移动医疗在心脏病学实践中的最新进展

The Recent Advances of Mobile Healthcare in Cardiology Practice.

作者信息

Kulbayeva Shynar, Tazhibayeva Karlygash, Seiduanova Laura, Smagulova Indira, Mussina Aiman, Tanabayeva Shynar, Fakhradiyev Ildar, Saliev Timur

机构信息

NJSC "Astana Medical University", Nur-Sultan, Kazakhstan.

Al Farabi Kazakh National University, Almaty, Kazakhstan.

出版信息

Acta Inform Med. 2022 Sep;30(3):236-250. doi: 10.5455/aim.2022.30.236-250.

Abstract

BACKGROUND

Digitalization of healthcare led to the optimization of monitoring, diagnostics, and treatment of the range of disorders. Taking into account recent situation with COVID-19 pandemics, digital technologies allowed to improve management of viral infections via remote monitoring and diagnostics of infected patients. Up to date, various mobile health applications (apps) have been proposed, including apps for the patients diagnosed with cardiovascular pathologies.

OBJECTIVE

The presented review aimed at the analyses of a range of mHealth solutions used to improve primary cardiac care. In addition, we studied the factors driving and hindering the wide introduction of mHealth services in the clinics.

METHODS

The work was based on the guidelines of the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement. The publication search was carried out using PubMed, Web of Science, Cochrane Library, Scopus, and Google Scholar databases. Studies published during the period from 2014 until January 2022 were selected for the analysis. The evaluation of risk of bias for the included studies was conducted using the Cochrane Collaboration Risk of Bias tool.

RESULTS AND DISCUSSION

An overall 5513 studies were assessed for eligibility after which 39 studies were included.. The main trend in the mobile health for cardiological applications is the use of different types of wearable devices and Artificial Intelligence-platforms. In fact, mobile technology allows remotely to monitor, interpret, and analyze biomedical data collected from the patient.

CONCLUSION

The results of this literature search demonstrated that patients diagnosed with cardiovascular disorders can potentially benefit from the application of mHealth in cardiology. However, despite the proven advantages of mHealth for cardiology, there are many challenges and concerns regarding effectiveness, safety, reliability and the lack of official regulation and guidelines from official organizations. Such issues require solutions and further work towards a wide implementation of mHealth technologies in cardiac practice.

摘要

背景

医疗保健数字化促使一系列疾病的监测、诊断和治疗得到优化。考虑到近期新冠疫情的形势,数字技术通过对感染患者进行远程监测和诊断,改善了病毒感染的管理。目前,已经提出了各种移动健康应用程序(应用),包括针对被诊断患有心血管疾病的患者的应用。

目的

本综述旨在分析一系列用于改善初级心脏护理的移动健康解决方案。此外,我们研究了推动和阻碍移动健康服务在诊所广泛应用的因素。

方法

这项工作基于系统评价和荟萃分析的首选报告项目(PRISMA)声明的指南。使用PubMed、科学网、考克兰图书馆、Scopus和谷歌学术数据库进行文献检索。选择2014年至2022年1月期间发表的研究进行分析。使用考克兰协作偏倚风险工具对纳入研究的偏倚风险进行评估。

结果与讨论

共评估了5513项研究的 eligibility,之后纳入了39项研究。心脏应用移动健康的主要趋势是使用不同类型的可穿戴设备和人工智能平台。事实上,移动技术允许远程监测、解读和分析从患者收集的生物医学数据。

结论

本次文献检索结果表明,被诊断患有心血管疾病的患者可能会从移动健康在心脏病学中的应用中受益。然而,尽管移动健康在心脏病学方面已被证明具有优势,但在有效性、安全性、可靠性以及缺乏官方组织的官方监管和指南方面仍存在许多挑战和担忧。这些问题需要解决方案,并进一步努力在心脏实践中广泛实施移动健康技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6c3/9559778/cc3202d9ea7b/AIM-30-236-g001.jpg

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