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Self-Care Application for Rheumatoid Arthritis: Identifying Key Data Elements 类风湿关节炎自我护理应用程序:确定关键数据元素
Pub Date : 2023-11-22 DOI: 10.30699/fhi.v12i0.504
Ehsan Ghassemi Barghi, N. Mohammadzadeh, Afsaneh Enteshari Moghaddam
Introduction: Rheumatoid arthritis is a systemic, chronic autoimmune disease that affects the joints, and limited mobility. The disease is progressive and can significantly impact a patient's quality of life. Today, mobile applications have the potential to address specific health needs and provide therapeutic interventions. The initial stage of constructing and advancing a healthcare information system involves the utilization of a minimum data set, which comprises essential and standardized data components aimed at capturing and overseeing patient care. This study aims to identify key components for a mobile-based self-care application for patients with rheumatoid arthritis.Material and Methods: In this descriptive analytical study, two steps were undertaken. Firstly, a review of related articles and existing apps was conducted. Secondly, a researcher-developed questionnaire with a high reliability coefficient (Cronbach's alpha=0.97) was used to validate the identified information elements. Elements that scored at least an average of 3.2 (60%) on a 5 point Likert scale were deemed necessary data components for the design of an android-based mobile app catering to the self-care needs of rheumatoid arthritis patients.Results: Based on the analysis findings, experts identified crucial technical requirements for a mobile-based self-management system. The system should include features for documenting drug side effects and providing educational content and physical exercise videos. Additionally, these requirements encompass reminders for medication, doctor appointments, and physical activities. Priorities also include clinical information, lifestyle management, and patient demographics.Conclusion: Overall, the implementation of such a system has the potential to enhance patients' self-management skills, promote active involvement in self-care, and facilitate communication with healthcare providers.
导言类风湿性关节炎是一种全身性、慢性自身免疫性疾病,会影响关节并限制活动。这种疾病是渐进性的,会严重影响患者的生活质量。如今,移动应用程序具有满足特定健康需求和提供治疗干预的潜力。构建和推进医疗保健信息系统的初始阶段涉及到最低数据集的使用,该数据集由基本的标准化数据组件组成,旨在捕捉和监督患者护理。本研究旨在确定类风湿关节炎患者基于移动设备的自我护理应用程序的关键组件:在这项描述性分析研究中,我们采取了两个步骤。首先,对相关文章和现有应用程序进行了回顾。其次,使用研究人员开发的具有较高信度系数(Cronbach's alpha=0.97)的问卷来验证已确定的信息要素。在 5 点李克特量表中平均得分至少达到 3.2(60%)的元素被认为是设计基于安卓的移动应用程序所必需的数据组件,以满足类风湿关节炎患者的自我护理需求:根据分析结果,专家们确定了基于移动设备的自我管理系统的关键技术要求。该系统应包括记录药物副作用、提供教育内容和体育锻炼视频等功能。此外,这些要求还包括用药提醒、医生预约和体育锻炼提醒。优先事项还包括临床信息、生活方式管理和患者人口统计数据:总之,实施这样一个系统有可能提高患者的自我管理技能,促进他们积极参与自我护理,并促进他们与医疗服务提供者的沟通。
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引用次数: 0
Effective use of electronic health records system for healthcare delivery in Ghana 在加纳有效利用电子健康记录系统提供医疗服务
Pub Date : 2023-11-15 DOI: 10.30699/fhi.v12i0.510
Edward Agyemang, Addae Boateng Adu-Gyamfi, K. Esia-Donkoh, E. Achampong
Introduction: In the pursuit of improving effective health service delivery, developing nations including Ghana are progressively integrating electronic health record systems into healthcare frameworks. This research explored the proficient utilization of an EHR called the Lightwave Health Information Management System used by healthcare professionals in Ghana.Material and Methods: A descriptive cross-sectional study design and a multi-stage sampling technique (stratified and simple random sampling) were used to recruit 1126 respondents for this study. Weighted averages were computed to determine scores for all the indicators measuring the effectiveness construct.Results: The study found that LHIMS improved productivity, patient data gathering, sharing of patient information among service providers, care continuity, data exchange among facilities, decision-making, and coordination/organization of care. Also, health professionals’ work experience, educational qualification, and training status were statistically significant predictors of effective use of the LHIMS at the multivariate level. Age and professional type were statistically significant only at the bivariate level.Conclusion: The study concludes that incorporating the LHIMS improves healthcare professionals' effectiveness in gathering patient information while reducing the likelihood of errors by promptly notifying them of any inaccuracies. The study emphasized the importance of training for effectively using the LHIMS.
