将农村健康诊所与教学医院连接起来的远程心脏病学解决方案的可行性。
Feasibility of Telecardiology Solution to Connect Rural Health Clinics to a Teaching Hospital.
作者信息
Shetty Ranjan, Samant Jyothi, Nayak Krishnanand, Maiya Manjunatha, Reddy Shankar
机构信息
Department of Medicine, Division of Cardiology, Kasturba Medical College Hospital, Manipal, India.
Department of Clinical Research, Philips India Limited, Bengaluru, Karnataka, India.
出版信息
Indian J Community Med. 2017 Jul-Sep;42(3):170-173. doi: 10.4103/ijcm.IJCM_368_16.
BACKGROUND
In spite of enormous progress in cardiac care in India, rural communities lack access to even basic cardiac care. One possible solution to this problem is to employ telecardiology.
OBJECTIVES
To demonstrate feasibility of telecardiology system to link rural clinics to a teaching hospital.
METHODS
Five rural clinics were linked to a teaching hospital, using an inexpensive system of cardiographs and tablet PCs to transmit ECGs to hospital and have them interpreted by cardiologist.
RESULTS
Three hundred eighty ECGs were acquired at clinics with 98.9% of them noise-free and transmitted to the hospital with 99.7% success on first attempt. Interpretation of ECG was provided to primary care physician at the clinic on the same day for 95.3% of ECGs. Abnormal ECG findings were seen on 22.6% of these ECGs.
CONCLUSION
This system performed well with high success rate of acquisition and transmission. Staff at rural clinics successfully acquired quality ECGs and transmitted them and the staff at the hospital were able to provide timely interpretation of ECGs and advice to patients.
背景
尽管印度在心脏护理方面取得了巨大进展，但农村社区甚至无法获得基本的心脏护理。解决这一问题的一个可能办法是采用远程心脏病学。
目的
证明远程心脏病学系统将农村诊所与教学医院连接起来的可行性。
方法
使用一套价格低廉的心电记录仪和平板电脑系统，将五家农村诊所与一家教学医院连接起来，以便将心电图传输到医院并由心脏病专家进行解读。
结果
诊所采集了380份心电图，其中98.9%无噪音，并以99.7%的首次传输成功率传输到医院。95.3%的心电图在同一天为诊所的初级保健医生提供了心电图解读。这些心电图中有22.6%出现了异常心电图结果。
结论
该系统运行良好，采集和传输成功率高。农村诊所的工作人员成功采集了高质量的心电图并进行了传输，医院的工作人员能够及时为患者提供心电图解读和建议。
Zotero 插件