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| Application of regional ECG remote consultation center in hospital intranet |
| Zhang Shu-gui, Zhou Tong-xia, Wu Ye-xin, Liu Zhi-ying |
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Abstract Objective To explore the application effect of regional ECG remote consultation center in hospital internal clinical departments. Methods Retrospective analysis was performed on the ECG data collected by hospital internal clinical departments after the establishment of the regional ECG remote consultation center. Within a statistical period of 2013-2019, the statistics of ECG workload, detection rate of abnormal ECG and different types of commonlyseen abnormal ECG were obtained; the number of the patients with ECG critical values in hospital intranet was counted. The accuracy rate of ECG diagnosis report was made a comparison before and after the establishment of the ECG remote consultation center. Results From 2013 to 2019, the detection rate of abnormal ECGs in hospital intranet is 59.08%, among which there is 38.67% of ST and T-wave changes, 7.73% of complete right bundle branch block, 4.28% of atrial premature beats, and 3.99% of atrial fibrillation. During the period of 2013-2019, the accumulative total patients with ECG critical values in hospital intranet reach 643 cases. After the establishment of the ECG consultation center, the accuracy rates of ECG diagnosis reports from 2013 to 2019 are all significantly higher than that in 2012(P<0.01), and the accuracy rate of ECG diagnosis report shows a progressively upward trend(P<0.01).Conclusion Regional ECG remote consultation center can provide rapid ECG diagnosis for each clinical department by network, identify the patients with ECG critical values in an early phase, and offer diagnosis and treatment in time. Additionally, the center helps to enhance the professional proficiency of ECG clinicians and improve the accuracy rate of ECG diagnosis report.
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