Title:	CARDIO.NET – A SYSTEM FOR TELECARDIOLOGY
Author(s):	Marcin Grabowski , Robert Rudowski , Janusz Sierdziński , Andrzej Cacko , Grzegorz Opolski , Marek Niezgódka
ISBN:	978-972-8924-81-2
Editors:	Mário Macedo
Year:	2009
Edition:	Single
Keywords:	Acute Coronary Syndrome (ACS), Teleconsultation, Electronic Patients Record (EPR), risk stratification
Type:	Poster/Demonstration
First Page:	231
Last Page:	232
Language:	English
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Full Contents:	click to dowload
Paper Abstract:	Purpose. The assessment of Cardio.net system in improving the cardiological care and outcomes of the patients with the acute coronary syndrome (ACS). Tools and methods. The system, based on readily available telecommunication infrastructure, has been constructed to allow teleconsultations between small regional hospitals or ambulances and medical centers with interventional cardiology and cardiosurgery. Electronic Patient Record (EPR) has been developed to collect all the necessary information about patients medical history and condition. Minimal Cardiological Data Set (MCDS) has been added where in case of emergency the most important information can be inserted in 5 minutes. Expert system (ES) has been created to rapidly evaluate patients risk and propose treatment strategy. EPR’s fulfilling and transmitting is reported to cardiologist on duty by short message system (SMS). In the pilot study 5 regional centers and the reference center are taking part. The assessment of reliability of suggestions given by ES has been performed by comparison of ES’s suggestions and doctors’ decisions. Results. Several difficulties were found, especially insufficiency of computer literacy among medical staff and problems with proper access policy. ES suggestions were consistent with doctors’ decision. Conclusions. Results of the pilot study are positive. It seems to be possible to develop ACS register for Mazovia district according to Cardio.net system. The reliability of the ES suggestions has been positively verified.
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