Implementation of a person-centered postdischarge telehealth service was associated with a 6.3% absolute reduction in 30-day readmissions among patients hospitalized with stroke.
Observational (n=405)
No
Does a person-centered postdischarge telehealth support program reduce all-cause 30-day readmission in adult patients hospitalized with stroke?
Implementation of a postdischarge telehealth program for stroke patients was associated with zero 30-day readmissions among enrollees and substantial projected hospital cost savings.
Tasa de eventos absoluta: 0% vs 8.9%
Reducción absoluta del riesgo: 6.3%
OBJECTIVE: To evaluate the association between implementation of a personalized, postdischarge telehealth support program and 30-day hospital readmission among patients hospitalized with stroke. METHODS: This observational pre-post implementation study was conducted within an acute care hospital system and included adult patients (≥18 years) admitted with ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage. Following discharge, eligible patients were offered enrollment in a person-centered telehealth support program. The primary outcome was all-cause 30-day readmission. Multivariable regression models were used to adjust for baseline clinical characteristics. RESULTS: Among 405 patients, 258 were admitted before telehealth implementation, 31 were enrolled in the telehealth program after implementation, and 116 were postimplementation nonenrollees. Thirty-day readmission occurred in 23 of 258 patients (8. 9%) before implementation, in 0 of 31 telehealth enrollees (0%), and in 3 of 116 nonenrollees (2. 6%). After adjustment for clinical covariates, postimplementation patients demonstrated a lower estimated risk of 30-day readmission compared with preimplementation patients, with the lowest risk observed among telehealth enrollees. Based on a 6. 3% absolute reduction in readmissions and published cost estimates, telehealth implementation corresponded to an annual savings of approximately 112, 000-124, 000 in avoided uncompensated care for uninsured patients and 545, 000-602, 000 in reduced exposure to denied claims for insured patients per 1, 000 strokes. Anticoagulant use was associated with a higher estimated probability of readmission. CONCLUSION: Implementation of a person-centered postdischarge telehealth service was associated with substantially lower 30-day readmissions among patients hospitalized with stroke and may provide meaningful economic benefits by reducing costly readmissions and financial burden on hospitals.
Ezzeldin et al. (Wed,) conducted a observational in stroke (n=405). Person-centered postdischarge telehealth support program vs. Preimplementation care was evaluated on all-cause 30-day readmission. Implementation of a person-centered postdischarge telehealth service was associated with a 6.3% absolute reduction in 30-day readmissions among patients hospitalized with stroke.