[心脏病学中的远程医疗 - 什么是新的?]
David Schneider1,2, Kerstin Köhler3,2, Friedrich Köhler3,2
1Deutsches Herzzentrum der Charité, Klinik für Kardiologie, Angiologie und Intensivmedizin, Berlin, Deutschland.
Deutsche medizinische Wochenschrift (1946)
|May 31, 2023
概括
远程医疗现在已被批准用于德国特定心力衰竭 (HF) 患者,减少死亡率和发病率. 这种数字护理通过远程监测和先进技术提高了患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远程医疗在减少心力衰竭 (HF) 患者的死亡率和发病率方面表现出显著的临床疗效.
- 德国联邦联合委员会 (G-BA) 已批准为特定的HF患者群体提供远程医疗,这标志着远程医疗在门诊护理中的重要整合.
- 目前的指导方针允许在现实环境中对HF患者进行远程监测,其左心室喷射分数 (LVEF) <40%.
研究的目的:
- 详细介绍德国最近批准和实施心力衰竭护理远程医疗的情况.
- 概述高频远程监测领域正在进行的研究方向,重点是扩大患者的资格和技术进步.
- 突出数字健康解决方案在管理心力衰竭方面的整合挑战和未来潜力.
主要方法:
- 审查G-BA批准的远程医疗在HF患者护理.
- 实施过程的描述,包括技术,患者教育和标准操作程序 (SOP).
- 目前研究领域的总结:远程监测的高频人口扩大,新型传感器技术 (例如肺压,左心房压力) 和人工智能应用.
主要成果:
- 远程医疗现在已成为德国特定心力衰竭群体的批准数字护理方法.
- 实施涉及技术整合,患者和工作人员教育以及SOP开发.
- 研究正在积极探索扩展的患者标准,先进的传感器 (Cordella,V-LAP) 和人工智能驱动的液体状态分析.
结论:
- 该批准标志着将远程医疗纳入德国常规心力衰竭管理中的重要一步.
- 传感器技术和人工智能的未来进步有望实现更个性化,更有效的高频远程监控.
- 持续的研究对于优化远程监测策略和在各种高频率患者群体中扩大其应用至关重要.
相关概念视频
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Current Trends in Nursing II
1.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.3K
Pulse rhythm
857
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
857
Coronary Artery Disease V: Interprofessional Care
12
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
12
Cardiomyopathy V: Interprofessional Care
19
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
19
Cardiac Catheterization I: Pre-Procedure Overview
78
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
78


