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- W4385302773 abstract "Background Providing timely peri-procedural education, reminders, and check-ins can improve patient adherence and clinical outcomes. We sought to retrospectively evaluate the impact of a peri-procedural digital health tool on emergency department (ED) visits and readmissions. Methods A digital health tool for peri-procedural care engaged patients at scheduled intervals, resulting in an overall engagement score. Multivariate models determined predictors of tool engagement and post-procedural 30- and 90-day rehospitalizations and ED visits. Results 11,737 unique completed procedures were analyzed from 10,438 patients. Patients of Black and Latinx race/ethnicity (vs White), those with Medicare and Medicaid insurance (vs commercial), and those with non-activated patient portals (vs activated) were less likely to engage. After adjustment for confounders, higher engagement with the tool was associated with lower rates of 30-day hospitalizations (OR 0.64), 90-day hospitalizations (OR 0.65), and 90-day ED visits (OR 0.77). Conclusions Highly engaged patients had fewer 30-day and 90-day ED visit and readmissions, even after adjustment for key confounders. Engagement, and thus the resulting benefits, were not equitably distributed." @default.
- W4385302773 created "2023-07-28" @default.
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- W4385302773 date "2023-07-01" @default.
- W4385302773 modified "2023-10-18" @default.
- W4385302773 title "Impact of an automated peri-procedural digital health intervention on rates of emergency department visits and readmissions" @default.
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- W4385302773 doi "https://doi.org/10.1016/j.amjsurg.2023.07.037" @default.
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