Telemedicine may increase visit completion rates in postpartum patients with preeclampsia.
Telemedicine may increase visit completion rates in postpartum patients with preeclampsia.
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DOI：
10.1371/journal.pone.0275741
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
建议对患有先兆子痫的妇女进行产后心血管（CV）评估，以筛查和治疗可改变的风险因素，以降低终身CV风险。然而，亲自到产后产科和心脏病诊所就诊的人数很少。本研究的目的是比较新患者远程医疗访视的完成率与在单个中心进行产后高血压管理和CV风险评估的先兆子痫患者的亲自办公室访视的完成率。研究期间计划了236例新患者访视。平均年龄为30.3岁，73.7%的患者是黑人，56.7%的患者有医疗补助保险。现场就诊的完成率为32%，远程医疗就诊的完成率为70%。未完成办公室访问的女性更有可能是黑人（87%对56%，p < 0.01）和年轻人（29.1对31.4岁，p = 0.04）。值得注意的是，在远程医疗访问中没有看到这种差异。远程医疗可能提供一个新的机会，以改善对有早发心血管疾病风险的脆弱人群的血压管理和心血管风险降低的护理。
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.
影响因子：
5.4
作者：
Lewey J;Levine LD;Yang L;Triebwasser JE;Groeneveld PW
通讯作者：
Groeneveld PW
影响因子：
13.8
作者：
Eberly LA;Kallan MJ;Julien HM;Haynes N;Khatana SAM;Nathan AS;Snider C;Chokshi NP;Eneanya ND;Takvorian SU;Anastos-Wallen R;Chaiyachati K;Ambrose M;O'Quinn R;Seigerman M;Goldberg LR;Leri D;Choi K;Gitelman Y;Kolansky DM;Cappola TP;Ferrari VA;Hanson CW;Deleener ME;Adusumalli S
通讯作者：
Adusumalli S