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患者门户的使用和再入院的风险在失偿性肝硬化:回顾性研究

Jeremy Louissaint¹, Jeffrey Gibbs², Abhishek Shenoy^2,3

¹Division of Digestive and Liver Diseases, University of Texas Southwestern, Dallas, TX, United States.

JMIR formative research

|December 19, 2023

概括

对患者门户的适度积极使用与不补偿性肝硬化患者的再入院数量较少有关. 然而,被动的门户网站使用与再接收风险没有关联.

科学领域:

肝病学和胃肠道学
数字健康和健康信息学
患者研究成果研究结果

背景情况:

患者门户是关键的电子健康记录工具,促进了患者和医疗服务提供者的沟通.
虽然很常见,但患者门户利用对肝硬化临床结果的影响仍未得到充分研究.
这项研究探讨了患者门户参与度和该人群中医院再入院之间的联系.

研究的目的:

评估不同患者门户使用模式与不补偿性肝硬化患者的再入院率之间的关联.
区分主动与被动患者门户网站使用对临床结果的影响.

主要方法:

分析了2018年5月至2019年5月期间住院的131名缺乏补偿性肝硬化患者的队列.
患者门户的使用 (消息,测试结果审查) 被分类为主动或被动,并按频率分层 (没有,中度,频繁) 在6个月的入院前期.
主要结局包括90天和整体再入院,调整了关键临床因素,如MELD-Na得分和.

主要成果:

63.4%的患者被列入患者门户,没有发现显著的人口或临床差异.
被动的门户使用 (阅读消息/结果) 很高 (97.6%),但与再录取无显著关联.
适度活跃使用 (发送消息) 与显著较低的90天再接收 (OR 0.77) 和整体再接收 (SHR 0.42) 相关.

结论:

肝硬化患者的高被动患者门户参与率与重新入院风险降低无关.
适度活跃的患者门户使用显示出对不补偿性肝硬化病例重入院的保护作用.
需要进行进一步的研究,以确定通过患者门户使用来影响再接收风险降低的特定行为和混因素.

关键词:

肝硬化是肝硬化的一种疾病.患者门户的患者门户.再接纳是指重新接纳的情况.远程医疗服务是远程医疗服务.远程医疗远程医疗

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