基于云的同步远程医疗计划对膜回回归的影响:回顾性研究
Li-Tan Yang1,2,3, Chi-Han Wu2, Jen-Kuang Lee1,2,3
1Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Journal of medical Internet research
|April 23, 2025
概括
远程医疗的使用显著增加了双肩回 (MR) 回归的可能性的2.2倍. 经历MR回归的患者也显示了心脏重塑和存活率的改善.
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:
- 远程医疗与改善心血管结果有关.
- 远程医疗对友节回 (MR) 和三回 (TR) 的回归的影响尚不清楚.
研究的目的:
- 评估远程医疗是否与常规护理相比,有助于MR和TR回归.
- 为了确定远程医疗是否与改善患者存活率有关.
主要方法:
- 对中度或较大的MR或TR患者的回顾性队列研究 (2010-2020年).
- 远程医疗组接受了每日生物识别的远程监控;非远程医疗组接受了通常的护理.
- 主要终点:MR/TR的回归从中度或大到中度以下的严重程度.
主要成果:
- 参与远程医疗与MR回归有着强烈的关联 (HR 2.20,P=.001).
- MR回归与逆心脏重塑相关 (改善LVEF,减少LV/LA尺寸).
- 远程医疗是TR回归的一个不变决定因素 (P=.05).
结论:
- 远程医疗显著增加了MR回归的可能性.
- 核磁共振回归与更好的生存率和逆心脏重塑有关.
- 研究结果表明,远程医疗应纳入未来的心血管保健指南.
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