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HEARTFAID:一个基于知识的服务平台,用于支持老年人群心力衰竭的医疗临床管理。

HEARTFAID: A knowledge based platform of services for supporting medical-clinical management of heart failure within elderly population.

作者信息

Conforti Domenico, Costanzo Domenico, Perticone Francesco, Parati Gianfranco, Kawecka-Jaszcz Kalina, Marsh Andrew, Biniaris Christos, Stratakis Manolis, Fontanelli Riccardo, Guerri Davide, Salvettis Ovidio, Tsiknakis Manolis, Chiarugi Franco, Gamberger Dragan, Valentini Mariaconsuelo

机构信息

Department of Electronics, Informatics, Systems (DEIS), University of Calabria, Italy.

出版信息

Stud Health Technol Inform. 2006;121:108-25.

Abstract

HEARTFAID is a research and development project aimed at devising, developing and validating an innovative knowledge based platform of services, able to improve early diagnosis and to make more effective the medical-clinical management of heart diseases within elderly population. Chronic Heart Failure is one of the most remarkable health problems for prevalence and morbidity, especially in the developed western countries, with a strong impact in terms of social and economic effects. All these aspects are typically emphasized within the elderly population, with very frequent hospital admissions and a significant increase of medical costs. Recent studies and experiences have demonstrated that accurate heart failure management programs, based on a suitable integration of inpatient and outpatient clinical procedures, might prevent and reduce hospital admissions, improving clinical status and reducing costs. HEARTFAID aims at defining efficient and effective health care delivery organization and management models for the "optimal" management of the care in the field of cardiovascular diseases. The HEARTFAID innovative computerized system will improve the processes of diagnosis, prognosis and therapy provision, providing the following services: * electronic health record for easy and ubiquitous access to heterogeneous patients data;* integrated services for healthcare professionals, including patient telemonitoring, signal and image processing, alert and alarm system;* clinical decision support in the heart failure domain, based on pattern recognition in historical data, knowledge discovery analysis and inferences on patients' clinical data.The formalization of the pre-existing clinical knowledge and the discovery of new elicited knowledge represent the core of the HEARTFAID platform.

摘要

HEARTFAID是一个研发项目,旨在设计、开发和验证一个基于知识的创新服务平台,该平台能够改善早期诊断,并使老年人群中心脏病的医疗临床管理更加有效。慢性心力衰竭是患病率和发病率方面最为突出的健康问题之一,尤其是在西方发达国家,在社会和经济影响方面具有重大影响。所有这些方面在老年人群中尤为明显,住院次数频繁,医疗费用大幅增加。最近的研究和经验表明,基于住院和门诊临床程序适当整合的精确心力衰竭管理计划,可以预防和减少住院次数,改善临床状况并降低成本。HEARTFAID旨在为心血管疾病领域的护理“优化”管理定义高效且有效的医疗服务提供组织和管理模式。HEARTFAID创新的计算机系统将改善诊断、预后和治疗提供流程,提供以下服务:* 电子健康记录,便于随时随地访问异构患者数据;* 为医疗专业人员提供的集成服务,包括患者远程监测、信号和图像处理、警报和报警系统;* 基于历史数据中的模式识别、知识发现分析以及对患者临床数据的推断,在心力衰竭领域提供临床决策支持。预先存在的临床知识的形式化以及新引出知识的发现是HEARTFAID平台的核心。

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