用于评估心血管风险的移动健康应用程序:系统审查
Fabian A Chavez-Ecos1,2, Rodrigo Chavez-Ecos1, Carlos Vergara Sanchez3
1CHANGE Research Working Group, Carrera de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima, Peru.
Frontiers in cardiovascular medicine
|October 8, 2024
概括
很少有移动健康应用程序符合心血管风险评估的临床标准. 这次审查发现,医疗保健专业人员的高质量应用程序存在重大差距,阻碍了患者护理的共享决策.
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:
- 移动健康应用程序 (mHA) 显示了对心血管风险评估的潜力.
- 然而,有限数量的mHA符合临床实施所需的严格标准.
- 这凸显了需要评估现有的mHA的质量和功能.
研究的目的:
- 系统地评估用于心血管风险评估的mHealth应用程序的质量和功能.
- 确定适用于医疗保健专业人员和临床决策的应用程序.
主要方法:
- 在主要的应用商店进行了对心血管风险评估的mHA的系统审查,直到2023年8月.
- 资格标准是基于2021年ESC指南,弗雷明汉风险评分和ASCVD评分.
- 移动应用评分表 (MARS) 和IMS功能表被用于质量和功能评估.
主要成果:
- 审查中包括了18个mHA,主要使用Framingham,ASCVD和Score 2.
- 只有六个应用程序获得了MARS评分4或更高.
- 在ESC CVD风险计算和ASCVD风险估计器中,ESC CVD风险计算和ASCVD风险估计器Plus显示出高质量和功能.
结论:
- 在医疗保健专业人员获得高质量的mHA方面存在显著的差距.
- 目前的mHA往往缺乏有效的心血管风险评估和共享决策所需的标准.
更多相关视频
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
282
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
282
Pre-Procedural Guidelines for Assessing Blood Pressure
524
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...
524
Dysrhythmias V: Evaluating Dysrhythmias
22
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.1. Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
22
Assessment of blood pressure in brachial artery(two-step method)
659
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...
659
Assessment of the Cardiovascular System II: Inspection
185
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
185
Assessment of blood pressure in brachial artery(one-step method)
556
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:
556


