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- W4386701251 abstract "Restrictions to care access during the pandemic along with the increasing complexity of patients awaiting cardiac surgery provides unique challenges for care delivery. The University of Ottawa Heart Institute (UOHI) has developed a novel multidisciplinary digital platform, the Prehab Automated Follow-Up (AFU) Program, which delivers patient/caregiver teaching regarding risk factor mitigation, tracks patient symptoms and screens for optimization using best practice guidelines. This study was conducted to quantify patient outcomes following initiation of the AFU Program.Patients awaiting elective cardiac surgery are enrolled and screened via automated telephone conversation accordingly to best practice guidelines, and a Short Form-12 preoperative assessment. Following this screen, patients are referred to for an in-person assessment by an appropriate multidisciplinary team member namely, a diabetes specialist, physiotherapist, dietician, smoking cessation, social worker, vocational counsellor, and/or psychologist.Since initiation in February 2021, the Prehab AFU Program enrolled over 1237 patients with 508 multidisciplinary team referrals prompted by the AFU screening platform. Prior to program initiation, there were no multidisciplinary team referrals for preoperative optimization. Compared to patients treated between February 2020 - 2021, there was a 2.5 % decrease in hospital readmission rate within 30 days of surgery, a 0.6 day shorter hospital stay and a 2.5 % decrease in surgical site infection.A Cardiac Surgery PreHab AFU program could reduce adverse health outcomes for patients by identifying and optimizing risk factors, increasing patient quality of care. The AFU program provides patient/caregiver engagement through educational support and multidisciplinary team counselling." @default.
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- W4386701251 date "2023-09-01" @default.
- W4386701251 modified "2023-09-27" @default.
- W4386701251 title "Optimizing Care of Cardiac Surgery Patients using a Digital Platform and a Multidisciplinary Team Approach" @default.
- W4386701251 doi "https://doi.org/10.1016/j.jtcvs.2023.09.020" @default.
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