at in-person postpartum obstetric and cardiology clinic visits is low. The aim of this study was to compare the completion rate of new patient telemedicine visits to in-person office visits for patients with preeclampsia referred for postpartum hypertension management and CV risk assessment at a single center. There were 236 unique new patient visits scheduled during the study period. The average age was 30.3 years, 73.7% patients were Black, and 56.7% had Medicaid insurance. The completion rate was 32% for in-person clinic visits and 70% for telemedicine visits. Women who did not complete an office visit were more likely to be Black (87% vs. 56%, p < 0.01) and younger (29.1 vs. 31.4 years, p = 0.04) compared to those who completed a visit. Notably, this difference was not seen with telemedicine visits. Telemedicine may provide a novel opportunity to improve the care for blood pressure management and CV risk reduction in a vulnerable population at risk of premature CV disease. Competing Interests: The authors have declared that no competing interests exist.
Databáze:	MEDLINE
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