A computer-based medical record system and personal digital assistants to assess and follow patients with respiratory tract infections visiting a rural Kenyan health centre.
A computer-based medical record system and personal digital assistants to assess and follow patients with respiratory tract infections visiting a rural Kenyan health centre.
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DOI：
10.1186/1472-6947-6-21
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发表时间：
2006-04-10
影响因子：
3.5
通讯作者：
Tierney, William M
中科院分区：
文献类型：
--
作者：
Diero, Lameck;Rotich, Joseph K;Tierney, William M
背景：临床研究可以通过使用信息学工具来促进。我们使用了现有的电子病历（EMR）系统和个人数据助理（PDA），以评估急性呼吸道疾病（阿里斯）访问肯尼亚农村health center.METHODS：我们修改了现有的电子病历，包括患者的详细信息与阿里斯的患者的特点和结果。EMR数据库，然后被用来确定患者与阿里斯谁是前瞻性的后续研究助理谁骑自行车到患者的家，并将数据输入到PDA。结果：2002年8月和2005年1月之间的数据库中登记的2009年成人呼吸道感染患者共2986诊所就诊，433例患者被选为结果评估。在那些村庄对这些患者进行随访，并在7天和30天后进行评估。获得了381名患者（88%）的完整随访数据，并与入组访视的电子病历和随后的健康中心访视的数据合并，以评估疾病持续时间和并发症。症状在第7天和第30天有所改善，但相当一部分患者症状持续存在。11%的患者寻求额外的护理为他们的呼吸道infection.CONCLUSION：EMR和PDA是有用的工具进行前瞻性的临床研究在资源有限的发展中国家。
BACKGROUND: Clinical research can be facilitated by the use of informatics tools. We used an existing electronic medical record (EMR) system and personal data assistants (PDAs) to assess the characteristics and outcomes of patients with acute respiratory illnesses (ARIs) visiting a Kenyan rural health center.METHODS: We modified the existing EMR to include details on patients with ARIs. The EMR database was then used to identify patients with ARIs who were prospectively followed up by a research assistant who rode a bicycle to patients' homes and entered data into a PDA.RESULTS: A total of 2986 clinic visits for 2009 adult patients with respiratory infections were registered in the database between August 2002 and January 2005; 433 patients were selected for outcome assessments. These patients were followed up in the villages and assessed at 7 and 30 days later. Complete follow-up data were obtained on 381 patients (88%) and merged with data from the enrollment visit's electronic medical records and subsequent health center visits to assess duration of illness and complications. Symptoms improved at 7 and 30 days, but a substantial minority of patients had persistent symptoms. Eleven percent of patients sought additional care for their respiratory infection.CONCLUSION: EMRs and PDA are useful tools for performing prospective clinical research in resource constrained developing countries.