Evidence map›Paper›PMID 39762498›Full record

ArticleCJEM2025

Using telemedicine and virtual healthcare to improve clinical follow-up for survivors of sexual assault and intimate partner violence: a 7-year investigation of emergency department cases.

Julia Fagen, Robert Talarico, Olivia Mercier, Chantal Horth, Sara C S Souza, Katherine Anne Muldoon, Kari Sampsel

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Article in CJEM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Julia FagenFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Robert TalaricoClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Olivia MercierFaculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Chantal HorthClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Sara C S SouzaClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Katherine Anne MuldoonClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada. katmuldoon@bornontario.ca.ORCID 0000-0002-0766-4294
Kari SampselSexual Assault and Partner Abuse Care Program, The Ottawa Hospital, Ottawa, ON, Canada.

Funding

Ottawa Hospital TOH-20005
6 · The paper itself

Abstract

introductionThe primary objective was to evaluate the effectiveness of telemedicine for improving clinical follow-up for survivors of sexual assault and intimate partner violence after an emergency department (ED) visit. The Sexual Assault and Partner Abuse Care Program (SAPACP) is an ED-based clinic for survivors of sexual assault/intimate partner violence. Virtual Visit, a telemedicine platform, was introduced at SAPACP in January 2020, allowing patients to attend follow-up virtually.

methodsThis is a seven-year analysis of sexual assault/intimate partner violence cases presenting to an ED from 1 Jan 2015 to 31 Mar 2022. Interrupted time series and segmented linear regression models with a first lag autoregressive covariance structure were used to analyze follow-up rates post-Virtual Visit and to predict a counterfactual trend.

resultsBetween 2015 and 2022, there were 3317 sexual assault/intimate partner violence case visits, with 2406 visits being pre-Virtual Visit (1 Jan 2015-31 Dec 2019) and 911 visits post-Virtual Visit (1 Jun 2020-31 Mar 2022). Within the 911 post-Virtual Visit visits, 315 (35%) had virtual follow-ups, 291 (32%) had in-person follow-ups, and 305 (33%) did not return for follow-up. Post-Virtual Visit, there was an immediate 10% increase in the proportion of overall follow-ups while accounting for pre-Virtual Visit trends, which was sustained over two years. The proportion of overall follow-up pre-Virtual Visit was 48% (95% CI: 46.0-50.0%), and was 70.0% (95.0% CI: 67.0-73.0%) post-Virtual Visit. Looking at sub-groups, follow-up for sexual assault cases reached 75.0% (95% CI: 71.0-78.0%) and physical/verbal cases reached 64.0% (95% CI: 60.0-69.0%) post-Virtual Visit.

conclusionThe implementation of Virtual Visit led to an immediate 10% increase in the proportion of overall follow-ups, which was sustained over a two-year period, while accounting for pre-Virtual Visit trends. These findings indicate that telemedicine can help improve clinical follow-up among survivors of sexual assault/intimate partner violence.

Indexed as

Emergency Service, HospitalIntimate Partner ViolenceSex OffensesSurvivorsTelemedicineAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesYoung AdultEmergency health servicesIntimate partner violenceLost to follow-upSexual abuseTelemedicineVirtual health care

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.