在高血压患者中基于人工智能技术的电话随访:可靠性研究
Siyuan Wang1, Yan Shi1, Mengyun Sui1
1Division of Chronic Non-communicable Disease and Injury, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.
Journal of clinical hypertension (Greenwich, Conn.)
|May 23, 2024
概括
人工智能 (AI) 电话后续是管理高血压的可靠和有效方法,与手动后续可比. 这种人工智能方法节省了时间,同时保持了患者数据收集的高度一致性.
科学领域:
- 数字健康数字健康
- 心血管医学 心血管医学
- 医疗信息学 医疗信息学
背景情况:
- 高血压管理需要对患者进行一致的随访.
- 传统的手动跟进方法可能会耗费大量时间.
- 探索人工智能等创新技术对于提高医疗保健效率至关重要.
研究的目的:
- 评估人工智能 (AI) 电话跟踪对高血压管理的可靠性和效率.
- 在时间和数据一致性方面,将人工智能驱动的跟进与传统的手动跟进进行比较.
主要方法:
- 进行了一项涉及350名高血压患者的可靠性研究.
- 患者在3-7天的间隔内通过人工智能电话和人类电话进行随访.
- 配对的t测试和科恩的卡帕系数用于统计分析.
主要成果:
- 人工智能电话比手动电话 (5.24分钟) 短得多 (4.15分钟).
- 对症状 (κ: .465-.624) 和生活方式因素 (κ: .402-.645),观察到中等至实质性的一致性.
- 对于吸烟状态 (κ: .915) 发现了很高的一致性,并发症 (κ: .349) 和药物坚持 (κ: .484) 的相当或中等一致性.
结论:
- 人工智能电话后续是高血压管理的可靠和时间有效的替代方案.
- 人工智能系统在各种健康参数中表现出良好的一致性,支持其临床实用性.
- 人工智能技术为提高慢性疾病管理计划效率提供了一个有希望的解决方案.
相关概念视频
01:25Errors occurring during blood pressure monitoring
705
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
705
01:23Assessment of blood pressure in brachial artery(two-step method)
693
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
693
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
559
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
559
01:28Special considerations while measuring blood pressure
719
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
719
01:17Measurement of Blood Pressure
915
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
915
01:15Assessment of blood pressure in brachial artery(one-step method)
584
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
584