导言:为了提高医疗服务的效率,包括加纳在内的发展中国家正逐步将电子健康记录系统纳入医疗保健框架。本研究探讨了加纳医疗保健专业人员对名为 Lightwave 健康信息管理系统的电子健康记录系统的熟练使用情况:本研究采用描述性横截面研究设计和多阶段抽样技术(分层抽样和简单随机抽样),共招募了 1126 名受访者。研究计算了加权平均值,以确定衡量有效性的所有指标的得分:研究发现,LHIMS 提高了工作效率、患者数据收集、服务提供者之间的患者信息共享、护理的连续性、设施之间的数据交换、决策以及护理的协调/组织。此外,在多变量水平上,医护人员的工作经验、学历和培训状况对有效使用 LHIMS 有显著的统计学预测作用。年龄和专业类型仅在双变量水平上具有统计学意义:该研究得出结论,使用 LHIMS 可以提高医护人员收集患者信息的效率,同时通过及时通知他们任何不准确的信息来降低出错的可能性。研究强调了培训对有效使用 LHIMS 的重要性。
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引用次数: 0
Predictive Modeling of COVID-19 Hospitalization Using Twenty Machine Learning Classification Algorithms on Cohort Data 基于队列数据的20种机器学习分类算法的COVID-19住院预测建模
Pub Date : 2023-08-12 DOI: 10.30699/fhi.v12i0.473
Zeynab Salehnasab, A. Mousavizadeh, Ghasem Ghalamfarsa, A. Garavand, C. Salehnasab
Introduction: The global COVID-19 pandemic has led to a health crisis, emphasizing the need to identify high-risk patients for effective resource allocation and prioritized hospitalization. Previous studies have been limited in their use of algorithms and variables, while this research expands to include lifestyle factors and optimizes hyperparameters for twenty machine learning algorithms, enhancing prediction accuracy and identifying key predictors.Material and Methods: In this cross-sectional study, we analyzed data from 207 COVID-19 patients. The Boruta algorithm was used to select the best features for twenty classification algorithms, and RandomizedSearchCV was utilized to optimize hyperparameters. The models were evaluated using performance metrics such as accuracy, f-measure, and area under the curve (AUC).Results: The study identified eight key predictors of COVID-19 hospitalization, which include gamma-glutamyl transpeptidase, alkaline phosphatase, diagnosis by CT scan, mean platelet volume, mean corpuscular volume, fasting blood sugar, red blood cell count, and mean corpuscular hemoglobin concentration. By optimizing the hyperparameters of twenty machine learning algorithms, the accuracy and AUC were improved. With an outstanding AUC of 81.25, the XGBClassifier model exhibited superior performance.Conclusion: The findings of this study can assist clinicians in allocating resources effectively and improving patient care. Additionally, this approach can aid healthcare researchers in leveraging artificial intelligence to manage diseases.
