远程控制器在哪里? 在心力衰竭中未能报告临床工作流程 远程监控研究
Elise L Shalowitz1, Pardeep S Jhund2, Mitchell A Psotka3
1Colorado Center for Personalized Medicine, University of Colorado, Aurora, Colorado.
Journal of cardiac failure
|December 18, 2024
概括
对于心力衰竭 (HF) 的远程患者监测 (RPM) 显示出混合的结果,这是由于描述不佳的临床工作流程. 标准化工作流报告对于评估RPM有效性和指导实施至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 临床研究 临床研究
背景情况:
- 对于心力衰竭 (HF) 的远程患者监测 (RPM) 试验产生不一致的结果.
- 临床工作流对RPM有效性的影响经常被低估.
- 在HF中对非侵入性RPM工作流程和响应协议的描述是必不可少的.
研究的目的:
- 描述临床工作流程和响应协议,影响HF的非侵入性RPM研究的结果.
- 确定工作流组件与患者结果 (死亡,住院) 之间的关联.
主要方法:
- 对成年HF患者的非侵入性RPM研究的系统综述 (1999-2024).
- 收集了24个工作流方面的数据:教育,数据收集,传输,审查,升级和响应时间.
- 试图进行元分析,将工作流组件与结果联系起来.
主要成果:
- 分析了63项研究 (16,699名受试者).
- 工作流报告不足以进行元分析.
- 数据审查频率,升级标准和响应时间等关键要素经常被低估 (48%,24%,97%).
结论:
- 在非侵入性高频RPM研究中的临床工作流程描述不充分.
- 这种缺乏细节性阻碍了系统评估,设备比较和研究复制.
- 对HF RPM工作流程的标准化报告对于有效性评估和临床实施至关重要.
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