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Study on the management effect of chronic disease intelligent information management platform in post percutaneous
Xiaohuan Teng1, Yanrong Sun1, Landi Zhao1
1Department of Cardiology, Central Hospital of Qinghe County, Xingtai, Hebei, China.
Insights
Digital health programs significantly improve outcomes for coronary artery disease (CAD) patients post-percutaneous coronary intervention (PCI). These programs enhance blood pressure, glucose, and LDL-C control, leading to reduced readmission rates compared to traditional follow-up.
Area of Science:
- Cardiology
- Digital Health
- Public Health
Background:
- Coronary Artery Disease (CAD) affects millions globally, with significant mortality.
- Treatments for CAD include lifestyle changes, medications, and interventions like PCI.
- Effective post-intervention management is crucial for patient recovery and preventing readmissions.
Purpose of the Study:
- To evaluate the effectiveness of a digital health program for managing patients with Coronary Artery Disease (CAD) after Percutaneous Coronary Intervention (PCI).
- To compare clinical outcomes and adherence between digital health users and traditional follow-up groups.
Main Methods:
- A retrospective study comparing 698 post-PCI CAD patients.
- Analysis included blood pressure, blood glucose, LDL-C levels, medication adherence, lifestyle modifications, and readmission rates.
- Comparison between patients using digital health platforms and those receiving traditional follow-up.
Main Results:
- Digital health users showed a lower 6-month readmission rate (22.6% vs. 32.1%).
- Significantly higher target achievement rates for blood pressure, blood glucose, and LDL-C were observed in the digital health group.
- Digital health users demonstrated greater adoption of healthy lifestyle changes.
Conclusions:
- Digital health platforms improve cardiovascular risk factor control in post-PCI CAD patients.
- These platforms enhance treatment adherence and lifestyle modifications.
- Digital health utilization is associated with reduced cardiovascular readmissions after PCI.
Background:
In 2019, approximately 330 million individuals in China were affected by cardiovascular diseases, with 11.4 million cases specifically attributed to coronary artery disease (CAD). A national public health report indicated that the mortality rate for CAD ranged from 121.59 to 130.14 per 100,000 individuals in 2019. The treatments for CAD include lifestyle changes, medications, percutaneous coronary intervention (PCI) and coronary artery bypass grafting.
Objective:
To investigate the management effect of a digital health program in patients with coronary artery disease (CAD) after percutaneous coronary intervention (PCI).
Methods:
This retrospective study compares blood pressure, blood glucose, low-density lipoprotein cholesterol (LDL-C), medication adherence, lifestyle modification, and readmission rate between digital health users and traditional follow-up in post-PCI CAD patients.
Results:
In this study of 698 CAD patients, the 6-month readmission rate of all patients was 27.4%, with digital health users showing lower rates than those in traditional follow-up (22.6% vs. 32.1%, p= 0.005). Digital health users had significantly higher target achievements rates in blood pressure (79.7% vs. 54.7%, p< 0.001), blood glucose (98.9% vs. 82.5%, p< 0.001) and LDL-C level (71.3% vs. 52.7%, p< 0.001) at 6-month post-PCI. The digital health group had more patients adopting lifestyle changes, including quitting smoking, maintaining a healthy diet, and exercising regularly. In risk factor analysis, digital health utilization (OR = 0.60, 95%CI: 0.40-0.90, p= 0.014) and multivessel disease (double: OR = 1.72, 95%CI: 1.09-2.72, p= 0.02; triple: OR = 2.59, 95%CI: 1.61-4.17, p< 0.001) were independent predictors of CAD-related cardiovascular readmissions.
Conclusions:
Post-PCI patients using digital health platforms exhibited improved blood pressure, glucose, and LDL-C control, greater treatment adherence, enhanced lifestyle changes, and reduced six-month readmission rates versus those with traditional follow-up.
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