导语:2019冠状病毒病(COVID-19)全球大流行导致了一场健康危机,强调了识别高风险患者以进行有效资源分配和优先住院治疗的必要性。以往的研究在算法和变量的使用上受到限制,而本研究扩展到包括生活方式因素,并优化了20种机器学习算法的超参数,提高了预测精度并识别了关键预测因子。材料和方法:在这项横断面研究中,我们分析了207例COVID-19患者的数据。使用Boruta算法为20种分类算法选择最佳特征,并使用RandomizedSearchCV对超参数进行优化。使用精度、f-measure和曲线下面积(AUC)等性能指标对模型进行评估。结果:本研究确定了γ -谷氨酰转肽酶、碱性磷酸酶、CT扫描诊断、平均血小板体积、平均红细胞体积、空腹血糖、红细胞计数、平均红细胞血红蛋白浓度等8个预测COVID-19住院的关键因素。通过对20种机器学习算法的超参数进行优化,提高了精度和AUC。XGBClassifier模型的AUC为81.25,表现出优异的性能。结论:本研究结果有助于临床医生有效地分配资源,改善患者护理。此外,这种方法可以帮助医疗保健研究人员利用人工智能来管理疾病。
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引用次数: 0
Development and Usability Evaluation of a Web-Based Health Information Technology Dashboard of Quality and Economic Indicators 基于web的卫生信息技术质量和经济指标仪表板的开发和可用性评估
Pub Date : 2023-08-08 DOI: 10.30699/fhi.v12i0.466
E. Kharazmi, Ali Majidpour Azad Shirazi, A. Yazdani
Introduction: Strategic dashboards, including hospital economic monitoring systems, play a major role in analyzing data and making decisions. As the health system is a multidimensional ecosystem, decision-makers and healthcare officials must gather and integrate information from numerous health information systems to monitor and direct healthcare centers. This study aims to develop and usability evaluation of a health information technology dashboard in Iran that utilizes qualitative and economic indicators.Material and Methods: This study was conducted in four phases. It included extracting the requirements of the system through the focus group technique. Based on these results, a comprehensive economic dashboard was developed. Then, the system’s usability is evaluated from the perspectives of experts and end-users by two scales of Nielsen and USE, respectively.Results: The dashboard was developed on the web and different access levels were defined for users according to their roles. This dashboard provides the ability to integrate information from different systems at the national level for decision-makers. The results of usability evaluation from users' point of view showed that it has a good level of usability. Furthermore, evaluation results revealed that aesthetic aspects and simple design and clarity of system status (0%), privacy (1.49%), "visibility and clarity of the system" and "adaptation between the system and the real world" (2.98%), have the fewest design errors. With 14 problems (20.89%), "recognition rather than remembering" and "compliance with uniformity and standards" have the highest frequency of problems.Conclusion: The development of an extensive integrated economic health dashboard, based on usability principles that are suitable for its stakeholders regardless of their specialty and granted access level, is welcomed by the health economist, hospital managers, and the ones who have an active role in monitoring and coordinating hospitals or even in greater scales such as national wide decision makers.
包括医院经济监测系统在内的战略仪表板在分析数据和制定决策方面发挥着重要作用。由于卫生系统是一个多维的生态系统,决策者和卫生保健官员必须收集和整合来自众多卫生信息系统的信息,以监测和指导卫生保健中心。本研究旨在利用定性和经济指标开发和评估伊朗卫生信息技术仪表板的可用性。材料与方法:本研究分四期进行。它包括通过焦点小组技术提取系统的需求。基于这些结果,开发了一个全面的经济仪表板。然后,分别从专家和最终用户的角度,采用Nielsen和USE两种量表对系统的可用性进行评价。结果:在网络上开发了仪表板,并根据用户的角色定义了不同的访问级别。该仪表板为决策者提供了在国家一级集成来自不同系统的信息的能力。从用户的角度进行可用性评价,结果表明该系统具有良好的可用性水平。此外,评估结果显示,美学方面和系统状态的简单设计和清晰度(0%)、隐私(1.49%)、“系统的可见性和清晰度”和“系统与现实世界的适应性”(2.98%)的设计错误最少。出现频率最高的是“认而不记”和“遵守统一标准”,共有14个问题(20.89%)。结论:基于可用性原则的广泛综合经济健康仪表板的开发,无论其专业和授予访问级别如何,都适合其利益相关者,受到卫生经济学家,医院管理人员以及在监测和协调医院方面发挥积极作用的人甚至更大范围的人(如国家决策者)的欢迎。
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引用次数: 0
Potentially Highly Effective Drugs for COVID-19: Virtual Screening and Molecular Docking Study Through PyRx-Vina Approach 新型冠状病毒潜在高效药物:基于PyRx-Vina方法的虚拟筛选和分子对接研究
Pub Date : 2023-08-05 DOI: 10.30699/fhi.v12i0.478
Fatemeh Houshmand, Sara Houshmand
Introduction: The World Health Organization (WHO) has declared the novel coronavirus (COVID-2019) infection outbreak a global health emergency. Drug repurposing, which concerns the investigation of existing drugs for new therapeutic target indications, has emerged as a successful strategy for drug discovery due to the reduced costs and expedited approval procedures.Material and Methods: The crystal structure of a protein essential for virus replication has been filed in the Protein Data Bank recently. Based on this structure and existing experimental datasets for SARS-CoV2(COVID-19) we present results deriving from the virtual screening of a database of more than 1000 drugs in the DrugBank that have been approved by Food and Drug Administration (FDA).Results: Results showed that some of the known protease inhibitors currently used in HIV and Cancer infections might be helpful for the therapy of COVID-19 also. Results also showed that Levomefolic acid, or vitamin B9, is recommended therapy because of its oral sources and no side effects.Conclusion: Between all studied FDA-approved drug, VitaminB9 and Etoposide which used for HIV protease inhibitor, revealed strong interaction with protease binding pocket and placed well into the pocket even better than the lopinavir-ritonavir, and since this compound is FDA-approved and successfully passed various testing steps, therefor there is a hope that this drug, could be a potential drug to treating the COVID-19.
