Senage Th, Gaudin M, Michel M, Mugniot A, Perigaud Ch, Pattier S, Habash O Al, Duveau D, Baron O, Despins Ph, Roussel J Ch
Vestn Khir Im I I Grek. 2013;172(4):91-3; discussion 92-3.
The writing of surgical and hospitalization reports is time-consuming and does not necessarily enable the increment of a statistical database, tool that is indispensable nowadays to evaluate unit activity or to carry out scientific studies. In order to prevent this double data capture, a computer tool, named CordaBase, has been developed by surgeons and set up in a cardiac surgery unit.
CordaBase is an interactive software that stores medical data. Thanks to its intuitive interface, CordaBase stores data which is classified chronologically in the following categories: past medical history, preoperative assessment, operating gesture, stay in intensive care unit, stay in wards and evolution/monitoring after discharge. This date, stored in an Access base, are then used in the creation of personalized surgical and hospitalization reports. All the data is permanently available and can be used for the carrying out of scientific works or for the evaluation of the unit activity.
From March 2009 to December 2010, 2617 consecutive patients operated on in a Cardiac Surgery Unit were recorded prospectively in the software. All of this stored data assisted the surgeon in his or her administrative tasks, thanks to personalized surgical and hospitalization reports, immediately at the secretariat's disposal. The database, which is requisitely filled by administrative work, enables the carrying out of any statistical study on all unit activity.
With a hindsight of almost 2 years, CordaBase has proven its usefulness in an active cardiac surgery unit, both on an administrative and scientific level. The computerized reports have lightened the medical secretariat's workload and statistical studies have now become possible without having to take the paper medical files out again. In the years to come, the accumulation of medical data prospectively or retrospectively stored will surely confirm the potential of the use of such a software.
外科手术报告和住院报告的撰写耗时且不一定能增加统计数据库，而统计数据库是如今评估科室活动或开展科研不可或缺的工具。为避免重复录入数据，外科医生开发了一款名为CordaBase的计算机工具并在心脏外科科室投入使用。
CordaBase是一款存储医疗数据的交互式软件。凭借其直观的界面，CordaBase按时间顺序存储以下类别的数据：既往病史、术前评估、手术操作、重症监护病房住院情况、病房住院情况及出院后病情演变/监测。这些存储在Access数据库中的数据随后用于生成个性化的外科手术报告和住院报告。所有数据均可随时获取，可用于开展科研工作或评估科室活动。
2009年3月至2010年12月，心脏外科科室连续手术的2617例患者被前瞻性地录入该软件。所有这些存储的数据通过个性化的外科手术报告和住院报告，协助外科医生完成其行政任务，这些报告可立即供秘书处使用。该数据库通过行政工作必填项进行填充，可对科室所有活动进行任何统计研究。
经过近2年的实践，CordaBase已证明其在活跃的心脏外科科室的行政和科研层面均有用处。计算机化报告减轻了医疗秘书处的工作量，现在无需再次取出纸质病历即可进行统计研究。在未来几年，前瞻性或回顾性存储的医疗数据积累必将证实使用此类软件的潜力。
