Initial Outcomes of CardioClick, a Telehealth Program for Preventive Cardiac Care: Observational Study.
Initial Outcomes of CardioClick, a Telehealth Program for Preventive Cardiac Care: Observational Study.
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DOI：
10.2196/28246
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发表时间：
2021-09-09
期刊：
影响因子：
--
通讯作者：
Rodriguez F
中科院分区：
文献类型：
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作者：
Kalwani NM;Johnson AN;Parameswaran V;Dash R;Rodriguez F
远程保健在专科诊所的使用有所增加，但关于远程保健在初级心血管疾病预防方面的结果的证据有限。本研究的目的是评估远程医疗主要CVD预防计划ECOCLICK的初步结果。2017年，斯坦福大学南亚转化心脏倡议（一家专注于高风险南亚患者的预防性心脏病诊所）推出了TCLICK，这是一种用视频访问取代面对面随访的临床路径。我们评估了患者的参与度和心血管疾病风险因素的变化，包括在同一诊所的ESTA点击患者和历史上的人的队列。在这项研究中，包括118名患者和441名接受现场护理的患者。与历史亲自队列中的患者相比，接受过点击治疗的患者更有可能完成诊所的心血管疾病预防计划（分别为76/118，64.4% vs 173/441，39.2%; P<.001），并且他们完成该计划的时间更短（分别为平均250天vs 307天; P<.001）。完成“点击”计划的患者实现了CVD风险因素的降低，包括血压，脂质浓度和BMI，这与历史上的人队列中观察到的结果相匹配或超过。远程医疗可用于在预防性心脏病诊所环境中有效提供护理，并可能增加患者的参与度。需要对远程保健结果进行进一步研究，以确定虚拟护理模式在不同预防医学诊所中的最佳作用。
Telehealth use has increased in specialty clinics, but there is limited evidence on the outcomes of telehealth in primary cardiovascular disease (CVD) prevention. The objective of this study was to evaluate the initial outcomes of CardioClick, a telehealth primary CVD prevention program. In 2017, the Stanford South Asian Translational Heart Initiative (a preventive cardiology clinic focused on high-risk South Asian patients) introduced CardioClick, which is a clinical pathway replacing in-person follow-up visits with video visits. We assessed patient engagement and changes in CVD risk factors in CardioClick patients and in a historical in-person cohort from the same clinic. In this study, 118 CardioClick patients and 441 patients who received in-person care were included. CardioClick patients were more likely to complete the clinic’s CVD prevention program (76/118, 64.4% vs 173/441, 39.2%, respectively; P<.001) and they did so in lesser time (mean, 250 days vs 307 days, respectively; P<.001) than the patients in the historical in-person cohort. Patients who completed the CardioClick program achieved reductions in CVD risk factors, including blood pressure, lipid concentrations, and BMI, which matched or exceeded those observed in the historical in-person cohort. Telehealth can be used to deliver care effectively in a preventive cardiology clinic setting and may result in increased patient engagement. Further studies on telehealth outcomes are needed to determine the optimal role of virtual care models across diverse preventive medicine clinics.