心力衰竭中的虚拟医疗解决方案:文献综述
Keni Cheng-Siang Lee1, Boris Breznen2, Anastasia Ukhova3
1General Medicines Global Business Unit, Sanofi, Paris, France.
Frontiers in cardiovascular medicine
|September 25, 2023
概括
使用移动技术的虚拟医疗保健 (VHC) 改善了心力衰竭 (HF) 患者的出院后护理. 综合远程患者管理解决方案在减少再入院和医院访问方面最有效.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗信息学 医疗信息学
背景情况:
- 移动技术为心力衰竭 (HF) 患者的出院后护理提供了一种新的方法.
- 虚拟医疗 (VHC) 集成了护理团队,连接设备和数字解决方案,用于远程患者监控和通信.
- 采用VHC为显著提高远程患者护理质量的机会提供了机会.
研究的目的:
- 审查虚拟医疗保健 (VHC) 在心力衰竭 (HF) 患者出院后护理的疗效的临床证据.
- 总结有希望的结果,并确定HF管理的VHC的未来研究方向.
- 探索人工智能 (AI) 与VHC结合在HF患者护理中的作用.
主要方法:
- 使用Embase进行了一项文献审查,其中包括171项关于HCV疗效和高频率AI的研究.
- 包括专注于HCV疗效的研究 (96),高频AI (75),以及HCV解决方案的现实世界的扩展 (15).
- 该审查综合了定性数据,重点关注有希望的结果和潜在的研究途径.
主要成果:
- 针对减少再住院率的HCV干预措施显示出最显著的结果.
- 专注于患者自我护理和减少全因住院访问的干预措施显示出高的成功率.
- 综合远程患者管理解决方案在降低HF患者再入院和住院率方面最有效.
结论:
- 虚拟医疗,特别是综合远程患者管理,在改善心力衰竭患者结果方面显示出显著的前景.
- 人工智能 (AI) 正在成为VHC诊断和结果预测决策的宝贵工具.
- 需要进一步的研究,以充分利用VHC和AI,在现实环境中优化心力衰竭护理.
相关概念视频
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01:29Heart Failure II: Pathophysiology
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01:26Heart Failure III: Clinical Manifestations
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Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
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Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
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