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Published on: February 26, 2013
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Use of Web-Based Patient Portals in Patients With Atrial Fibrillation Is Associated With Higher Readmissions
Arthur P Davis1, Gibbs M Wilson1, John P Erwin1
1Department of Internal Medicine, Baylor Scott and White Medical Center, Temple, TX.
Ochsner Journal
|April 8, 2021
Summary
Patient portal use, like MyChart, was linked to increased hospital readmissions for atrial fibrillation (AF) patients. Further research is needed to understand the benefits of these digital health tools.
Area of Science:
- Health Informatics
- Clinical Medicine
- Cardiology
Background:
- The impact of web-based patient portals on patient outcomes, particularly hospital readmissions in atrial fibrillation (AF) patients, is not well understood.
- This study addresses the gap in knowledge regarding the association between patient portal utilization and readmission rates in AF patients.
Purpose of the Study:
- To investigate the relationship between the use of an online patient portal system (MyChart) and hospital readmission rates in patients with atrial fibrillation (AF).
- To analyze demographic variables, comorbidities, and readmission frequencies in AF patients based on their MyChart usage.
Main Methods:
- A single-center retrospective cohort study was conducted using data from January 1, 2014, to June 30, 2017.
- 11,334 AF admissions were analyzed, comparing MyChart users (50.3%) with non-MyChart users (49.7%), excluding patients with inpatient mortality.
- Demographic data, comorbidities, and readmission rates were assessed, along with the frequency of MyChart use.
Main Results:
- MyChart users were younger and more likely to be white compared to non-users, with similar sex distributions.
- MyChart users exhibited a significantly higher 1-year readmission rate (43.0%) than non-users (32.0%).
- Multivariable analysis indicated that MyChart use was independently associated with a higher likelihood of readmission (OR 1.57).
Conclusions:
- In this cohort of atrial fibrillation patients, the use of the MyChart patient portal was associated with increased hospital readmissions.
- The specific benefits and optimal use of patient portals for managing chronic conditions like AF require further investigation.
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