Telemedicine and Vascular Surgery: Expanding Access and Providing Care Through the COVID-19 Pandemic
| Autor: | Alina J. Chen, Savannah L. Yeh, Diana Delfin, Graciela Hoal, Natalie Barron, Toby Riedinger, Nika Kashanijou, Jessica Lieland, Katherine Bickel, Jessica B. O’Connell, Jesus G. Ulloa |
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| Rok vydání: | 2022 |
| Předmět: |
Clinical Sciences
other COVID-19 8.1 Organisation and delivery of services Rural Health General Medicine Health Services Cardiovascular vascular surgery Telemedicine special topics Networking and Information Technology R&D Good Health and Well Being Clinical Research Humans Surgery Patient Safety Vascular Surgical Procedures Pandemics Retrospective Studies Health and social care services research |
| Zdroj: | The American surgeon, vol 88, iss 10 |
| ISSN: | 1555-9823 0003-1348 |
| Popis: | Introduction Access to surgical service is limited by provider availability and geographic barriers. Telemedicine ensures that patients can access medical care. Objective The objective is to describe our use of telemedicine in delivering vascular surgery services to remote locations before and during the COVID-19 pandemic. Methods We conducted a retrospective chart review analyzing care delivered at six vascular surgery telemedicine clinics over a 22-month period. We examined vascular diagnoses, recommended interventions, referrals placed, and emergency department visits within 30 days of evaluation. We calculated travel distance saved for patients between their local clinic and our main hospital. Results We identified 94 patients and 144 telemedicine visits, with an average of 1.5 visits per patient (SD = 0.73). The most common referrals were for peripheral artery disease (20.2%) and abdominal aortic aneurysm (14.9%). Three patients were immediately referred to the emergency department due to concern for acute limb ischemia (2) or questionable symptomatic AAA (1). Telemedicine visit recommendations were distributed between no intervention (n = 30, 31.9%), medical management (n = 41, 43.6%), and surgical intervention (n = 23, 24.5%). The surgical intervention cohort was most commonly referred to arterial revascularization (n = 4), venous ablation (n = 4), and arteriovenous fistula procedures (n = 4). Fourteen patients came to our main hospital for surgery and four to local providers. Average travel distance saved per telemedicine visit was 104 miles (SD = 43.7). Conclusions Telemedicine provided safe, efficient care during the COVID-19 pandemic and saved patients an average of 104 travel miles per visit. |
| Databáze: | OpenAIRE |
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