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智能手机应用程序对急性ST段升高心肌梗塞的再生时间和临床结果的影响:系统审查和元分析

  • 0Department of Cardiology, Royal Victoria Hospital, McGill University Health Centre, 1001 Decarie Blvd, Montreal, QC, H4A 3J1, Canada, 1 5146072766.
Jmir Mhealth and Uhealth +

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2025年八月25日

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2025年八月25日

在PubMed上查看摘要

概括

此摘要是机器生成的。

智能手机应用显著减少ST段升高心肌梗塞 (STEMI) 患者的再输血时间,提高护理效率. 这些数字工具在资源较少的医疗保健环境中尤为有益.

科学领域

  • 心脏病学
  • 医疗信息学
  • 数字健康

背景情况

  • 智能手机和平板电脑应用程序越来越多地用于管理ST段升高心肌梗塞 (STEMI).
  • 这些技术旨在通过改善团队协调和数据共享来提高护理效率.
  • 与传统方法相比,潜在的益处包括减少再输血时间和改善临床结果.

研究的目的

  • 评估基于智能手机的干预措施在STEMI护理中的有效性.
  • 关键指标包括门到气球 (D2B) 时间,首次接触气球 (FMC2B) 时间,死亡率和错误激活率.
  • 这项研究重点关注STEMI护理途径.

主要方法

  • 按照PRISMA指导方针和PICO框架进行系统的文献审查.
  • 包括的研究将智能手机/平板电脑干预与STEMI管理的通常护理进行了比较.
  • 搜索了MEDLINE,Embase和谷歌学者 (2008-2024);包括使用数字心电图传输和实时通信的研究.
  • 使用随机效应的元分析进行了数据合成.

主要成果

  • 包括21项涉及3267名患者的研究.
  • 智能手机干预显著减少了D2B时间 (平均差异为19.11分钟) 和FMC2B时间 (平均差异为19.85分钟).
  • 短期死亡率没有显著差异;错误激活率有所不同.
  • 在低收入国家, D2B 时间缩短幅度更大.

结论

  • 基于智能手机的干预措施显著减少了STEMI护理中的再输血时间.
  • 数字技术提高了STEMI管理的效率,特别是在资源较少的环境中.
  • 未来的研究应该研究长期结果和区域治疗效果的变化.

关键词:

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