Improving the diagnosis, treatment and secondary prevention of stroke using a unified online system : primary vascular department - regional vascular center - family doctor
OBJECTIVE: The introduction of the Stroke Platform (SP) in the Belgorod Region to improve the efficiency of diagnosis and care for patients with stroke. Stroke platform is a unified information platform that unites all stages of treatment of a patient with stroke, from the first symptoms to dispensary observation by a family doctor and control of targeted provision of medicines for the secondary prevention of vascular events.
MATERIAL AND METHODS: The SP includes 6 modules: the Central Archive of Medical Images or the Picture Archiving and Communication System (PACS) and connection to a single circuit of all CT devices of the regional medical institutions; Stroke register; secondary prevention register; routing bureau; statistics and analytics; COVID platform. The SP, as it develops, can be supplemented with those modules that are necessary to improve the quality and availability of patient care. More than 100 consultations of CT images are carried out monthly through the SP, the average response time is less than 10 minutes, 52 platform participants are in constant contact, all medical institutions of the region are connected. Five hundred and forty patients were consulted for 6 months of 2020.
RESULTS: The share of hospitalizations in specialized departments increased to 97.6% versus 86.3%. The availability of high-tech medical care for patients with stroke has increased due to timely transfer to the district vascular center. Endovascular interventions for aneurysms and arteriovenous malformations, stenting of extracerebral arteries during dissection, mechanical thrombectomy from large arteries are performed. Mortality decreased from 19.7% (2019) to 17.6%. At the stage of outpatient follow-up, it is possible to obtain information about the range of those drugs that are prescribed to the patient for prophylaxis and are delivered to the target.
CONCLUSION: The main feature of the SP is the speed and efficiency of making medical decisions, ergonomics and ease of interaction, a single workspace.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:120 |
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| Enthalten in: |
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova - 120(2020), 12. Vyp. 2 vom: 12., Seite 32-36 |
| Sprache: |
Russisch |
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| Weiterer Titel: |
Sovershenstvovanie diagnostiki, lecheniya i vtorichnoi profilaktiki insul'ta s ispol'zovaniem edinoi onlain-sistemy: pervichnoe sosudistoe otdelenie — regional'nyi sosudistyi tsentr — semeinyi vrach |
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| Beteiligte Personen: |
Lykov, Yu A [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 19.01.2021 Date Revised 19.01.2021 published: Print Citation Status MEDLINE |
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| doi: |
10.17116/jnevro202012012232 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM320127265 |
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| 100 | 1 | |a Lykov, Yu A |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Improving the diagnosis, treatment and secondary prevention of stroke using a unified online system |b primary vascular department - regional vascular center - family doctor |
| 246 | 3 | 3 | |a Sovershenstvovanie diagnostiki, lecheniya i vtorichnoi profilaktiki insul'ta s ispol'zovaniem edinoi onlain-sistemy: pervichnoe sosudistoe otdelenie — regional'nyi sosudistyi tsentr — semeinyi vrach |
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| 500 | |a Date Completed 19.01.2021 | ||
| 500 | |a Date Revised 19.01.2021 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: The introduction of the Stroke Platform (SP) in the Belgorod Region to improve the efficiency of diagnosis and care for patients with stroke. Stroke platform is a unified information platform that unites all stages of treatment of a patient with stroke, from the first symptoms to dispensary observation by a family doctor and control of targeted provision of medicines for the secondary prevention of vascular events | ||
| 520 | |a MATERIAL AND METHODS: The SP includes 6 modules: the Central Archive of Medical Images or the Picture Archiving and Communication System (PACS) and connection to a single circuit of all CT devices of the regional medical institutions; Stroke register; secondary prevention register; routing bureau; statistics and analytics; COVID platform. The SP, as it develops, can be supplemented with those modules that are necessary to improve the quality and availability of patient care. More than 100 consultations of CT images are carried out monthly through the SP, the average response time is less than 10 minutes, 52 platform participants are in constant contact, all medical institutions of the region are connected. Five hundred and forty patients were consulted for 6 months of 2020 | ||
| 520 | |a RESULTS: The share of hospitalizations in specialized departments increased to 97.6% versus 86.3%. The availability of high-tech medical care for patients with stroke has increased due to timely transfer to the district vascular center. Endovascular interventions for aneurysms and arteriovenous malformations, stenting of extracerebral arteries during dissection, mechanical thrombectomy from large arteries are performed. Mortality decreased from 19.7% (2019) to 17.6%. At the stage of outpatient follow-up, it is possible to obtain information about the range of those drugs that are prescribed to the patient for prophylaxis and are delivered to the target | ||
| 520 | |a CONCLUSION: The main feature of the SP is the speed and efficiency of making medical decisions, ergonomics and ease of interaction, a single workspace | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a cerebral infarction | |
| 650 | 4 | |a electronic medical records | |
| 650 | 4 | |a neuroimaging | |
| 650 | 4 | |a online consultation | |
| 650 | 4 | |a practical telemedicine | |
| 650 | 4 | |a register | |
| 650 | 4 | |a rehabilitation | |
| 650 | 4 | |a routing | |
| 650 | 4 | |a secondary prevention | |
| 650 | 4 | |a stroke platform | |
| 650 | 4 | |a «therapeutic window» | |
| 700 | 1 | |a Mikryukov, A V |e verfasserin |4 aut | |
| 700 | 1 | |a Chefranova, Zh Yu |e verfasserin |4 aut | |
| 700 | 1 | |a Yatsenko, E A |e verfasserin |4 aut | |
| 700 | 1 | |a Vlasov, P N |e verfasserin |4 aut | |
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| 773 | 1 | 8 | |g volume:120 |g year:2020 |g number:12. Vyp. 2 |g day:12 |g pages:32-36 |
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