导言:世界卫生组织(世卫组织)宣布新型冠状病毒(COVID-2019)感染疫情为全球突发卫生事件。药物再利用涉及对现有药物进行新的治疗目标适应症的调查,由于降低了成本和加快了批准程序,已成为药物发现的一种成功策略。材料和方法:最近,一种病毒复制所必需的蛋白质的晶体结构已在蛋白质数据库中归档。基于这种结构和现有的SARS-CoV2(COVID-19)实验数据集,我们提出了对美国食品和药物管理局(FDA)批准的药物库中1000多种药物的数据库进行虚拟筛选的结果。结果:目前已知的一些用于HIV和癌症感染的蛋白酶抑制剂可能对COVID-19的治疗也有帮助。研究结果还表明,左旋叶酸,或维生素B9,是推荐的治疗方法,因为它的口服来源,没有副作用。结论:在所研究的fda批准的药物中,作为HIV蛋白酶抑制剂的维生素b9和依托泊苷与蛋白酶结合袋的相互作用较强,且比洛匹那韦-利托那韦更易于进入蛋白酶结合袋,且该化合物已获得fda批准并成功通过了各项测试步骤,因此有望成为治疗COVID-19的潜在药物。
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引用次数: 1
Evaluation the Usability of Hamava System Using Heuristic Evaluation 用启发式评价法评价Hamava系统的可用性
Pub Date : 2023-08-01 DOI: 10.30699/fhi.v12i0.462
Fatemeh Bahador, Fatemeh Salehi, Erfan Esmaeeli, A. Akbari, A. Sabahi
Introduction: As university systems are dealing with a wide range of users, including students, managers, and university employees, these systems can likely satisfy the needs and activities of various users with maximum quality in the shortest possible time. Consequently, it is very essential to observe usability features in the design of such systems. The current study aimed to evaluate the usability of the Hamava system to recognize and resolve its problems and weaknesses.Material and Methods: The present study is a cross-sectional descriptive study that was done in the second half of 2022 on the Hamava system of students of Birjand University of Medical Sciences. Nielsen's Heuristics (ten principles) were used to check the compliance of this system with the usability principles. Descriptive statistics were used to analyze the overall severity of the identified usability factors collected using the checklist.Results: In the present evaluation, 176 problems were recognized, with the highest number of problems related to the violation of the two principles of aesthetic and minimalist design (n=58), user control and freedom (n=31), and the least problem related to the recognition rather than recall principle (n=4).Conclusion: The results of the current study revealed that though a large number of users of the Hamava system are students and it is expected that this system will be designed based on the latest standards and the needs of its users, this system also faces usability problems that if not resolved, it can cause an increase in errors, dissatisfaction of users, decrease in the quality of information, waste of users' time, and lack of effective user interaction with the educational system.
