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CIEDs遠隔モニタリングデータ自動収集システムの試作
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JPY
Abstract
Background:Introduction of remote monitoring system(RMS) for cardiovascular implantable electronic devices(CIEDs) can be highly effective. However, the data would be scattered through RMS operation and CIEDs treatment become complicated. Method:We have developed a system for automatically collecting RMS data indicated on HomeMonitoring(Biotronik) to in –house database (Electronic Health Record(EHR)) and examined the system with a focus on 2 follow –up patients at our hospital. In addition, we also made a closer examination by a comparison of data access time between RMS and EHR among 8 clinical engineering technologists. Wilcoxon signed –rank test was used for statistical evaluation with p <0.05 as significant difference. Result:The success rate of RMS data collection was 97%. Since median value for the data access time was 47.5 seconds for RMS and 15 seconds for EHR, EHR indicated a significant shortening of time(p=0.016). Discussion:Data of remote monitoring system could be checked by minimum workload due to the entirely –automated process. Since integrated data management system is useful for patient management, clinical study, and recall correspondence, demand of CIEDs data collection system with standards has been growing for improving a stable system operation and development efficiency. Conclusion:It is considered that approach for data integration could be essential for further development of CIEDs treatment.
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