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一个用于综合慢性心力衰竭管理的人工智能驱动、以患者为中心的数字平台:架构、验证与临床见解。

An AI-Enabled, Patient-Centred Digital Platform for Integrated Chronic Heart Failure Management: Architecture, Validation and Clinical Insights.

作者信息

Petridis George, Karabatea Apostolia, Bakogiannis Constantinos, Rigas Emmanouil S, Kondylakis Haridimos, Berler Alexander, Kangelidis Konstantinos, Malamas Nikolaos, Kouroubali Angelina, Katehakis Dimitrios, Vassilikos Vassilios, Bamidis Panagiotis D, Billis Antonios

机构信息

Lab of Medical Physics and Digital Innovation, School of Medicine Aristotle University of Thessaloniki Thessaloniki Greece.

Gnomon Informatics SA Thessaloniki Greece.

出版信息

Healthc Technol Lett. 2025 Sep 6;12(1):e70015. doi: 10.1049/htl2.70015. eCollection 2025 Jan-Dec.

Abstract

Healthcare systems across Europe and globally are increasingly challenged by the need to deliver high-quality, coordinated care for complex patient populations, such as those living with chronic heart failure (CHF). Many national healthcare policies consider the adoption and implementation of patient-centred and interoperable information communication technologies-enabled solutions offered in a single digital platform as a key facilitator towards the transition to integrated and coordinated care. Aiming to support CHF patients and to assist their management, in this paper, we present CareCardia, a modular digital solution designed to support the comprehensive management of CHF. CareCardia offers an interoperable ecosystem that connects healthcare professionals, informal caregivers and patients along a unified CHF care pathway spanning across diagnosis, acute care and jointly managed long-term care. Specifically, CareCardia integrates state-of-the-art, clinical evidence-based technologies such as a clinical decision support system and an exergaming platform that will follow patients through the CHF journey. This paper outlines the system architecture and core functionalities of CareCardia prototype. We also present early findings from the initial exploration of the tool, discussing its anticipated impact on CHF and its potential to foster patient empowerment across the continuum of care.

摘要

欧洲乃至全球的医疗保健系统,在为复杂患者群体(如慢性心力衰竭(CHF)患者)提供高质量、协调一致的护理方面,面临着越来越大的挑战。许多国家的医疗保健政策认为,在单一数字平台上采用和实施以患者为中心且具备互操作性的信息通信技术支持的解决方案,是向综合协调护理过渡的关键推动因素。为了支持CHF患者并协助对其进行管理,在本文中,我们介绍了CareCardia,这是一种模块化数字解决方案,旨在支持对CHF的全面管理。CareCardia提供了一个可互操作的生态系统,该生态系统沿着涵盖诊断、急性护理和联合管理的长期护理的统一CHF护理路径,将医疗保健专业人员、非正式护理人员和患者连接起来。具体而言,CareCardia集成了诸如临床决策支持系统和运动游戏平台等最先进的、基于临床证据的技术,这些技术将在CHF病程中跟踪患者。本文概述了CareCardia原型的系统架构和核心功能。我们还展示了对该工具初步探索的早期结果,讨论了其对CHF的预期影响以及在整个护理连续过程中促进患者赋权的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6696/12413637/0c1be16ed94f/HTL2-12-e70015-g005.jpg

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