远程医疗对巴西东北部某中心先天性心脏病筛查的影响
Impact of Telemedicine in the Screening for Congenital Heart Disease in a Center from Northeast Brazil.
作者信息
de Araújo Juliana Sousa Soares, Regis Cláudio Teixeira, Gomes Renata Grigório Silva, Mourato Felipe Alves, Mattos Sandra da Silva
机构信息
Círculo Do Coração De Pernambuco, Recife, Pernambuco, Brazil.
Instituto Cândida Vargas, João Pessoa, Paraíba, Brazil.
出版信息
J Trop Pediatr. 2016 Dec;62(6):471-476. doi: 10.1093/tropej/fmw033. Epub 2016 Jun 7.
OBJECTIVES
To describe the incidence of congenital heart disease before and after the establishment of a telemedicine screening program, in a reference center from Northeast Brazil.
METHODS
This is a descriptive, retrospective and comparative study based on the institutional data from a reference center in perinatology for a period of 16 years. Institutional data were collected from a 16-year period (2001-15). Data were divided into two periods: prior to (2001-11) and after (2012-15) the establishment of a telemedicine screening program.
RESULTS
After the implementation of the screening process, almost all kinds of heart disease showed a significant increase in their incidence (p < 0.05). With this, the incidence of major heart diseases approached those specified in developed regions.
CONCLUSION
The implementation of a screening process model for congenital heart diseases can change the context of patients with congenital heart diseases in poor regions.
目的
描述巴西东北部一家参考中心建立远程医疗筛查项目前后先天性心脏病的发病率。
方法
这是一项基于围产医学参考中心16年机构数据的描述性、回顾性和对比性研究。机构数据收集自16年期间（2001 - 2015年）。数据分为两个时期：远程医疗筛查项目建立之前（2001 - 2011年）和之后（2012 - 2015年）。
结果
实施筛查流程后，几乎所有类型的心脏病发病率均显著上升（p < 0.05）。由此，主要心脏病的发病率接近发达地区的指定发病率。
结论
先天性心脏病筛查流程模型的实施可以改变贫困地区先天性心脏病患者的情况。
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