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Establishment of a New Platform for the Management of Patients After Cardiac Surgery: Descriptive Study

机译:描述性研究建立心脏手术患者管理的新平台

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Background Medical care for the Chinese population has been focused on first-line treatment, but with little follow-up on treated patients. As an important part of clinical work, follow-up evaluations are of great significance for the long-term survival of patients and for clinical and scientific research. However, the overall follow-up rate of discharged patients after surgery has been low for many years because of the limitations of certain follow-up methods and the presence of objective, practical problems. Objective This study aimed to construct a new two-way interactive telemedicine follow-up platform to improve the collection of clinical data after cardiac surgery and provide reliable and high-quality follow-up services. Methods Computer and network technologies were employed in the context of “Internet +” to develop follow-up databases and software compatible with a mobile network. Postoperative follow-up quality data including the follow-up rate and important postoperative indices were used as standards to evaluate the new follow-up management model after cardiac surgery. Results This system has been officially operated for more than 5 years. A total of 5347 patients undergoing cardiac surgery have been enrolled, and the total follow-up rate was 90.22%. In addition, 6349 echocardiographic images, 4717 electrocardiographic images, and 3504 chest radiographic images have been uploaded during follow-up assessments. The international standardized ratio was 20,696 person-times. Conclusions This new management follow-up platform can be used to effectively collect clinical data, provide technical support for academic research, extend medical services, and provide more help to patients. It is of great significance for managing patients after cardiac surgery.
机译:背景技术针对中国人群的医疗保健一直集中在一线治疗上,但是对接受治疗的患者几乎没有随访。作为临床工作的重要组成部分,随访评估对于患者的长期存活以及临床和科学研究具有重要意义。然而,由于某些随访方法的局限性以及客观,实际问题的存在,多年来出院患者的总体随访率一直很低。目的本研究旨在建立一个新的双向双向远程医疗随访平台,以改善心脏手术后的临床数据收集并提供可靠和高质量的随访服务。方法在“ Internet +”的背景下使用计算机和网络技术来开发与移动网络兼容的后续数据库和软件。包括随访率和重要的术后指标在内的术后随访质量数据被用作评估心脏手术后新的随访管理模型的标准。结果该系统已正式运行5年以上。共有5347例接受心脏手术的患者入选,总随访率为90.22%。此外,在随访评估期间,上传了6349张超声心动图图像,4717张心电图图像和3504张胸部X线图像。国际标准化比率为20,696人次。结论该新的管理跟进平台可用于有效收集临床数据,为学术研究提供技术支持,扩展医疗服务,并为患者提供更多帮助。这对心脏手术后的患者治疗具有重要意义。

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