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Surgical Innovation
July 2015

Using Telehealth to Enable Patient-Centered Care for Liver Transplantation

Author Affiliations
  • 1Cincinnati Research in Outcomes and Safety in Surgery, Department of Surgery, University of Cincinnati School of Medicine, Cincinnati, Ohio
  • 2Department of Internal Medicine, University of Cincinnati School of Medicine, Cincinnati, Ohio
JAMA Surg. 2015;150(7):674-675. doi:10.1001/jamasurg.2015.0676

Liver transplantation is a highly complex and resource-intense intervention. Patients are often significantly debilitated, have a poor nutritional state, and incur the comorbidities of chronic immunosuppression. These realities leave recipients at high risk for complications and subsequent rehospitalization. At our institution, the 30-day readmission rate following liver transplantation is 42% and increases to 69% at 1 year.1 This rate is similar to national 30-day readmission rates of 40%, and more than 20% of these patients are readmitted multiple times, with readmissions accounting for more than 10% of combined 90-day direct costs.2 Clearly, this is an area in which we as a community must improve.

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