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Computer-assisted techniques for evaluation and treatment of hypertensive patients
P Degoulet1, G Chatellier, C Devriès
1Medical Informatics Department, Broussais University Hospital, Paris, France.
American Journal of Hypertension
|February 1, 1990
Summary
The ARTEMIS system offers computerized management for hypertensive patients, integrating data and medical knowledge. This system aids in patient follow-up, decision-making, and risk prediction for hypertension care.
Area of Science:
- Medical Informatics
- Cardiology
- Public Health
Background:
- Hypertension management requires efficient patient record systems.
- Integrated data and knowledge management are crucial for clinical decision support.
- Computerized systems can enhance patient follow-up and risk assessment.
Purpose of the Study:
- To describe the ARTEMIS system for computerized management of hypertensive patients.
- To evaluate the system's integration of data and knowledge management.
- To assess the system's utility in patient follow-up, decision-making, and risk prediction.
Main Methods:
- Implementation of the ARTEMIS system in five French hypertension clinics since 1975.
- Registration of over 22,000 patient records.
- Analysis of patient data for diagnosis, risk prediction, and expert system validation.
Main Results:
- High answer rates (>95%) for mandatory patient history and examination questions.
- Demonstrated utility of patient database interrogation for diagnosing secondary hypertension and predicting patient outcomes.
- Prospective evaluation showed 58-91% agreement between the expert system and specialists.
Conclusions:
- The ARTEMIS system provides a robust framework for managing hypertensive patients.
- Integrated data and knowledge management enhance clinical decision-making and patient care.
- The system's expert component shows promising performance in assisting hypertension management.