成人心脏手术后的远程监控:一个范式转变?
Kevin W Lobdell1, Shannon Crotwell1, Larry T Watts1
1Sanger Heart & Vascular Institute, Charlotte, NC.
JTCVS open
|October 9, 2023
概括
完美护理计划,心脏手术患者的远程监测计划,与传统护理相比,显著减少了术后停留时间,并将30天的再入院和死亡率结合起来.
科学领域:
- 心血管外科心血管外科
- 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:
- 完美护理 (PC) 计划是为成人心脏手术患者设计的一项计划.
- 它涉及患者教育,参与和注册数字健康计划.
- 该计划使用应用程序来安排预约,生物识别数据跟踪和视听访问,以及数字健康套件.
研究的目的:
- 评估完美护理计划对术后结果的影响.
- 评估停留时间 (LOS) 和30天再接收和死亡率的减少.
- 为了比较PC计划中的患者和倾向匹配的对照组之间的结果.
主要方法:
- 在2018年4月至2022年3月期间,对成人心脏手术患者 (冠状动脉旁路,门或联合手术) 的回顾性评估.
- 在PC倡议中的患者与非PC对照中的患者的倾向匹配比较 (1:1).
- 评估重点是手术后的LOS和30天再入院和死亡率的综合测量.
主要成果:
- 通过PC程序进行远程监控与术后LOS较短有关.
- 在PC倡议中,30天再录取和死亡率的联合率较低.
- 与匹配的非PC对照组相比,PC组的结果变化较小.
结论:
- 将远程监控整合到心脏手术患者的术后护理中,可以减少住院和急症后护理设施的停留时间.
- 未来的研究应该集中在个性化生物识别设备上,使用数据进行风险评估,并探索跨不同患者风险概况的远程监测的影响.
- 这些进展旨在解决护理方面的潜在差异,并进一步优化患者的治疗结果.
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