Universidade Federal de São Paulo, Departamento de Neurologia, São Paulo SP, Brazil.
Hospital Israelita Albert Einstein, Organização de Pesquisa Acadêmica, São Paulo SP, Brazil.
Arq Neuropsiquiatr. 2024 Aug;82(8):1-10. doi: 10.1055/s-0044-1789201. Epub 2024 Aug 26.
Digital health is significantly transforming stroke care, particularly in remote and economically diverse regions, by harnessing mobile and wireless technologies, big data, and artificial intelligence (AI). Despite the promising advancements, a notable gap exists in the formal clinical validation of many digital health applications, raising concerns about their efficacy and safety in real-world clinical settings. Our review systematically explores the landscape of digital health in stroke care, assessing the development, validation, and implementation of various digital tools. We adopted a comprehensive search strategy, scrutinizing peer-reviewed articles published between January 2015 and January 2024, to gather evidence on the effectiveness of digital health interventions. A rigorous quality assessment was conducted to ensure the reliability of the included studies, with findings synthesized to underscore key technological innovations and their clinical outcomes. Ethical considerations were meticulously observed to maintain data confidentiality and integrity. Our findings highlight the transformative potential of mobile health technologies, AI, and telemedicine in improving diagnostic accuracy, treatment efficacy, and patient outcomes in stroke care. Our paper delves into the evolution and impact of digital health in cerebrovascular prevention, diagnosis, rehabilitation and stroke treatment, emphasizing the digital health's role in enhancing access to expert care, mitigating treatment delays and improving outcomes. However, the review also underscores the critical need for rigorous clinical validation and ethical considerations in the development and deployment of digital health technologies to ensure their safe and effective integration into stroke care practices.
数字健康正在通过移动和无线技术、大数据和人工智能（AI）显著改变中风护理，特别是在偏远和经济多样化的地区。尽管取得了有希望的进展，但许多数字健康应用程序在正式的临床验证方面存在明显差距，这引发了人们对其在真实临床环境中的疗效和安全性的担忧。我们的综述系统地探讨了中风护理中的数字健康领域，评估了各种数字工具的开发、验证和实施情况。我们采用了全面的搜索策略，仔细筛选了 2015 年 1 月至 2024 年 1 月期间发表的同行评议文章，以收集有关数字健康干预措施有效性的证据。我们进行了严格的质量评估，以确保纳入研究的可靠性，并对研究结果进行了综合分析，以突出关键技术创新及其临床结果。我们认真考虑了伦理问题，以维护数据的保密性和完整性。我们的研究结果强调了移动健康技术、人工智能和远程医疗在提高中风护理的诊断准确性、治疗效果和患者预后方面的变革潜力。我们的论文深入探讨了数字健康在脑血管预防、诊断、康复和中风治疗方面的发展和影响，强调了数字健康在增强获得专家护理、减少治疗延迟和改善结果方面的作用。然而，该综述还强调了在数字健康技术的开发和部署中需要进行严格的临床验证和伦理考虑，以确保其安全有效的整合到中风护理实践中。
