Abstract Details

Title Demographic Factors and Diagnoses Associated with Ambulatory Neurology Video Telehealth visit No-shows

Topic General Neurology

Presentation(s) P1 - Poster Session 1 (9:00 AM-5:00 PM)

Poster/Presentation
Number 173

Objective

To determine the demographic factors and diagnoses associated with no-show(NS) to neurology telehealth video visits (TV).

Background Due to the COVID -19 pandemic, TV has helped deliver quality patient care while minimizing the risk of infection to patients and providers. NS is defined as cancellation of an appointment within 24 hours of the scheduled date and time, which results in delay in care, interruption to clinic workflow and loss of revenue. Understanding factors associated with NS to TV will help improve care delivery and resource utilization.

Design/Methods This was a single center retrospective chart review study. Inclusion criteria comprised individuals above the age of 17 years scheduled for a neurology TV between 8/1/20-12/31/20. Cancelled/rescheduled visits were excluded. Demographic data and diagnoses for TV were collected for each patient. Student t-test, chi-square test and logistic regression were used for analysis. p <0.05 was considered statistically significant. SPSS v25 was used for analysis. The study was IRB approved.

Results

Out of a total of 326 visits, 40 were NS (12.3%) and the rest were completed visits (CV). There was a significant difference in age between the groups , with younger age being associated with NS (45.05 ± 16.29(NS) vs. 54.81 ± 17.93; p=0.001 (CV)). There was no statistically significant gender difference between the two groups. Multivariate logistic regression revealed lowed odds of NS with increasing age (odds ratio (OR)[95%Confidence Interval] =0.96 (0.94-0.98); p=0.001), and higher odds of NS with the following diagnoses: Dizziness/vertigo (OR=14.68 [3.4-62.7]; p<0.001), neuromuscular disorders (OR= 5.9 [2.6-13.4]; p<0.001) and sleep disorders(OR= 8.3[1.4-48.3]; p=0.02).

Conclusions

Younger age and neurological diagnoses including dizziness/vertigo, neuromuscular and sleep disorders are associated with a significant likelihood of NS for TV. Considering in-person appointments in these situations may help minimize no-shows, improve clinic workflow and optimize resource utilization. Larger prospective studies are required to explore these relationships further.

Authors/Disclosures
Aashrai S. Gudlavalleti, MBBS (Ohio Health) PRESENTER	Dr. Gudlavalleti has nothing to disclose.
John Elliott	No disclosure on file
	No disclosure on file

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