心肺物理治疗的自动化队列数据库系统:支持对心脏手术患者的研究的全面工具 - 框架设计,开发和验证
Xiang Liu1, Yuqiang Wang2, Zeruxin Luo3
1Department of Cardiovascular Surgery and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China; Information Technology Center, West China Hospital, Sichuan University, Chengdu, China; Cardiovascular Surgery Research Laboratory, West China Hospital, Sichuan University, Chengdu, China.
Computer methods and programs in biomedicine
|May 10, 2025
概括
一个新的数据库系统 (CPPTherapists-DBS) 通过管理患者数据来帮助心脏手术研究. 它支持开发术后肺部并发症的预测模型,改善康复策略.
科学领域:
- 心血管外科心血管外科
- 心肺物理疗法 心肺物理疗法
- 医疗信息学 医疗信息学
- 康复医学 康复医学 康复医学
背景情况:
- 优化心脏手术康复需要基于综合患者数据的量身定制策略.
- 获取大规模的患者疗程和康复数据存在重大挑战.
- 研究需要对大量心脏手术患者的数据进行强有力的分析.
研究的目的:
- 引入心肺物理治疗师数据库系统 (CPPTherapists-DBS) 以加强数据管理和分析.
- 支持对心脏手术患者手术后肺部并发症 (PPC) 风险因素的研究.
- 为心脏手术和心肺物理治疗研究建立系统设计标准,框架和验证.
主要方法:
- 通过软件工程需求分析定义了系统设计标准和框架,并纳入了国际准则.
- 开发了CPP治疗师-DBS,具有先进的数据管理和分析功能.
- 通过PPC的回顾性队列构建和预测模型的开发来验证系统.
主要成果:
- 建立了CPT治疗师-DBS的设计标准和框架.
- 收集了27027名心脏手术患者的临床数据和5335名患者的康复数据.
- 使用CCVPRA工具开发了一个具有强大性能 (AUC 0.78培训,0.76测试) 的PPC预测模型.
结论:
- CPPTherapists-DBS自动化了心脏手术患者的数据收集和管理,并遵守了设计标准.
- 该系统提供了先进的可视化和建模工具,大大推进了队列数据库系统.
- 提供了一个可复制的模型,用于支持心脏手术和心肺物理治疗的研究.
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