Abstract TP144: Telemedicine Appointments early after Acute Ischemic Stroke may Reduce 30-day Emergency Department Visits

• DOI: 10.1161/str.56.suppl_1.tp144
• Publication Date: 2025-01-30T10:26:41Z
• Authors: Ammar Jumah; Javacia Owens; Tianwen Ma; Yunong Wu; Jennifer Ro; Danielle Starnes; Hannah Christopher; Debra Blanke; Laura Henriquez; Samir Belagaje; Nino Kvantaliani; Jacqueline Cabral; Teri Walczak; Judy Collier; Kourtni Mack; Fadi Nahab
• Keywords: Stroke; Acute stroke

Introduction: Limiting the rate of unplanned emergency department (ED) revisits for patients with acute ischemic stroke is an important aspect secondary prevention. This influenced by patients’ demographics, comorbidities, severity, disposition destination, and may be impacted early outpatient follow-up where risk factors etiology continue to evaluated. Methods: We retrospectively identified all discharged from 11-hospital network, largest healthcare system in state Georgia, October 1, 2022 March 31, 2024; we excluded who were a long-term care or hospice facility. Baseline characteristics, inpatient metrics post-discharge assessed identify associated ED visits within 30- 90-days after discharge. Results: Of 2,191 patients, 143 (6.5%) had 30 days 296 (13.5%) 90 days. The median age was 68 [IQR 57, 77]. History heart failure (HF), atrial fibrillation (AF), chronic kidney disease end stage renal each increased likelihood re-visit whereas diabetes mellitus at only. In multiple logistic regression analyses, independently 30-day visit history HF (OR 1.57, 95% CI 1.07-2.28; p=0.02) AF 1.49, 1.00-2.19; p=0.04); days, only Charlson Comorbidity Index score 1.09, 1.02-1.16; p=0.01). There 501 (23%) completed neurology clinic discharge, including 81 (4%) telemedicine visit; completing less likely have than those in-person (OR= 0.13, 0.01-0.62; p=0.05). Conclusion: hospitalization are relatively common comorbid conditions AF. Our study suggests that telemedicine-based follow-ups lower rates Efforts increase access through reduce discharge patients.