Analysis of application effect of remote ECG system in primary hospitals
FENG Xianghong1, FANG Sheng2, LI Na1, JIANG Hui1, YANG Dongdong1, ZHANG Yuan1, YU Yuan1
(1. Department of Cardiac Function,General Hospital of Huainan Oriental Hospital Group, Huainan Anhui 232001; 2. Department of Electrocardiogram,Fenghuang Hospital of Huainan Oriental Hospital Group, Huainan Anhui 232000, China)
Abstract：Objective To discuss the application value and developing prospect of remote ECG system in primary hospitals. Methods We randomly selected 1 000 cases as research objects from 386 500 ECGs recorded and uploaded via remote ECG network system from the general hospital, branch hospitals, community hospitals, and township health clinics. They were divided into different groups according to data source, ECG characteristics and age before making comparative analysis. Results Among the 1 000 ECGs, 533 cases are from the general hospital while 467 come from primary hospitals such as branch hospitals, community hospitals and township health clinics. A total of 191 (19. 1%) cases of tachyarrhythmia, 103 (10. 3%) cases of bradyarrhythmia, 334 (33. 4%) cases of ST changes and 52(5. 2%) cases of pacing ECGs are found. The incidence of ECG abnormalities in the general hospital is higher than that in primary hospitals (P <0. 01); the incidence of ECG abnormalities varies significantly among different age groups (P <0. 05). Conclusion Remote ECG network is convenient for diagnosis, which can significantly save the medical time, and win time for diagnosing and treating critical and severe patients. It is worthy of being promoted in clinical practice.
