Electronic protocol for clinical data collection in chronic visceral ischemia
Protocolo eletrônico de coleta de dados clínicos da isquemia visceral crônica
Adriana Buechner de Freitas Brandão, Jorge Rufino Ribas Timi, Osvaldo Malafaia
Abstract
Patients with vascular diseases present with a long medical history which makes for complex and confusing medical records. Electronic record systems have a large storage capacity and high information processing capabilities, and may therefore improve the quality and reliability of prospective clinical studies. In the present study, a theoretical framework for clinical data collection in chronic visceral ischemia was created containing 5706 items, organized into six major categories: medical history, physical examination, laboratory testing, diagnosis, treatment and outcome. The database was used to construct an electronic data collection protocol, which was uploaded into the Integrated Electronic Protocol System (Sistema Integrado de Protocolos Eletrônicos, SINPE©) and then used to perform retrospective collection and analysis of clinical data from 10 patients using the SINPE© analysis module.
Keywords
Resumo
Pacientes portadores de doenças vasculares possuem histórico médico longo, o que dificulta a revisão das informações contidas nos prontuários. Protocolos eletrônicos de dados clínicos permitem grande capacidade de armazenamento e processamento de informações, otimizando a qualidade e a confiabilidade de trabalhos científicos. Neste trabalho foi criada uma base teórica para coleta de dados clínicos referentes à isquemia crônica visceral composta de 5.706 itens agrupadas sob os seguintes categorias principais: anamnese, exame físico, exames complementares, diagnóstico, tratamento e evolução. Essa base foi transformada em um protocolo eletrônico de coleta de dados, e este foi incorporado ao Sistema Integrado de Protocolos Eletrônicos (SINPE©) e utilizado para cadastrar, coletar e analisar os dados de dez pacientes através do módulo SINPE© Analisador.
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References
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