超声心动图远程专业知识对先天性心脏病管理的贡献：布基纳法索的经验

IF 0.3 Q4 Medicine

Annales de cardiologie et d'angeiologie Pub Date : 2025-07-06 DOI:10.1016/j.ancard.2025.101902

Relwendé Aristide Yameogo , Lydie Kologo , Adama Sawadogo , Yibar Kambire , Hippolyte N Some , Lassina Konate , Safiatou Tiemtore , Lynda Compaore , Patrice Zabsonre , Nicolas Meda , Cheick Oumar Bagayoko

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引用次数: 0

摘要

医学成像是信息和通信技术（ict）的一个主要焦点，因为它产生的数字数据量最大。利用这些数据为患者提供了一个机会，让他们能够更好地了解这些数据。我们研究的目的是评估超声心动图远程专业知识在布基纳法索心脏病管理中的贡献。方法：该前瞻性队列研究于2021年2月16日至2023年4月6日在Tengandogo大学医院胸外科和心血管外科进行。包括那些在布基纳法索接受过超声心动图远程专家和心脏手术的患者。我们比较了求诊医师与会诊医师诊断的一致性，以及会诊医师与术中诊断的一致性。诊断符合率用于比较。结果布基纳法索共有384例患者受益于远程专业知识，123例患者接受了手术。其中，111名患者被纳入研究。该队列以女性为主（59.5%），平均年龄9.3岁。先天性心脏病占82.9%，以动脉导管未闭为主（40.2%）。获得性心脏病占17.1%，以二尖瓣狭窄为主（52.6%）。求诊与会诊心脏科医生的诊断符合率为94.5%，会诊心脏科医生的诊断符合率为100%。死亡率为3.6%。结论超声心动图远程诊断是一种可靠、安全的方法，可用于患者管理和心脏科医师的持续培训。在有心脏病专家的地区医院部署这种做法可以改善医疗保健服务。

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Contribution de la téléexpertise échocardiographique à la prise en charge des cardiopathies congénitales : expérience du Burkina Faso

Introduction

Medical imaging is a major focus of information and communication technologies (ICTs) as it generates the largest volume of digital data. L’utilisation de la télémédecine est une opportunité qui permettra d’améliorer la prise en charge des patients. The objective of our study was to assess the contribution of echocardiographic tele-expertise in the management of heart diseases in Burkina Faso.

Methods

This was a prospective cohort study conducted from February 16, 2021, to April 6, 2023, in the thoracic and cardiovascular surgery department of the Tengandogo University Hospital. Patients included were those who had undergone echocardiographic tele-expertise and cardiac surgery in Burkina Faso. We compared the concordance between the diagnoses of the requesting cardiologist and the consulting cardiologist on one hand, and between the consulting physician and intraoperative diagnoses on the other hand. Diagnostic concordance rates were used for comparisons.

Results

A total of 384 patients benefited from tele-expertise, and 123 underwent surgery in Burkina Faso. Of these, 111 patients were included in the study. The cohort exhibited a female predominance (59.5%), with a mean age of 9.3 years. Congenital heart diseases accounted for 82.9% of cases, dominated by patent ductus arteriosus (40.2%). Acquired heart diseases represented 17.1%, mainly mitral stenosis (52.6%). The diagnostic concordance rate was 94.5% between the requesting and consulting cardiologists and 100% between the consulting cardiologist and intraoperative findings. The mortality rate was 3.6%.

Conclusion

Echocardiographic tele-expertise is a reliable and safe practice for both patient management and continuous training of cardiologists. Deploying this practice in regional hospital with cardiologists can improve healthcare delivery.

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来源期刊

Annales de cardiologie et d'angeiologie 医学-外周血管病

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Organe scientifique de référence fondé en 1951, les Annales de cardiologie et d''angéiologie abordent tous les domaines qui intéressent quotidiennement les cardiologues et les angéiologues praticiens : neurologie et radiologie vasculaires, hémostase, diabétologie, médecine interne, épidémiologie et prévention. Les Annales de cardiologie et d''angéiologie sont indexées aux grandes bases de données et publient rapidement, et en conformité avec les normes internationales de publication scientifique, des articles en français sur la pathologie cardiaque.