由于大学系统涉及的用户范围广泛,包括学生、管理人员和大学员工,因此这些系统有可能在最短的时间内以最高的质量满足各种用户的需求和活动。因此,在这类系统的设计中观察可用性特征是非常必要的。本研究旨在评估Hamava系统的可用性,以识别和解决其问题和弱点。材料和方法:本研究是一项横断面描述性研究,于2022年下半年对Birjand医科大学学生的Hamava系统进行了研究。我们使用Nielsen’s Heuristics(十个原则)来检查这个系统是否符合可用性原则。描述性统计用于分析使用清单收集的确定可用性因素的总体严重性。结果:本次评估共发现176个问题,其中违反美学和极简设计两大原则的问题最多(n=58),违反用户控制和自由原则的问题最多(n=31),违反识别而非召回原则的问题最少(n=4)。结论:当前研究的结果表明,尽管大量用户Hamava系统是学生,预计该系统将被设计根据最新的标准和用户的需要,该系统也面临着可用性问题,如果不解决,它可能导致错误的增加,不满的用户,信息的质量,减少浪费用户的时间,与教育系统缺乏有效的用户交互。
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引用次数: 0
The Strength of Connection: The Virtual Adaptation of Twelve-Step Programs’ Meetings 联系的力量:十二步计划会议的虚拟适应
Pub Date : 2023-07-24 DOI: 10.30699/fhi.v12i0.471
Rebeca Tenajas, D. Miraut
The global crisis engendered by the COVID-19 pandemic brought about profound changes in various aspects of daily life, one of which pertains to how group therapies and support meetings are conducted. Of particular interest in this paper is the Alcoholics Anonymous (AA) program, a globally recognized initiative known for its efficacy in helping individuals cope with alcoholism through mutual, peer support in group meetings. The advent of the pandemic, however, challenged this very structure of the program, enforcing a radical transition from in-person meetings to virtual environments, which has posed several hurdles for both organizers and participants. Notably, these changes triggered by restrictive mobility measures have called for innovative adaptations to continue to provide the support needed for recovery and to reduce relapses fuelled by pandemic-induced loneliness and isolation.
新冠肺炎大流行引发的全球危机给日常生活的各个方面带来了深刻变化,其中之一是如何开展小组治疗和支持会议。本文特别感兴趣的是匿名戒酒会(AA)项目,这是一个全球公认的倡议,以其通过小组会议中相互的同伴支持来帮助个人应对酒精中毒的功效而闻名。然而,大流行的到来挑战了这一计划的结构,迫使从面对面会议到虚拟环境的彻底转变,这给组织者和参与者都带来了一些障碍。值得注意的是,限制性流动措施引发的这些变化要求采取创新的适应措施,以继续为恢复提供所需的支持,并减少因大流行病引起的孤独和孤立而加剧的复发。
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引用次数: 0
The Readability Analysis of Online Education Materials for Kidney Transplantation 肾移植在线教材的可读性分析
Pub Date : 2023-07-22 DOI: 10.30699/fhi.v12i0.446
Saeideh Valizadeh-Haghi, S. Rahmatizadeh, S. Adibi, Amirreza Kalantari
Introduction: The growing use of online information influences people's healthcare decision making in terms of treatment or consulting a doctor. The readability of a website is a factor that influences the correct understanding of its content. Regarding that there is little information about the readability as well as the credibility of health websites in the field of kidney transplantation, the present study assesses the readability and trustworthiness of websites in this topic.Material and Methods: Google, Yahoo, and Bing search engines were used to search for "Kidney Transplantation" and "Renal Transplantation.". Four readability scales were applied to assess the readability of the first 30 results of each search engine. The HONcode toolbar was applied to recognize credible websites. The relationship between HONcode verification and website position on the search results pages was explored. Furthermore, the difference between the readability scores and website position on the search results pages was tested. The readability difference between search result pages was also examined.Results: According to the results, the assessed websites are suitable for students or high school graduates. Furthermore, the association between the average readability of websites and website position on the search results pages was significant (p-value<0.05). A significant association between HONcode-verified sites and website position on the search results pages was also revealed (p-value=0.011).Conclusion: The readability of kidney transplantation websites is far above the recommended level. Therefore, health organizations must consider readability while designing their websites.
