Remote Clinical Quality Management of Endovascular Care
Complex Issues of Cardiovascular Diseases
; 10(4):106-111, 2021.
Article
Dans Anglais
| EMBASE | ID: covidwho-2290540
ABSTRACT
To assess the effectiveness of remote clinical quality management of endovascular Aim care. The system of clinical quality management of medical care in myocardial infarction (MI) including the quality of remote control of endovascular care was developed and introduced into the health care system of the Moscow Region as a part of the comprehensive study in 2008-2020. The number of people under the study was 8375. The ground for assessing the effectiveness of remote clinical management in 2019-2020 was the health care system of megapolis. Based on the analysis of 2966 endovascular procedures protocols, the treatment tactics effectiveness of intraoperative decisions was studied after an emergency coronary angiography (ECA) had been performed by interventional cardiologists. The Methods system of remote clinical quality management of endovascular care included a complex of audiovisual communications, computer system processes, mentoring and the algorithm for making an intraoperative decision. The effectiveness of remote clinical quality management of endovascular care was investigated on the number of percutaneous coronary interventions (PCI) in MI, mortality of patients with MI in the Regional vascular center in 2019-2020. The T-criteria was used to assess the reliability. The material statistical processing was carried out in the Statistica 6.0 package calculating adequate statistical indicators and their reliability at p<=0.005. Ratio PCI/ECA in 2019, January-March 2020 counted up to 48.95%. In April-December 2020 it increased up to 71.6% (p<0.001). The frequency of performing Results PCI increased by 1.46 times (p<0.001). Hospital mortality from MI decreased during the following period 2019, April-December 2020 from 9.7% to 8.2% (p = 0.005). Remote clinical management based on telemedicine and mentoring process Conclusion technologies contributes to improving the quality of endovascular care in MI.Copyright © 2021 Angles. All rights reserved.
covid-19; Endovascular care quality; Myocardial infarction; Percutaneous coronary intervention; Remote clinical management; Telehealth; Telemedicine; acute coronary syndrome; acute heart infarction; article; audiovisual aid; cardiologist; clinical effectiveness; continuing education; coronary angiography; coronavirus disease 2019; endovascular surgery; health care quality; health care system; hospital mortality; human; interventional radiologist; interventional radiology; medical education; priority journal; quality control; Russian Federation; telecardiology; telecommunication; total quality management; unstable angina pectoris; videoconferencing; vocational education; computer system; remote control
Texte intégral:
Disponible
Collection:
Bases de données des oragnisations internationales
Base de données:
EMBASE
Type d'étude:
Étude pronostique
langue:
Anglais
Revue:
Complex Issues of Cardiovascular Diseases
Année:
2021
Type de document:
Article
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