Piloting the Use of Patient-Specific Cardiac Models as a Novel Tool to Facilitate Communication During Cinical Consultations

Autor: Claudio Capelli, Jo Wray, Silvia Schievano, Despina Koniordou, Marisa Gasparini, Sachin Khambadkone, Andrew J. Taylor, Lindsay Kay Leaver, Giovanni Biglino
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Heart Defects
Congenital
Male
Models
Anatomic
Patient-Specific Modeling
medicine.medical_specialty
Heart disease
Adolescent
3d model
Pilot Projects
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Imaging
Three-Dimensional
Patient Education as Topic
030225 pediatrics
Surveys and Questionnaires
medicine
Humans
Pediatrics
Perinatology
and Child Health
cardiovascular diseases
Medical imaging data
Transition clinic
Referral and Consultation
Congenital heart disease
Physician-Patient Relations
Rapid prototyping
business.industry
Communication
Outcome measures
Models
Cardiovascular
3D printing
Patient specific
Vascular surgery
medicine.disease
Cardiac surgery
Patient Satisfaction
Pediatrics
Perinatology and Child Health
Printing
Three-Dimensional
Physical therapy
Original Article
Female
Positive attitude
business
Cardiology and Cardiovascular Medicine
Zdroj: Pediatric Cardiology
Biglino, G, Koniordou, D, Gasparini, M, Capelli, C, Leaver, L K, Khambadkone, S, Schievano, S, Taylor, A M & Wray, J 2017, ' Piloting the Use of Patient-Specific Cardiac Models as a Novel Tool to Facilitate Communication During Cinical Consultations ', Pediatric Cardiology, vol. 38, no. 4, pp. 813-818 . https://doi.org/10.1007/s00246-017-1586-9
ISSN: 1432-1971
0172-0643
Popis: This pilot study aimed to assess the impact of using patient-specific three-dimensional (3D) models of congenital heart disease (CHD) during consultations with adolescent patients. Adolescent CHD patients (n = 20, age 15–18 years, 15 male) were asked to complete two questionnaires during a cardiology transition clinic at a specialist centre. The first questionnaire was completed just before routine consultation with the cardiologist, the second just after the consultation. During the consultation, each patient was presented with a 3D full heart model realised from their medical imaging data. The model was used by the cardiologist to point to main features of the CHD. Outcome measures included rating of health status, confidence in explaining their condition to others, name and features of their CHD (as a surrogate for CHD knowledge), impact of CHD on their lifestyle, satisfaction with previous/current visits, positive/negative features of the 3D model, and open-ended feedback. Significant improvements were registered in confidence in explaining their condition to others (p = 0.008), knowledge of CHD (p < 0.001) and patients’ satisfaction (p = 0.005). Descriptions of CHD and impact on lifestyle were more eloquent after seeing a 3D model. The majority of participants reported that models helped their understanding and improved their visit, with a non-negligible 30% of participants indicating that the model made them feel more anxious about their condition. Content analysis of open-ended feedback revealed an overall positive attitude of the participants toward 3D models. Clinical translation of 3D models of CHD for communication purposes warrants further exploration in larger studies.
Databáze: OpenAIRE
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