导读:越来越多地使用在线信息影响人们在治疗或咨询医生方面的医疗保健决策。网站的可读性是影响人们正确理解网站内容的一个因素。鉴于目前关于肾移植领域健康网站的可读性和可信度的信息很少,本研究对该主题网站的可读性和可信度进行了评估。材料和方法:使用Google、Yahoo和Bing搜索引擎搜索“Kidney Transplantation”和“Renal Transplantation”。使用四个可读性量表来评估每个搜索引擎的前30个结果的可读性。利用HONcode工具栏识别可信网站。探讨了HONcode验证与网站在搜索结果页面上的位置之间的关系。此外,可读性得分和网站在搜索结果页面上的位置之间的差异进行了测试。还检查了搜索结果页面之间的可读性差异。结果:根据评估结果,网站适合学生或高中毕业生使用。此外,网站的平均可读性与网站在搜索结果页面上的位置之间存在显著的相关性(p值<0.05)。honcode验证的网站与网站在搜索结果页面上的位置之间也存在显著的关联(p值=0.011)。结论:肾移植网站的可读性远高于推荐水平。因此,卫生组织在设计网站时必须考虑可读性。
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引用次数: 0
Design, Development, and Deployment of a Web-Based Registry for Cardiovascular Intensive Care Unit (CVICU) 基于web的心血管重症监护病房(CVICU)注册系统的设计、开发和部署
Pub Date : 2023-07-20 DOI: 10.30699/fhi.v12i0.470
Raheleh Mahboub Farimani, S. Amini, K. Bahaadinbeigy, M. Akbari, S. Eslami
Introduction: The cardiovascular intensive care unit (CVICU) registry provides physicians with tools for monitoring, managing, and following up on patients. The CVICU registry provides researchers with the ability to analyze and evaluate integrated data patients. Our goal with this study is to explain the design, development, and deployment of a comprehensive, integrated, qualified cardiovascular intensive care unit registry, as well as to characterize individuals admitted to CVICUs.Material and Methods: From June 2012, a cohort study of ICU admissions for adults (≥18 years) in a teaching hospital’s CVICU began. The study includes retrospective collection of existing data from paper records and hospital information systems (HIS) and ongoing prospective collection using the proposed CVICU registry portal.Results: Between June 2013 and June 2022, 2587 admissions were included, among which 1041 (40.2%) were women, 1546 (59.8%) were man, and the median age was 58 ranging from 18 to 93 years and their mean (SD) age was 56.8 (13) years. About 11.1% of the patients died in the CVICU. The primary indications for CVICU care included mechanical ventilation (29.7%), weaning time (??%), readmission (4.9%), cardiovascular (17.4%), myocardial infarction (1.7%), diabetes (9.3%), hypertension (14.3%). Of these, about 73% had coronary artery bypass grafting (CABG), 15% valve surgery and the remains has other cardiovascular surgeries. About 39% experienced an on-pump surgery. In addition, patients had 6.4 hours weaning time after operation. The overall CVICU length of stay (LOS) rate was 3.6 days and mean predicted by APACHE IV, APACHE II, SOFA, and SAPS II were 5.67, 3.03, 4, and 4 days, respectively.Conclusion: The use of registries equipped physicians and researchers with an integrated data pool to manage and evaluate information. Appropriate patient registries allow effective decision-making for appropriate interventions, resource allocation, and ongoing data monitoring and analysis. Ultimately, this leads to the optimal outcomes for patients. This registry aims to generate valuable knowledge about cardiovascular ICU patients in Iran and to collect accurate and qualified data.
