JAHA：APP vs 内科医生在心梗后患者中的健康管理

2018-08-27 MedSci MedSci原创

内科医生的数量不足导致健康APP在患者疾病管理中的应用越来越普遍。本研究的目的旨在评估健康管理APP在心梗后患者中的应用情况及其与预后的相关性。本研究纳入了29477名心梗后90天内至门诊随访的年龄≥65岁的患者。并比较仅由APP监测或仅有医生监测的患者的药物治疗依从性、再住院风险、死亡风险和主要不良心血管事件的发生风险。最终，共有11%的心梗患者是由APP治疗和监测，由APP监测的患者发生糖尿病

内科医生的数量不足导致健康APP在患者疾病管理中的应用越来越普遍。本研究的目的旨在评估健康管理APP在心梗后患者中的应用情况及其与预后的相关性。

本研究纳入了29477名心梗后90天内至门诊随访的年龄≥65岁的患者。并比较仅由APP监测或仅有医生监测的患者的药物治疗依从性、再住院风险、死亡风险和主要不良心血管事件的发生风险。最终，共有11%的心梗患者是由APP治疗和监测，由APP监测的患者发生糖尿病和心衰的风险更高，被送外护理机构的风险更高，且至门诊随访的风险更高。而药物治疗依从性、90天死亡风险、主要不良心血管事件发生风险和再住院风险在两组患者间无明显差异。

研究结果显示，对于高风险的心梗后患者，APP能提供更加全面的监测，药物治疗依从性、90天死亡风险、主要不良心血管事件发生风险和再住院风险在由APP监测和由内科医生监测的心梗后患者无明显差异。

原始出处：

Jennifer A et al.Advanced Practice Provider Versus Physician‐Only Outpatient Follow‐Up After Acute Myocardial Infarction.JAHA.2018 Aug.

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2019-04-12 lfyang

#心梗后#

68 0
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2018-08-29 windight

#健康管理#

58 0
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2018-08-29 zhaohui6731

#AHA#

56 0
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2018-08-27 huangshang9812

哈哈哈，学习了

89 0
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2018-08-27 huangshang9812

哈哈哈，学习了

93 0
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2018-08-27 huangshang9812

哈哈哈，学习了

93 0
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2018-08-27 huangshang9812

哈哈哈，学习了

87 0
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2018-08-27 huangshang9812

哈哈哈，学习了

84 0
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2018-08-27 huangshang9812

哈哈哈，学习了

41 0
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2018-08-27 huangshang9812

哈哈哈，学习了

53 0

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