Alexander J Deighton 1 , Ceri Davies 2 , Christos Bourantas 2 , Charles Knight 3 , Simon Woldman 4 , James Deighton 5 , Armita Azar 1 , Debashish Das 6 Show Affiliations »
Abstract
BACKGROUND: Disparities between weekend and weekday care, termed 'the weekend effect', have led to a UK government pledge to provide 7-day services. Despite this, poor outcomes have led to criticism of the programme. This study consequently sought to evaluate consultant-led virtual review as a model for 7-day cardiology services. METHODS: Over 4 weekends, cardiology patients underwent virtual review alongside in-person teams. Outcomes included length of stay, same-day discharge and 30-day mortality rates, as well as duration of ward rounds and change in patient management. Patients were surveyed on attitudes towards virtual review. RESULTS: Statistical analysis revealed no significant difference in clinical outcomes, while virtual review was noted to significantly decrease time taken (p<0.0001). Attitudes towards virtual review were broadly favourable. CONCLUSION: By demonstrating comparable outcomes compared with conventional review, as well as high acceptability, this study identified virtual review as an effective substitute for in-person care. © Royal College of Physicians 2021. All rights reserved.
BACKGROUND: Disparities between weekend and weekday care, termed 'the weekend effect', have led to a UK government pledge to provide 7-day services. Despite this, poor outcomes have led to criticism of the programme. This study consequently sought to evaluate consultant-led virtual review as a model for 7-day cardiology services. METHODS: Over 4 weekends, cardiology patients underwent virtual review alongside in-person teams. Outcomes included length of stay, same-day discharge and 30-day mortality rates, as well as duration of ward rounds and change in patient management. Patients were surveyed on attitudes towards virtual review. RESULTS: Statistical analysis revealed no significant difference in clinical outcomes, while virtual review was noted to significantly decrease time taken (p<0.0001). Attitudes towards virtual review were broadly favourable. CONCLUSION: By demonstrating comparable outcomes compared with conventional review, as well as high acceptability, this study identified virtual review as an effective substitute for in-person care. © Royal College of Physicians 2021. All rights reserved.
Entities: Chemical
Keywords:
cardiology; digital; medicine; telemedicine; virtual
Year: 2021
PMID： 34888462 PMCID： PMC8651322 DOI： 10.7861/fhj.2021-0115
Source DB: PubMed Journal: Future Healthc J ISSN： 2514-6645