简介:心血管重症监护病房(CVICU)注册为医生提供了监测、管理和随访患者的工具。CVICU注册表为研究人员提供了分析和评估患者综合数据的能力。本研究的目的是解释一个全面、综合、合格的心血管重症监护病房登记处的设计、开发和部署,以及对入住cvicu的个体进行特征描述。材料与方法:从2012年6月开始,对某教学医院CVICU成人(≥18岁)ICU入院情况进行队列研究。该研究包括从纸质记录和医院信息系统(HIS)中回顾性收集现有数据,以及使用拟议的CVICU注册门户进行前瞻性收集。结果:2013年6月至2022年6月共纳入2587例患者,其中女性1041例(40.2%),男性1546例(59.8%),年龄中位数58岁,年龄范围18 ~ 93岁,平均(SD)年龄为56.8(13)岁。约11.1%的患者死于CVICU。CVICU护理的主要指征包括机械通气(29.7%)、脱机时间(??%)、再入院(4.9%)、心血管(17.4%)、心肌梗死(1.7%)、糖尿病(9.3%)、高血压(14.3%)。其中,约73%的患者接受了冠状动脉旁路移植术(CABG), 15%的患者接受了瓣膜手术,剩下的患者接受了其他心血管手术。约39%的患者接受了无泵手术。术后患者脱机时间6.4小时。CVICU总住院时间(LOS)率为3.6天,APACHE IV、APACHE II、SOFA和SAPS II预测的平均LOS率分别为5.67、3.03、4和4天。结论:注册表的使用为医生和研究人员提供了一个综合的数据池来管理和评估信息。适当的患者登记可以为适当的干预措施、资源分配和持续的数据监测和分析做出有效的决策。最终,这将为患者带来最佳结果。该登记处旨在产生有关伊朗心血管ICU患者的宝贵知识,并收集准确和合格的数据。
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引用次数: 0
Cloud-Based Internet of Things in Healthcare Applications: A Systematic Literature Review 基于云的物联网在医疗保健中的应用:系统文献综述
Pub Date : 2023-07-01 DOI: 10.30699/fhi.v12i0.451
L. Gholamhosseini, A. Behmanesh, Somayeh Nasiri, S. Ehsanzadeh, F sadoughi
Introduction: The Internet of Things (IoT) and Cloud computing are two recent technological advances whose potential have not been realized in a range of industries. These technologies have been used in healthcare systems to improve their performance. In this regard, the IoT generates a large amount of data; also, cloud computing is a viable option for data storage and complex computing. The purpose of this study is to identify and categorize various aspects of CIoT-based healthcare in terms of main application domains, sensors, wireless communication technologies, messaging protocols, cloud platforms, and artificial intelligence (AI) algorithms.Material and Methods: We conducted a literature systematic review and reported according to the PRISMA guideline. PubMed, IEEE, Scopus, and Web of Science were searched using the related keywords and their synonyms. Two independent authors reviewed the papers' eligibility according to the defined inclusion and exclusion criteria.Results: Of the 2,118 papers retrieved, 61 were eventually selected in the study.  Results of the present study revealed that the majority of CIoT research works were applied to patient monitoring systems and cardiovascular patient monitoring systems using Amazon and IBM dominating Cloud platforms. In addition, the most widely used communication technologies for CIoT in healthcare are cellular networks (3G and 4G), Wi-Fi, and Bluetooth. Cardiovascular, environmental, and position sensors are also the most common types of sensors used in healthcare CIoT applications. Among the Cloud platform providers, Amazon and IBM have the highest utility in healthcare systems. The majority of the included studies used Cloud-based AI algorithms to diagnose, classify, and predict diseases.Conclusion: The integration of the Cloud into the IoT can support healthcare systems in terms of processing power, storage capacity, security, privacy, performance, reliability, and scalability. We suggest researchers conduct experimental studies to evaluate the effectiveness of the CIoT approach in healthcare applications.
导言:物联网(IoT)和云计算是最近的两项技术进步,其潜力尚未在一系列行业中实现。这些技术已用于医疗保健系统,以提高其性能。在这方面,物联网产生了大量的数据;此外,云计算是数据存储和复杂计算的可行选择。本研究的目的是根据主要应用领域、传感器、无线通信技术、消息传递协议、云平台和人工智能(AI)算法来识别和分类基于ciot的医疗保健的各个方面。材料和方法:我们进行了文献系统综述,并根据PRISMA指南进行了报道。使用相关关键词及其同义词对PubMed、IEEE、Scopus和Web of Science进行了搜索。两位独立作者根据确定的纳入和排除标准审查了论文的资格。结果:在检索到的2118篇论文中,有61篇最终入选本研究。本研究结果表明,大部分CIoT研究工作应用于使用亚马逊和IBM主导的云平台的患者监测系统和心血管患者监测系统。此外,医疗保健领域CIoT中使用最广泛的通信技术是蜂窝网络(3G和4G)、Wi-Fi和蓝牙。心血管、环境和位置传感器也是医疗保健CIoT应用中最常用的传感器类型。在云平台提供商中,亚马逊和IBM在医疗保健系统中的效用最高。大多数纳入的研究使用基于云的人工智能算法来诊断、分类和预测疾病。结论:云与物联网的集成可以在处理能力、存储容量、安全性、隐私性、性能、可靠性和可扩展性方面支持医疗保健系统。我们建议研究人员进行实验研究,以评估CIoT方法在医疗保健应用中的有效性。
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Frontiers in Health Informatics
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