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SensiLase Studycast系统:一个用于肢体关键诊断和电子转诊计划的平台。

SensiLase Studycast System: A Platform for Critical Limb Diagnostics and Electronic Referral Program.

作者信息

Serena Thomas

机构信息

SerenaGroup , Cambridge, Massachusetts.

出版信息

Adv Wound Care (New Rochelle). 2012 Jun;1(3):142-145. doi: 10.1089/wound.2011.0284.

Abstract

PROBLEM

Peripheral arterial disease (PAD) and critical limb ischemia (CLI) impede lower extremity wound healing. The highest-risk patient populations have foot ulcers, ischemic disease, diabetes mellitus, and/or compromised kidney function. Optimal wound healing protocols require evaluation of both tissue and arterial perfusion. The most widely known test, ankle brachial index (ABI), has general but limited utility in foot ulcer patients. False negatives secondary to medial artery calcification are common and ABI alone is not considered predictive of wound healing. As many high-risk patients consider their medical home to be their primary care physician (PCP) not a limb preservation center (LPC), high-risk patients can be underserved secondary to inadequate awareness of the disease, limited diagnostics, and inefficient referral.

SOLUTION

Access to clinically appropriate, tissue-diagnostic tools for high-risk populations coupled with health information transfer (HIT) between PCP and LPCs provides the opportunity to bring PAD/CLI expertise to a patient's medical home. Coordinated data management coupled with PAD/CLI protocols can promote timely and appropriate referral and subsequent intervention.

NEW TECHNOLOGY

SensiLase Studycast System provides a noninvasive diagnostic and data management system specifically designed for high-risk patients. Studycast software automates and simplifies HIT between the PC and critical limb care experts at the LPC. Data can be integrated with existing electronic medical record systems.

INDICATIONS FOR USE

SensiLase Studycast is indicated for perfusion assessment in patients at high risk for peripheral ischemia.

CAUTION

Results of SensiLase System testing should be used in conjunction with other diagnostic information in formulating therapeutic plans.

摘要

问题

外周动脉疾病(PAD)和严重肢体缺血(CLI)会阻碍下肢伤口愈合。风险最高的患者群体患有足部溃疡、缺血性疾病、糖尿病和/或肾功能受损。最佳的伤口愈合方案需要评估组织和动脉灌注情况。最广为人知的检测方法——踝肱指数(ABI),在足部溃疡患者中具有一定的通用性,但效用有限。因内侧动脉钙化导致的假阴性很常见,仅靠ABI并不能预测伤口愈合情况。由于许多高危患者将其家庭医生(PCP)而非肢体保全中心(LPC)视为其主要医疗服务提供者,高危患者可能因对该疾病认识不足、诊断手段有限以及转诊效率低下而得不到充分的医疗服务。

解决方案

为高危人群提供临床适用的组织诊断工具,并在初级保健医生和肢体保全中心之间进行健康信息传递(HIT),这为将外周动脉疾病/严重肢体缺血专业知识引入患者的家庭医疗服务提供了契机。协调的数据管理与外周动脉疾病/严重肢体缺血方案相结合,可以促进及时、适当的转诊及后续干预。

新技术

SensiLase Studycast系统提供了一种专门为高危患者设计的非侵入性诊断和数据管理系统。Studycast软件实现了初级保健医生与肢体保全中心的重症肢体护理专家之间健康信息传递的自动化和简化。数据可以与现有的电子病历系统集成。

适用症

SensiLase Studycast适用于对外周缺血高危患者进行灌注评估。

注意事项

在制定治疗方案时,SensiLase系统检测结果应与其他诊断信息结合使用。

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