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Telehealth for general surgery postoperative care
Danielle Abbitt1, Kevin Choy1, Rose Castle2
1Department of Surgery, University of Colorado School of Medicine, 12631 E 17th Ave, Aurora, CO, USA.
Background:
Telehealth utilization rapidly increased following the pandemic. However, it is not widely used in the Veteran surgical population. We sought to evaluate postoperative telehealth in patients undergoing general surgery.
Methods:
Retrospective review of Veterans undergoing general surgery at a level 1A VA Medical Center from June 2019 to September 2021. Exclusions were concomitant procedure(s), discharge with drains or non-absorbable sutures/staples, complication prior to discharge or pathology positive for malignancy.
Results:
1075 patients underwent qualifying procedures, 124 (12 %) were excluded and 162 (17 %) did not have follow-up. 443 (56 %) patients followed-up in-person (56 %) vs 346 (44 %) via telehealth. Telehealth patients had a lower rate of complications, 6 % vs 12 %, p = 0.013. There were no significant differences in ED visits, 30-day readmission, postoperative procedures or missed adverse events.
Conclusion:
Telehealth follow-up after general surgical procedures is safe and effective. Postoperative telehealth care should be considered after low-risk general surgery procedures.
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