%0 Journal Article
%@ 2561-326X
%I JMIR Publications
%V 6
%N 7
%P e38054
%T The Association of Medical Preoperative Evaluation Using Clinical Video Telehealth With Hospital Length of Stay: Descriptive Analysis
%A Burton,Brittany Nicole
%A Arastoo,Sara
%A Wu,Simon
%A Liu,Nancy
%A Ong,Michael K
%A Vazirani,Sondra
%+ Department of Anesthesiology and Perioperative Medicine, University of California Los Angeles Health, 757 Westwood Plaza, Suite 3325, Los Angeles, CA, 90095, United States, 1 310 825 8325, BBurton@mednet.ucla.edu
%K telemedicine
%K telehealth
%K eHealth
%K digital health
%K hospital
%K length of stay
%K veteran's health
%K video
%K veteran
%K preoperative
%K outpatient
%K chart review
%K retrospective
%K clinical care
%K effectiveness
%K efficacy
%K discharge
%D 2022
%7 25.7.2022
%9 Short Paper
%J JMIR Form Res
%G English
%X Background: Preoperative medical evaluation serves to identify risk factors and optimize patients before surgery. Providing a telehealth option in the perioperative setting has played a significant role in reducing barriers to quality perioperative health care. Objective: We aimed to evaluate how telemedicine preoperative evaluations using Clinical Video Telehealth (CVT) impact hospital length of stay. Methods: We performed a retrospective chart review between 2016 and 2017 of adult patients who underwent evaluations in our hospitalist-run preoperative medicine clinic. Patients seen in our preoperative CVT program were compared to patients seen in person to evaluate the association of visit type (preoperative CVT versus in-person evaluation) with hospital length of stay, defined as hospital stay from postoperative day 0 to discharge. There were 62 patients included in this retrospective study. Results: The adjusted incidence rate ratio (IRR) for hospital length of stay was significantly shorter in patients who underwent preoperative CVT compared to an in-person visit (IRR 0.52, 95% CI 0.29-0.92, P=.02). Conclusions: After adjusting for age and comorbidities, we show that preoperative telemedicine in the perioperative setting is associated with a shorter hospital length of stay compared to in-person visits. This suggests that telemedicine can play a viable role in this clinical setting. 
%M 35877170
%R 10.2196/38054
%U https://formative.jmir.org/2022/7/e38054
%U https://doi.org/10.2196/38054
%U http://www.ncbi.nlm.nih.gov/pubmed/35877170