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首页> 外文期刊>Circulation. Cardiovascular quality and outcomes >Corrie Health Digital Platform for Self-Management in Secondary Prevention After Acute Myocardial Infarction MiCORE Rationale and Design
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Corrie Health Digital Platform for Self-Management in Secondary Prevention After Acute Myocardial Infarction MiCORE Rationale and Design

机译：急性心肌梗死Micore理由和设计中急性心肌梗死后次级预防自我管理的Corrie Healtal Digital平台

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BACKGROUND: Unplanned readmissions after hospitalization for acute myocardial infarction are among the leading causes of preventable morbidity, mortality, and healthcare costs. Digital health interventions could be an effective tool in promoting self-management, adherence to guideline-directed therapy, and cardiovascular risk reduction. A digital health intervention developed at Johns Hopkins—the Corrie Health Digital Platform (Corrie)—includes the first cardiology Apple CareKit smartphone application, which is paired with an Apple Watch and iHealth Bluetooth-enabled blood pressure cuff. Corrie targets: (1) self-management of cardiac medications, (2) self-tracking of vital signs, (3) education about cardiovascular disease through articles and animated videos, and (4) care coordination that includes outpatient follow-up appointments. METHODS AND RESULTS: The 3 phases of the MiCORE study (Myocardial infarction, Combined-device, Recovery Enhancement) include (1) the development of Corrie, (2) a pilot study to assess the usability and feasibility of Corrie, and (3) a prospective research study to primarily compare time to first readmission within 30 days postdischarge among patients with Corrie to patients in the historical standard of care comparison group. In Phase 2, the feasibility of deploying Corrie in an acute care setting was established among a sample of 60 patients with acute myocardial infarction. Phase 3 is ongoing and patients from 4 hospitals are being enrolled as early as possible during their hospital stay if they are 18 years or older, admitted with acute myocardial infarction (ST-segment-elevation myocardial infarction or type I non-ST-segment-elevation myocardial infarction), and own a smartphone. Patients are either being enrolled with their own personal devices or they are provided an iPhone and/or Apple Watch for the duration of the study. Phase 3 started in October 2017 and we aim to recruit 140 participants. CONCLUSIONS: This article will provide an in-depth understanding of the feasibility associated with implementing a digital health intervention in an acute care setting and the potential of Corrie as a self-management tool for acute myocardial infarction recovery.
机译：背景：急性心肌梗死住院后的无计划入院是可预防的发病率，死亡率和医疗成本的主要原因。数字健康干预可能是促进自我管理，遵守指导指导治疗的有效工具，以及心血管风险降低。在Johns Hopkins-The Corrie Health数字平台（Corrie）中开发的数字健康干预 - 包括第一个心脏病学苹果Carekit智能手机应用，它与Apple Watch和IHealth Bluetooth的血压袖口配对。 Corrie Targets：（1）心脏病药物的自我管理，（2）通过文章和动画视频进行生态迹象的自我跟踪，（3）教育，并通过文章和动画的视频，包括门诊后续委托的护理协调。方法和结果：Micory研究的3个阶段（心肌梗死，组合装置，恢复增强）包括（1）Corrie的发展，（2）试点研究，以评估Corrie的可用性和可行性，以及（3）在历史比较小组历史标准患者患者患者30天内主要比较患者30天内第一次入院时间的预期研究。在第2阶段，在60例急性心肌梗死患者的样本中建立了在急性护理环境中部署Corrie的可行性。第3阶段是正在进行的，如果他们在医院住院期间，患有4阶段的患者正在尽早招生，如果它们是18岁或以上，则患有急性心肌梗死（ST-段 - 抬高心肌梗死或I型非St-Semont-海拔心肌梗死），并拥有智能手机。患者要么被自己的个人设备注册，要么在研究期间提供iPhone和/或Apple手表。第3阶段于2017年10月开始，我们的目标是招募140名参与者。结论：本文将深入了解与在急性护理环境中实施数字健康干预的可行性以及急性心肌梗死恢复的自我管理工具的潜在潜在的可行性。

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