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Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
Published on: September 26, 2018
Impact of implementing electronic clinical practice guidelines for the diagnosis, control and treatment of
Eva Comin1, Arantxa Catalan-Ramos2, Manuel Iglesias-Rodal1
1Institut Català de la Salut, Barcelona, Spain.
Insights
Computerized clinical practice guidelines effectively improve the control and follow-up of hypertension, hypercholesterolemia, and type 2 diabetes. Their impact on diagnosis and treatment requires further investigation.
Area of Science:
- Cardiology
- Health Informatics
- Public Health
Background:
- Cardiovascular risk factors like hypertension, hypercholesterolemia, and type 2 diabetes require effective management strategies.
- Computerized clinical practice guidelines (CPGs) offer a potential tool to standardize and improve patient care.
- Evaluating the real-world impact of CPGs on managing these conditions is crucial.
Purpose of the Study:
- To assess the influence of computerized clinical practice guidelines on the management, diagnosis, treatment, control, and follow-up of key cardiovascular risk factors.
- Specifically examining hypertension, hypercholesterolemia, and type 2 diabetes mellitus.
Main Methods:
- A pre-post controlled study design was employed.
- The study included 189,067 participants aged 35-74 years within the Catalan Health Institute.
- An intervention group (general practitioners accessing CPGs ≥2 times/day) was compared to a control group (general practitioners never accessing CPGs).
Main Results:
- Significant improvements were observed in the management, treatment, and control of hypertension, type 2 diabetes mellitus, and hypercholesterolemia.
- These improvements were noted across both sexes and for various aspects of disease management, including diagnosis for type 2 diabetes.
- Statistical analysis (Chi-squared test) confirmed significant differences between CPG users and non-users.
Conclusions:
- Computerized clinical practice guidelines are effective tools for enhancing the control and follow-up of patients with hypertension, type 2 diabetes mellitus, and hypercholesterolemia.
- The effectiveness of computerized CPGs in aiding the diagnosis and adequate treatment of these conditions remains uncertain and warrants further research.
Objective:
To evaluate the impact of computerized clinical practice guidelines on the management, diagnosis, treatment, control, and follow-up of the main cardiovascular risk factors: hypertension, hypercholesterolaemia, and type 2 diabetes mellitus.
Design:
Pre-post controlled study.
Setting:
Catalonia, autonomous community located in north-eastern Spain.
Participants:
Individuals aged 35-74 years assigned to general practitioners of the Catalan Health Institute.
Intervention:
The intervention group consisted of individuals whose general practitioners had accessed the computerized clinical practice guidelines at least twice a day, while the control group consisted of individuals whose general practitioner had never accessed the computerized clinical practice guidelines platform.
Main Outcomes:
The Chi-squared test was used to detect significant differences in the follow-up, control, and treatment variables for all three disorders (hypertension, hypercholesterolaemia, and type 2 diabetes mellitus) between individuals assigned to users and non-users of the computerized clinical practice guidelines, respectively.
Results:
A total of 189,067 patients were included in this study, with a mean age of 56 years (standard deviation 12), and 55.5% of whom were women. Significant differences were observed in hypertension management, treatment and control; type 2 diabetes mellitus management, treatment and diagnoses, and the management and control of hypercholesterolaemia in both sexes.
Conclusions:
Computerized clinical practice guidelines are an effective tool for the control and follow-up of patients diagnosed with hypertension, type 2 diabetes mellitus, and hypercholesterolaemia. The usefulness of computerized clinical practice guidelines to diagnose and adequately treat individuals with these disorders remains unclear.
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