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Electronic health record with computerized decision support tools for the purposes of a pediatric cardiovascular heart disease screening program in Crete
- Source :
- Computer Methods and Programs in Biomedicine. 159:159-166
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Background and Objective Early detection of cardiovascular (CV) disease or associated risk factors during childhood is of paramount importance, allowing for early treatment or lifestyle modifications, respectively. The objective of this study was to describe the development of an electronic health record (EHR), with integrated computerized decision support system (CDSS), specifically designed for supporting the needs of a pilot pediatric CV disease screening program applied on primary school students of a Mediterranean island. Methods Evidence-based knowledge, national and international practice guidelines regarding sport preparticipation CV screening of children and young athletes has been used for the design of the designated EHR. A CDSS, capable for providing alerts for further cardiology evaluation need, has been incorporated into the EHR, based on normative anthropometric and electrocardiographic data as well as predefined positive history responses. Results We developed a designated EHR with integrated CDSS supporting pediatric CV disease screening, capable for documenting CV-related personal and family history responses, physical evaluation data (weight, height, blood pressure), allowing for entering electrocardiogam (ECG) measurements and for uploading of multimedia files (including ECG images and digital phonocardiogram audio files). The EHR incorporates clinical calculators and referral alerts for the presence (and degree) of adiposity, hypertension, ECG abnormalities and positive history responses indicative of high CV disease risk. In a preliminary EHR validation, performed by entering data from 53 previously available paper-based health records, the EHR was proven to be fully functional. Conclusions The pediatric cardiology EHR with CDSS features which we developed might serve as a model for EHR for primary health care purposes, capable to document and early detect CV disease and associated risk factors in pediatric populations.
- Subjects :
- Male
Decision support system
Referral
Cardiology
Health Informatics
Disease
030204 cardiovascular system & hematology
Cardiovascular System
Pediatrics
Clinical decision support system
Electrocardiography
03 medical and health sciences
0302 clinical medicine
Disease Screening
Risk Factors
Electronic health record
health services administration
Electronic Health Records
Humans
Mass Screening
Medicine
030212 general & internal medicine
Family history
Child
health care economics and organizations
Evidence-Based Medicine
Greece
Primary Health Care
Computers
business.industry
Blood Pressure Determination
Anthropometry
Decision Support Systems, Clinical
medicine.disease
Computer Science Applications
Cardiovascular Diseases
Hypertension
Female
Medical emergency
business
Software
Subjects
Details
- ISSN :
- 01692607
- Volume :
- 159
- Database :
- OpenAIRE
- Journal :
- Computer Methods and Programs in Biomedicine
- Accession number :
- edsair.doi.dedup.....5b0d008c8b3456d44de057ac8aa5c606
- Full Text :
- https://doi.org/10.1016/j.cmpb.2018.03.009