Judith S Bartfeld, Lawrence Berger, Fei Men
Universal Access to Free School Meals through the Community Eligibility Provision Is Associated with Better Attendance for Low-Income Elementary School Students in Wisconsin
Journal of the Academy of Nutrition and Dietetics
retrospective study explore association patients undergoing lumbar spine surgery message care team via electronic patient portal epp postoperatively emergency department ed visits within 90 days surgery secure patient messaging electronic patient portals grown recent years despite frequent utilization patients engage care team association clinical outcomes remains unknown spine surgery study approved institutional review board inclusion criteria adults underwent singlestage lumbar spine surgery january 2016june 2023 patients incomplete information multistage surgeries died within 90 days surgery excluded patient sociodemographic surgical hospital readmission patientprovider engagement data collected total 13135 patients included total 1711 patients 13 postoperative ed visit 4791 patients 36 used patient portal send message surgery sending postoperative patient message undergoing lumbar spine surgery associated increased likelihood ed visit lead readmission 129 110153 p 0002 patients high school degrees likely ed visit without readmission 133 108165 p 0008 patients higher risk presenting ed postoperatively identified may benefit additional counseling access care team virtually limit unnecessary healthcare utilization focusing patients reach via epp messaging postoperatively may good target patient group address first future research needed investigate possible health literacy socioeconomic barriers affecting patients appropriate costeffective resources utilized avoid clinically unnecessary costly ed visits