快速访问胸痛评估诊所:澳大利亚的虚拟护理体验
Marwan Shawki1,2, Thalys S Rodrigues1,2, Hussein Al-Fiadh3
1Department of Cardiology, Austin Health, Melbourne, Victoria, Australia.
Journal of the Saudi Heart Association
|July 15, 2025
概括
虚拟快速访问胸痛评估诊所 (RACPAC) 证明是可行的和具有成本效益的,减少住院和成本. 该模型显示了更广泛实施的潜力,特别是在偏远地区.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 快速访问胸痛评估诊所 (RACPAC) 模型有效评估低至中等风险的胸痛患者.
- 关于RACPAC虚拟服务的有效性和成本效益的数据有限.
研究的目的:
- 在面对面和虚拟RACPAC设置中评估成像模式的结构,成本效益和诊断性能.
- 评估澳大利亚COVID-19大流行期间虚拟RACPAC模型的影响.
主要方法:
- 在四级医院从2012年到2021年参加RACPAC的3976名患者的回顾性分析.
- 描述性统计和后勤回归分析了临床参数,成像方式的利用率和再呈现率.
主要成果:
- 在COVID-19期间,虚拟RACPAC的出席率为95%,患者负载增加了10.7%,重新呈现率降低 (1.5%vs2.8%).
- 重血管化率因模式而异:CT冠状动脉造影 (34.6%),跑步机应激心声造影 (26.7%),心肌 perfusion 扫描 (20%),侵入性血管造影 (33.3%).
- 虚拟护理将评估成本降低了75%,节省了460天的住院时间和每年283,663澳元.
结论:
- 虚拟RACPAC是可行的,具有成本效益和可接受的,有可能扩展到服务不足的地区.
- 在RACPAC框架内,CT冠状动脉扫描 (CTCA) 已被证明是RACPAC框架内的诊断工具.
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