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dc.contributor.authorAlabyad, Darwish
dc.contributor.authorLemuel-Clarke, Manet
dc.contributor.authorAntwan, Marlyn
dc.contributor.authorHenriquez, Laura
dc.contributor.authorBelagaje, Samir
dc.contributor.authorRangaraju, Srikant
dc.contributor.authorMosley, Ashlee
dc.contributor.authorCabral, Jacqueline
dc.contributor.authorWalczak, Teri
dc.contributor.authorIdo, Moges
dc.contributor.authorHashima, Patricia
dc.contributor.authorBayakly, Rana
dc.contributor.authorCollins, Kathyrn
dc.contributor.authorSutherly-Bhadsavle, Loretta
dc.contributor.authorBrasher, Cynthia
dc.contributor.authorDanaie, Elham
dc.contributor.authorVictor, Patricia
dc.contributor.authorWestover, Deborah
dc.contributor.authorWebb, Mark
dc.contributor.authorSkukalek, Susana
dc.contributor.authorBarrett, A M
dc.contributor.authorEsper, Gregory J
dc.contributor.authorNahab, Fadi
dc.date.accessioned2023-07-28T18:34:50Z
dc.date.available2023-07-28T18:34:50Z
dc.date.issued2023-06-21
dc.identifier.citationAlabyad D, Lemuel-Clarke M, Antwan M, Henriquez L, Belagaje S, Rangaraju S, Mosley A, Cabral J, Walczak T, Ido M, Hashima P, Bayakly R, Collins K, Sutherly-Bhadsavle L, Brasher C, Danaie E, Victor P, Westover D, Webb M, Skukalek S, Barrett AM, Esper GJ, Nahab F. Telemedicine impact on post-stroke outpatient follow-up in an academic healthcare network during the COVID-19 pandemic. J Stroke Cerebrovasc Dis. 2023 Jun 21;32(8):107213. doi: 10.1016/j.jstrokecerebrovasdis.2023.107213. Epub ahead of print. PMID: 37384981; PMCID: PMC10284452.en_US
dc.identifier.eissn1532-8511
dc.identifier.doi10.1016/j.jstrokecerebrovasdis.2023.107213en_US
dc.identifier.pmid37384981
dc.identifier.urihttp://hdl.handle.net/20.500.14038/52358
dc.description.abstractBackground: The expansion of telemedicine associated with the COVID-19 pandemic has influenced outpatient medical care. The objective of our study was to determine the impact of telemedicine on post-acute stroke clinic follow-up. Methods: We retrospectively evaluated the impact of telemedicine in Emory Healthcare, an academic healthcare system of comprehensive and primary stroke centers in Atlanta, Georgia, on post-hospital stroke clinic follow-up. We compared the frequency of 90-day follow-up in a centralized subspecialty stroke clinic among patients hospitalized before the local COVID-19 pandemic (January 1, 2019- February 28, 2020), during (March 1- April 30, 2020) and after telemedicine implementation (May 1- December 31, 2020). A comparison was made across hospitals less than 1 mile, 10 miles, and 25 miles from the stroke clinic. Results: Of 1096 ischemic stroke patients discharged home or to a rehab facility during the study period, 342 (31%) had follow-up in the Emory Stroke Clinic (comprehensive stroke center 46%, primary stroke center 10 miles away 18%, primary stroke center 25 miles away 14%). Overall, 90-day follow-up increased from 19% to 41% after telemedicine implementation (p<0.001) with telemedicine appointments amounting for up to 28% of all follow-up visits. In multivariable analysis, factors associated with teleneurology follow-up (vs no follow-up) included discharge from the comprehensive stroke center, thrombectomy treatment, private insurance, private transport to the hospital, NIHSS 0-5 and history of dyslipidemia. Conclusions: Despite telemedicine implementation at an academic healthcare network successfully increasing post-stroke discharge follow-up in a centralized subspecialty stroke clinic, the majority of patients did not complete 90-day follow-up during the COVID-19 pandemic.en_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Stroke and Cerebrovascular Diseasesen_US
dc.relation.urlhttps://doi.org/10.1016/j.jstrokecerebrovasdis.2023.107213en_US
dc.rightsCopyright © 2023. Published by Elsevier Inc.en_US
dc.subjectFollow-upen_US
dc.subjectOutpatienten_US
dc.subjectStrokeen_US
dc.subjectTelemedicineen_US
dc.titleTelemedicine impact on post-stroke outpatient follow-up in an academic healthcare network during the COVID-19 pandemicen_US
dc.typeJournal Articleen_US
dc.source.journaltitleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
dc.source.volume32
dc.source.issue8
dc.source.beginpage107213
dc.source.endpage
dc.source.countryUnited States
dc.identifier.journalJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
dc.contributor.departmentNeurologyen_US


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