用于测量QT间隔的移动健康应用程序:系统性审查
Fabian A Chavez-Ecos1, Leonardo J Uribe-Cavero2, Rodrigo Chavez-Ecos1
1CHANGE Research Working Group, Carrera de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Científica del Sur. Lima, Peru; Red de Cardiología y Salud Pública (RCSP), Ica, Peru.
Journal of electrocardiology
|July 8, 2025
概括
对于QTc测量的移动健康应用在质量和功能方面存在很大差异. 很少有应用程序符合临床标准,强调在医疗保健整合之前需要严格验证.
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:
- QT 间隔对于评估心室节律失常和心脏突然死亡的风险至关重要.
- 有用于测量QTc的移动健康应用程序 (mHA),但缺乏标准化和临床验证.
- 质量和功能的显著变化需要对当前的mHA进行审查.
研究的目的:
- 系统地审查和评估以QTc为重点的移动健康应用程序.
- 通过标准化的标准来评估mHA的质量和功能.
- 识别符合临床实践标准的QTc测量的应用程序.
主要方法:
- 在各大应用商店 (iOS,Google Play,微软) 中对QTc专注的mHA进行系统审查.
- 收录标准:经过验证的QTc校正公式 (Bazett,Fridericia,Framingham),英语/西班牙语.
- 使用移动应用评级表 (MARS) 和IMS标准评估质量和功能.
主要成果:
- 在最初识别的88个应用程序中,有12个符合纳入标准.
- "EP QTc by EP Studios"和"Marian Stiehler的QTc计算器"在质量和功能方面获得了最高分.
- 在不同平台上观察到应用程序质量和功能的显著变化.
结论:
- 聚焦于QTc的mHA表现出相当大的变异性,强调需要严格的评估.
- 目前,很少有mHA符合在心律失常监测中可靠临床使用所必需的标准.
- 在将这些mHA整合到医疗机构之前,临床验证至关重要.
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