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Epidemiological characteristics and therapeutic management of patients with chronic heart failure who use smartphones: Potential impact of a dedicated smartphone application (report from the OFICSel study).

使用智能手机的慢性心力衰竭患者的流行病学特征和治疗管理: 专用智能手机应用程序的潜在影响 (来自OFICSel研究的报告)。

  • 影响因子:2.06
  • DOI:10.1016/j.acvd.2020.05.006
  • 作者列表:"Pezel T","Berthelot E","Gauthier J","Chong-Nguyen C","Iliou MC","Juillière Y","Galinier MC","De Groote P","Beauvais F","Bauer F","Vergeylen U","Gellen B","Raphael P","Bezard M","Ricci JE","Boiteux MC","Bonnefous L","Bodez D","Audureau E","Damy T
  • 发表时间:2021-01-01
Abstract

BACKGROUND:The effectiveness of transitional care services for patients discharged from hospital after acute heart failure is challenging, especially in terms of reducing subsequent heart failure hospitalizations. The increased adoption of smartphone applications in society offers a new opportunity to interact with patients to avoid rehospitalization. Thus, electronic health (e-health) can enhance the impact of existing therapeutic education programmes. AIMS:To determine the prevalence of smartphone use among patients with chronic heart failure, and to assess the epidemiological characteristics and therapeutic management of these patients, with a broader aim of developing smartphone-based therapeutic education programmes for patients. METHODS:The French Observatoire français de l'insuffisance cardiaque et du sel (OFICSel) registry was conducted in 2017 by 300 cardiologists, and included both inpatients and outpatients who had been hospitalized for heart failure at least once in the previous 5 years. Data collection included demographic and heart failure-related variables, which were provided by the cardiologist and by the patient via a questionnaire. RESULTS:Among the 2822 patients included, 2517 completed the questionnaire. Of this total, 907 patients (36%) were smartphone users. Compared with non-users, smartphone users were younger, were more frequently men, more frequently lived in cities, had a higher educational level and were more frequently professionally active. Smartphone users less frequently had diabetes, hypertension, atrial fibrillation or ischaemic cardiopathy. Only 22% of patients were actively participating in a therapeutic education programme. CONCLUSION:Smartphones were used by more than one-third of patients with heart failure in France in 2017, underscoring the feasibility of developing a smartphone application to deliver therapeutic education to the population with chronic heart failure.

摘要

背景: 急性心力衰竭后出院患者的延续护理服务的有效性具有挑战性,特别是在减少随后的心力衰竭住院方面。智能手机应用在社会中的采用增加提供了与患者互动以避免再次住院的新机会。因此,电子健康 (电子健康) 可以增强现有治疗教育方案的影响。 目的: 确定慢性心力衰竭患者中智能手机使用的流行率,并评估这些患者的流行病学特征和治疗管理,更广泛的目标是为患者开发基于智能手机的治疗教育计划。 方法: 法国心脏病学研究中心 (OFICSel) 登记于2017年由300名心脏病学家进行,包括过去5年中至少因心力衰竭住院一次的住院患者和门诊患者。数据收集包括人口统计学和心力衰竭相关变量,由心脏病专家和患者通过问卷提供。 结果: 在纳入的2822例患者中,2517例完成了问卷调查。其中,907例患者 (36%) 是智能手机用户。与非用户相比,智能手机用户更年轻,更频繁地是男性,更频繁地居住在城市,具有更高的教育水平和更频繁的专业活动。智能手机用户患糖尿病、高血压、房颤或缺血性心脏病的频率较低。只有22% 的患者积极参与治疗教育计划。 结论: 2017年法国超过3分之1的心力衰竭患者使用智能手机,强调了开发智能手机应用程序向慢性心力衰竭人群提供治疗教育的可行性。

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