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Decision support systems as organizing and functional part of the patient-oriented model in ambulatory stage of cardiac rehabilitation

Session Poster Session 1

Speaker Nadezda Lyamina

Event : Heart Failure 2018

  • Topic : heart failure
  • Sub-topic : Chronic Heart Failure: Rehabilitation
  • Session type : Poster Session

Authors : N Lyamina (Saratov,RU), E Kotelnikova (Saratov,RU), V Senchikhin (Saratov,RU), T Lipchanskaya (Saratov,RU)

Authors:
N Lyamina1 , E Kotelnikova2 , V Senchikhin2 , T Lipchanskaya2 , 1Saratov Scientific Research Institute of Cardiology - Saratov - Russian Federation , 2Research Institute of Cardiology Saratov State Medical University named after V.I. Razumovskiy - Saratov - Russian Federation ,

Citation:

Background: Creating of effective environment for the implementation of patient-oriented health care principles is impossible without the use of information and communications technologies (ICT). High-tech ICT devices in the format of modern communications and products of artificial intelligence are not only inferior in performance to traditional medical observation and medical mind, but in some cases surpass them, being less expensive in the future.

Purpose: User-defined reasoning about efficiency of the Decision Support System (DSS) as  organizing and functional part of the patient-oriented model of cardiac rehabilitation in patients with acute myocardial infarction with ST elevation (ST-MI).

Methods: The prospective study (6 months of outpatient observation, 28 subjects with ST-MI) included use of ICT devices in the form of DSS and "Cloud" internet communications. Efficiency of DSS was assessed by the results of usability testing of 15 physicians and electronic patient reports (ePRO).

Results: Successful creation of electronic "Patient Rehabilitation Card" was demonstrated by 80% of participating physicians with an average work duration of 11 ± 4 minutes. The number of medical errors in appointing the events of cardiac rehabilitation was 4.8%. According to ePRO 53.6% of the subjects had physiological response criteria for the DSS of cardiac rehabilitation program. Remote correction of cardiac rehabilitation programs was performed in subjects with intermediate type of reaction (2.1%). Change of medical management was performed in 7 subjects (44.3%) with criteria of pathological reactions.

Conclusion: User-defined reasoning about efficiency of the DSS showed its high suitability in organizing of cardiac rehabilitation home programs. The use of ePRO in order to involve patients in treatment and rehabilitation allowed to obtain information on the safety of cardiac rehabilitation programs and to evaluate its significance for patient-oriented tactical decisions.

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