The use of an automated patient registry to manage and monitor cardiovascular conditions and related outcomes in a large health organization
The use of an automated patient registry to manage and monitor cardiovascular conditions and related outcomes in a large health organization
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DOI：
10.1016/j.ijcard.2010.08.002
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发表时间：
2011-11-03
影响因子：
3.5
通讯作者：
Heymann, Anthony D.
中科院分区：
文献类型：
--
作者：
Shalev, Varda;Chodick, Gabriel;Heymann, Anthony D.
背景资料：本研究描述了一个大型的健康维护组织在以色列的心血管疾病患者的计算机化登记。该注册表旨在供卫生专业人员使用，以识别心血管疾病患者，并跟踪他们的疾病和危险因素的过程。1998年，该登记处开始使用先进的信息技术，将个人计算机化社区和医院记录、实验室测试数据、分发的药物、生理信号、放射图像，结果：在1998年至2007年期间，登记处确定的心血管疾病患者人数从34，144人增加到80，339人。在此期间，按年龄调整的流行率在男子和妇女中分别从3.7%上升到5.1%和从1.9%上升到2.6%。达到目标LDL的缺血性心脏病患者的百分比翻了一番，从2000年的21%增加到2006年的50%。平均住院时间从11.7天下降到8.6天。原发性心肌梗死的发病率下降33%和54%，男性年龄在54-65岁和女性年龄在65-74 years，respectively.Conclusions：本研究提供了，在以色列，第一次选择的护理质量和临床结果的数据，使用一个大型的，以人口为基础的心血管疾病患者的登记。它证明了LDL测试的依从性和达到目标LDL水平的显着改善，以及自成立以来十年内心肌梗死发病率的下降。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Background: The present study describes a computerized registry of cardiovascular disease patients in a large health maintenance organization in Israel. The registry is aimed to be used by health professionals to identify cardiovascular disease patients and to follow the courses of their illnesses and risk factors.Methods: In 1998, the registry was initiated using advanced information technology that integrated personal computerized community and hospital records, data from laboratory tests, dispensed medications, physiological signals, radiological images, and reports from investigations and procedures.Results: Between 1998 and 2007, the number of patients with cardiovascular diseases that were identified by the registry has increased from 34,144 to 80,339. During this period, the age-adjusted prevalence rates have risen from 3.7% to 5.1% and from 1.9% to 2.6%, among men and women, respectively. The percentage of ischemic heart disease patients who reached target LDL was doubled, from 21% in 2000 to 50% in 2006. The average stay in hospital declined from 11.7 to 8.6 days. Primary myocardial infarction rates declined 33% and 54% in men aged 54-65 and women aged 65-74 years, respectively.Conclusions: The present study provides, for the first time in Israel, data on selected quality of care and clinical outcomes using a large, population-based registry of cardiovascular disease patients. It demonstrates a significant improvement in the adherence with LDL tests and achieving target LDL levels and a subsequent decline in incidence of myocardial infarction within ten years since its establishment. (C) 2010 Elsevier Ireland Ltd. All rights reserved.