Design, development, and deployment of a web-based registry for cardiovascular intensive care unit (CVICU)

Publish Year: 1402
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:

JR_IJIMI-12-1_020

تاریخ نمایه سازی: 14 آذر 1402

Abstract:

Introduction: The cardiovascular intensive care unit (CVICU) registry provides physicians with tools for monitoring, managing, and following up on patients. The CVICU registry provides researchers with the ability to analyze and evaluate integrated data patients. Our goal with this study is to explain the design, development, and deployment of a comprehensive, integrated, qualified cardiovascular intensive care unit registry, as well as to characterize individuals admitted to CVICUs. Material and Methods: From June ۲۰۱۲, a cohort study of ICU admissions for adults (≥۱۸ years) in a teaching hospital’s CVICU began. The study includes retrospective collection of existing data from paper records and hospital information systems (HIS) and ongoing prospective collection using the proposed CVICU registry portal. Results: Between June ۲۰۱۳ and June ۲۰۲۲, ۲۵۸۷ admissions were included, among which ۱۰۴۱ (۴۰.۲%) were women, ۱۵۴۶ (۵۹.۸%) were man, and the median age was ۵۸ ranging from ۱۸ to ۹۳ years and their mean (SD) age was ۵۶.۸ (۱۳) years. About ۱۱.۱% of the patients died in the CVICU. The primary indications for CVICU care included mechanical ventilation (۲۹.۷%), weaning time or readmission (۴.۹%), cardiovascular (۱۷.۴%), myocardial infarction (۱.۷%), diabetes (۹.۳%), hypertension (۱۴.۳%). Of these, about ۷۳% had coronary artery bypass grafting (CABG), ۱۵% valve surgery and the remains has other cardiovascular surgeries. About ۳۹% experienced an on-pump surgery. In addition, patients had ۶.۴ hours weaning time after operation. The overall CVICU length of stay (LOS) rate was ۳.۶ days and mean predicted by APACHE IV, APACHE II, SOFA, and SAPS II were ۵.۶۷, ۳.۰۳, ۴, and ۴ days, respectively.

Authors

Raheleh Mahboub Farimani

Department of Medical Informatics, Kerman University of Medical Sciences, Kerman, Iran

Shahram Amini

Professor of Anesthesiology and Critical Care, Mashhad University of Medical Sciences, Mashhad, Iran

Eambiz Bahaadinbeigy

Department of Medical Informatics, Kerman University of Medical Sciences, Kerman, Iran

Masoomeh Akbari

Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran