The Role of Telecardiology in Dealing with Patients with Cardiac Rhythm Disorders in Family Medicine – Systematic Review
| Autor: | Erika Zelko, Husam Franjo Naji, Staša Vodička |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Telemedicine
medicine.medical_specialty cardiac rhythm disorders stroškovna učinkovitost Cost effectiveness Heart rhythm disorders Review Article Disease 030204 cardiovascular system & hematology primary healthcare 03 medical and health sciences 0302 clinical medicine Health care medicine motnje srčnega ritma 030212 general & internal medicine Myocardial infarction telekardiologija cost effectiveness business.industry Public Health Environmental and Occupational Health Atrial fibrillation telecardiology medicine.disease Heart failure Family medicine Public aspects of medicine RA1-1270 primarna zdravstvena oskrba business |
| Zdroj: | Slovenian Journal of Public Health Slovenian Journal of Public Health, Vol 59, Iss 2, Pp 108-116 (2020) |
| ISSN: | 1854-2476 |
| DOI: | 10.2478/sjph-2020-0014 |
| Popis: | Heart rhythm disorders (HRD) are often present in patients visiting their family physician (FP). Dealing with their problems is not always simple, efficient and cost effective. The aim of this paper is to review the existing literature about the use and experience of telecardiology in patients experiencing HRD.We conducted a review of literature in PubMed biographical databases (MeSH thesaurus), Web of Science and Cochrane, between 1995 and 2019. We included original articles in English that describe the use of telecardiology at primary and secondary healthcare levels. Exclusion criteria are those publications that discuss heart failure or observation of the activity of pacemakers or defibrillators and the age of patients under 18 years. A total of 19 papers met the inclusion criteria, thirteen of them were original scientific articles and we included them in the analysis.Use of telemedicine can shorten the time from diagnosis to the necessary treatment (2/13), telemedicine can reduce mortality in patients with acute myocardial infarction (4/13), it can shorten the time to diagnose atrial fibrillations (4/13), it can help determine the diagnosis for patients complaining about heart rhythm disorders which were not detected on the standard ECG recording (2/13) and can also help identify cardiac causes for syncope or collapse (2/13). All studies have confirmed that the use of telecardiology significantly reduces the number of unnecessary referrals to a cardiologist or hospitalization, and shortens the time needed to treat patients with life-threatening conditions.The use of telecardiological techniques increases the quality and safety of work in managing patients with cardiovascular disease in FP practice. Usage of telecardiologic devices can also save money and bridge the gap between the primary and secondary healthcare levels.Bolezni srčnega ritma (BSR) so pogoste težave posameznikov, ki obiščejo svojega družinskega zdravnika (DZ). Obvladovanje njihovih težav ni vedno preprosto, pričakovano in stroškovno učinkovito. Namen tega prispevka je pregledati obstoječo literaturo o uporabi telekardiologije in izkušnjah bolnikov z motnjami srčnega ritma z njo.Pregledali smo literaturo v biografskih bazah PubMed (MeSH tezaver), Web of Science in Cochrane, objavljeno med leti 1995 in 2019. Kriterijem vključitve je ustrezalo skupno 19 prispevkov. Vključitveni kriteriji so obsegali originalne znanstvene članke, ki opisujejo uporabo telekardiologije na primarni in sekundarni zdravstveni ravni. Izključitveni kriteriji so bili obravnava bolnikov s srčnim popuščanjem, delovanje pacemakerjev in vgrajenih defibrilatorjev ter starost bolnikov, nižja od 18 let. Trinajst prispevkov je bilo originalnih znanstvenih člankov in smo jih vključili v analizo.Uporaba telemedicine lahko skrajša čas od diagnoze do potrebnega zdravljenja (2/13), telemedicina lahko zmanjša smrtnost pri bolnikih z akutnim miokardnim infarktom (4/13), lahko skrajša čas za diagnozo atrijskih fibrilacij (4/13), lahko pomaga postaviti diagnozo bolnikom, ki tožijo zaradi motenj srčnega ritma, ki niso bili odkriti na standardnem posnetku EKG (2/13), in lahko pomaga pri iskanju kardialnih vzrokov sinkope oziroma omedlevice (2/13). Vse študije so potrdile, da uporaba telekardiologije znatno zmanjša število nepotrebnih napotitev h kardiologu, zmanjša število hospitalizacij in skrajša čas zdravljenja bolnikov z življenjsko nevarnimi stanji.Uporaba telekardioloških tehnik povečuje kakovost in varnost dela pri obravnavi bolnikov s kardiovaskularnimi težavami v praksi DZ. Uporaba telekardioloških pripomočkov lahko tudi prihrani denar in odpravi vrzel med primarno in sekundarno ravnijo zdravstvene oskrbe. |
| Databáze: | OpenAIRE |
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