药剂师管理的远程心力衰竭计划对具有多传感器能力的植入装置的患者的影响
Audrey Kwon1, Phuong Thai Denomme1
1Kaiser Permanente San Diego, San Diego, CA, USA.
概括
药剂师领导的心力衰竭 (HF) 患者的远程监测使用可植入心脏逆心除器 (ICD) 显著减少住院和急诊室访问. 这种方法改善了患者的治疗结果和医疗保健的效率.
科学领域:
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
- 医疗信息学 医疗信息学
背景情况:
- 对于心力衰竭 (HF) 的远程监测技术正在进步.
- 具有多传感器功能的植入式心脏逆转器除器 (ICD) 为患者管理提供了新的途径.
研究的目的:
- 通过使用具有多传感器能力的ICD来评估药剂师管理的高频监测的有效性.
- 评估对住院,急诊室 (ED) 访问和住院时间的影响.
主要方法:
- 追溯性,单臂研究,比较激活前后的时间.
- 首要结局的分析:所有原因和HF相关的住院,急救诊所和住院时间.
- 二次结果:药物使用率.
主要成果:
- 132名患者完成了为期一年的随访.
- 观察到显著的减少:49%的全因住院,77%的高压相关住院,36%的急救诊所.
- 在激活后期增加药物使用量.
结论:
- 用多传感器ICD进行药剂师领导的远程监控是有效的.
- 医院住院和急救诊所访问的数量显著减少.
- 提高心力衰竭患者管理的效率.
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