Telephoned, Texted, or Typed Out: A Randomized Trial of Physician–Patient Communication After Emergency Department Discharge

Shuen, Jessica A.; Wilson, Michael P.; Kreshak, Allyson A.; Mullinax, Samuel; Brennan, Jesse J.; Castillo, Edward M.; Hinkle, Corinne; Vilke, Gary M.

doi:10.1016/j.jemermed.2018.07.023

Cited by 16 publications

(13 citation statements)

References 18 publications

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“…30 We used a mobile phone app for postdischarge follow-up in this study, but certainly there are other effective platforms, including videoconferencing, routine telephone calls, text messaging, amongst others. 5,31,32 The choice of platform may be dictated by availability, logistics, and preference. Regardless of the method, some element of postdischarge follow-up is likely required.…”

Section: Discussionmentioning

confidence: 99%

Enhanced Recovery 2.0 – Same Day Discharge With Mobile App Follow-up After Minimally Invasive Colorectal Surgery

et al. 2021

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Objective: To investigate the feasibility of SDD protocol with postdischarge follow-up using a mobile phone app in patients undergoing elective minimally-invasive colectomy. Summary of Background Data: Discharge before gastrointestinal recovery and use of mobile health technology for remote follow-up may allow for SDD after minimally-invasive colectomy within an ERP. Methods: Adult patients undergoing elective laparoscopic colectomy or loop ileostomy reversal from February 2020 to November 2020 were screened for eligibility. Patients were eligible if they lived within a 30-minute drive from the hospital, had an adequate support system at home, and owned a smart phone. Patients were discharged from the recovery room on the day of surgery based on set criteria with postdischarge remote follow-up using a mobile application. Feasibility was defined as discharge on the day of surgery without emergency department (ED) visit or readmission within the first 3 days. 30-day complications, ED visits, and readmissions were compared to a non-SDD historical cohort (May 2019-March 2020) also remotely followed-up using the same mobile phone app (standard ERP group). Results: A total of 48 patients were recruited to SDD, of which 77% were discharged on the day of surgery without subsequent ED visit in the first 72 hours. There were 11 patients that could not be discharged, including 7 for failure of discharge criteria and 4 for intraoperative complications/ concerns. Overall 30-day complications in the SDD group (17%) was similar to the standard ERP group (15%, P = 0.813). ED visits (SDD10% vs standard ERP8%, P = 0.664) and readmissions (6% vs 4%, P = 0.681) were also similar. Conclusions and Relevance: Findings from this study support the feasibility of a SDD protocol in select patients undergoing minimally-invasive colorectal resection. SDD colectomy protocols may represent the next evolution of ERP and postoperative recovery.

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Section: Discussionmentioning

confidence: 99%

Enhanced Recovery 2.0 – Same Day Discharge With Mobile App Follow-up After Minimally Invasive Colorectal Surgery

et al. 2021

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“…As an alternative intervention, telephone follow-up (TFU) is described as an inexpensive and easy to organize method of post-discharge care in various medical populations and settings [ 13 – 16 ]. Feasibility has been demonstrated in multiple medical settings, including the ED.…”

Section: Introductionmentioning

confidence: 99%

The effect of a telephone follow-up call for older patients, discharged home from the emergency department on health-related outcomes: a systematic review of controlled studies

et al. 2021

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Background Older patients discharged from the emergency department (ED) are at increased risk for adverse outcomes. Transitional care programs offer close surveillance after discharge, but are costly. Telephone follow-up (TFU) may be a low-cost and feasible alternative for transitional care programs, but its effects on health-related outcomes are not clear. Aim We systematically reviewed the literature to evaluate the effects of TFU by health care professionals after ED discharge to an unassisted living environment on health-related outcomes in older patients compared to controls. Methods We conducted a multiple electronic database search up until December 2019 for controlled studies examining the effects of TFU by health care professionals for patients aged ≥65 years, discharged to an unassisted living environment from a hospital ED. Two reviewers independently assessed eligibility and risk of bias. Results Of the 748 citations, two randomized controlled trials (including a total of 2120 patients) met review selection criteria. In both studies, intervention group patients received a scripted telephone intervention from a trained nurse and control patients received a patient satisfaction survey telephone call or usual care. No demonstrable benefits of TFU were found on ED return visits, hospitalization, acquisition of prescribed medication, and compliance with follow-up appointments. However, many eligible patients were not included, because they were not reached or refused to participate. Conclusions No benefits of a scripted TFU call from a nurse were found on health services utilization and discharge plan adherence by older patients after ED discharge. As the number of high-quality studies was limited, more research is needed to determine the effect and feasibility of TFU in different older populations. PROSPERO registration number CRD42019141403.

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“…Although ED callback programs are in broad use across the US, existing data have been variable and underpowered in their ability to demonstrate improvement in patient care metrics. [14][15][16] In our study, an automated call 2 days after an ED discharge, with optional ED clinician follow-up if requested, was associated with a decrease in both 72-hour and 7-day return visits to the ED. In addition, while there was no significant difference in return visits resulting in hospital admission among all patients receiving calls at 2 days, there was a significant difference if the caller was actually reached.…”

Section: Discussionmentioning

confidence: 94%

Association of a Callback Program With Emergency Department Revisit Rates Among Patients Seeking Emergency Care

Fruhan

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2022

JAMA Netw Open

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Telephoned, Texted, or Typed Out: A Randomized Trial of Physician–Patient Communication After Emergency Department Discharge

Cited by 16 publications

References 18 publications

Enhanced Recovery 2.0 – Same Day Discharge With Mobile App Follow-up After Minimally Invasive Colorectal Surgery

Enhanced Recovery 2.0 – Same Day Discharge With Mobile App Follow-up After Minimally Invasive Colorectal Surgery

The effect of a telephone follow-up call for older patients, discharged home from the emergency department on health-related outcomes: a systematic review of controlled studies

Association of a Callback Program With Emergency Department Revisit Rates Among Patients Seeking Emergency Care

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