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Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity.

Ming DY, Li T, Ross MH, Frush J, He J, Goldstein BA, Jarrett V, Krohl N, Docherty SL, Turley CB, Bosworth HB. Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity. Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners. 2022 Mar 1; 36(2):e22-e35.

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Abstract:

OBJECTIVES: To evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver self-efficacy (CSE), and family self-management (FSM). METHOD: This non-randomized pilot study assigned CMC (n = 28) to weekly TMVV for four weeks post-hospitalization; control CMC (n = 20) received usual care without telemedicine. Feasibility was measured by time to connection and proportion of TMVV completed; acceptability was measured by parent-reported surveys. Pre/post-discharge changes in CSE, FSM, and hospital utilization were assessed. RESULTS: 64 TMVV were completed; 82 % of patients completed 1 TMVV; 54 % completed four TMVV. Median time to TMVV connection was 1 minute (IQR = 2.5). Parents reported high acceptability of TMVV (mean 6.42; 1 -7 scale). CSE and FSM pre/post-discharge were similar for both groups; utilization declined in both groups post-discharge. DISCUSSION: Post-hospitalization TMVV for CMC were feasible and acceptable during hospital-to-home transitions.





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