Automatic 1-year follow-up appointment creation and reminders can improve long-term follow-up after carotid revascularization - 12/12/23
, Shira Mohammed a , Diane Skojec a , Joanna Rutkowski a , Diana Call a , Katherine G. Verdi b , Lillian L. Tsai b , James H. Black a , Bruce A. Perler a , Christopher J. Abularrage a , Ying Wei Lum a , Maya J. Salameh c, d , Caitlin W. Hicks a, ⁎ Abstract |
Background |
Long-term follow-up (LTFU) following carotid revascularization is important for post-surgical care, stroke risk optimization and post-market surveillance of new technologies.
Methods |
We instituted a quality improvement project to improve LTFU rates for carotid revascularizations (primary outcome) by scheduling perioperative and one-year follow-up appointments at time of surgery discharge. A temporal trends analysis (Q1 2019 through Q1 2022), multivariable regression, and interrupted time series (ITS) were performed to compare pre-post intervention LTFU rates.
Results |
269 consecutive patients were included (151 pre-intervention, 118 post-intervention; mean 71 ± 12 years-old, 39% female, 77% White). The overall LTFU rate improved (64.9%–78.8%; P = 0.013) after the intervention. After controlling for patient factors, procedures performed after the intervention were associated with increased odds of being seen for 1-year follow-up (OR: 2.2 95%CI: 1.2–4.0). Quarterly ITS analysis corroborated this relationship (P = 0.01).
Conclusions |
Time-of-surgery appointment creation and automated patient reminders can improve LTFU rates following carotid revascularizations.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Improving post-operative follow-up after carotid revascularization is beneficial to patient care and improves data fidelity in registry trials. |
• | This single institutional QI project found that time-of-surgery appointment creations along with automated reminders can improve follow-up rates after carotid revascularization. |
Keywords : Carotid revascularization, Quality improvement, VQI, TCAR, CEA
Plan
Vol 227
P. 57-62 - janvier 2024 Retour au numéro
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