Protocolo eletrônico multiprofissional de coleta de dados clínicos e cirúrgicos em insuficiência venosa crônica
Multidisciplinary electronic protocol for collection of clinical and surgical data on chronic venous insufficiency
Carla Contin Mottin; Henrique Jorge Stahlke Junior; Osvaldo Malafaia
Resumo
Palavras-chave
Abstract
Background: Use of electronic protocols for data collection and storage enables clinical research to be conducted dynamically, contributing to medical advances. Objectives: To create an electronic data base for collection of clinical and surgical data on chronic venous insufficiency (CVI), to facilitate production of scientific studies. Methods: Initially, a database was constructed by means of a bibliographic review of text books and relevant scientific articles for all vascular diseases and then a database on CVI was extracted. These data were computerized using the Integrated Electronic Protocols System (SINPE) and then assessed in a pilot project. Results: The multidisciplinary electronic protocol for vascular diseases covered the following items: history taking, physical examination, work-up tests, types of treatment, and progression. Using these items, a master protocol was created containing 6,145 items, and then a CVI-specific protocol containing 2,877 items was compiled. The protocol’s functionality was tested in a pilot project, collecting data from medical records. The information collected was analyzed and illustrated graphically. Conclusions: It proved possible to create an electronic protocol for collection of clinical and surgical data on CVI. The protocol was incorporated into the SINPE, greatly facilitating production of scientific research in the area.
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References
1 Haux R, Ammenwerth E, Herzog W, Knaup P. Health care in the information society: a prognosis for the year 2013. Int J Med Inform. 2002;66(1-3):3-21.
2 Doebbeling BN, Chou AF, Tierney WM. Priorities and strategies for the implementation of integrated informatics and communications technology to improve evidence-based practice. J Gen Intern Med. 2006;21(2, Suppl 2):s50-7.
3 Atallah AN. A incerteza, a ciência e a evidência. Diagn Tratamento. 2004;9:27-8.
4 Blettner M, Sauerbrei W, Schlehofer B, Scheuchenpflug T, Friedenreich C. Tradicional reviews, meta-analyses and pooled analyses in epidemiology. Int J Epidemiol. 1999;28(1):1-9.
5 Liang L. The gap between evidence and practice. Health Aff. 2007;26(2, Suppl1):w119-21.
6 Embi PJ, Yackel TR, Logan JR, Bowen JL, Cooney TG, Gorman PN. Impacts of computerized physician documentation in a teaching hospital: perceptions of faculty and residents physicians. J Am Med Inform Assoc. 2004;11(4):300-9.
7 Leape LL, Berwick DM. Safe health care: are we up to it? BMJ. 2000;320(7237):725-6.
8 Bates DW. Using information technology to reduce rates of medication errors in hospitals. BMJ. 2000;320(7237):788-91.
9 Christakis NA. Don’t just blame the system. BMJ. 2008;336(7647):747.
10 Malafaia O, Borsato EP, Pinto JSP. Gerenciamento do conhecimento em protocolos eletrônicos de coleta de dados. In: Anais do III Simpósio Internacional de Gestão do Conhecimento; 2003; Curitiba, PR, Brasil. Curitiba: PUC-PR; 2003.
11 Oliveira M, Moraes RS, Matias JE, et al. Análise informatizada dos resultados obtidos pela aplicação de protocolo eletrônico na microcirurgia endoscópica transanal (TEM). ABCD. 2010;23(1):29-34.
12 Aranha AA Jr, Campos AC, Pinto JS, Agulham MA, Scheferbecker ME, Branco AB. Protocolo eletrônico para coleta estruturada de dados clínicos para pacientes pediátricos em terapia nutricional utilizando o SINPE© (Sistema Integrado de Protocolos Eletrônicos). Rev Col Bras Cir. 2009;36(1):73-7.
13 Kalil-Filho FA, Campos AC, Tambara EM, et al. Physiotherapeutic approaches and the effects on inspiratory muscle force in patients with chronic obstructive pulmonary disease in the pre-operative preparation for abdominal surgical procedures. ABCD. 2019;32(2):e1439.
14 Ribeiro CG, Moreira AT, Pinto JS, Malafaia O. Multiprofissional electronic protocol in ophtalmology with enfasis in strabismus. Rev Col Bras Cir. 2016;43(3):171-7.
15 Thomaz JB, Belczak CEQ. Tratado de flebologia e linfologia. Rio de Janeiro: Livraria e Editora Rubio; 2006.
16 Maffei FU, Lastória S, Yoshida WB, Rollo HA, Giannini M, Moura R. Doenças vasculares periféricas. 4. ed. Rio de Janeiro: Guanabara Koogan; 2008.
17 Rutherford RB. Vascular surgery. 6th ed. Philadelphia: WB Sauders; 2005.
18 Brito CJ, Duque A, Merlo I, Murilo R, Fonseca VL Fo. Cirurgia vascular: cirurgia endovascular: angiologia. 2. ed. Rio de Janeiro: Revinter; 2008.
19 Haimovici H, Ascher E, Hollier LH, et al. Cirurgia vascular. 5. ed. Rio de Janeiro: Revinter; 2006.
20 Rabe E, Pannier F. Clinical, aetiological, anatomical and phatological classificacion (CEAP): gold standard and limits. Phebology. 2012;27(Suppl 1):114-8.
21 Silva MC. Chronic venous insufficiency of the lower limbs and its socio-economic significance. Int Angiol. 1991;10(3):152-7. PMid:1765717.
22 Scuderi A, Raskin B, Al Assal F, et al. The incidence of venous disease in Brazil based on the CEAP classification. Int Angiol. 2002;21(4):316-21. PMid:12518109.
23 Vascular Society. The national vascular database report. London: Vascular Society of Great Britain & Ireland; 2009.
24 Meissner MH, Natiello C, Nicholls SC. Performance of the venous clinical severity score. J Vasc Surg. 2002;36(5):889-95.
25 Eklöf B, Rutherford RB, Bergan JJ, et al. Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg. 2004;40(6):1248-52.
26 Dick IRS. The computer-based patient record: an essential technology for health care. Washington: Institute of Medicine/National Academy Press; 1991.
27 Rind DM, Kohane IS, Szolovits P, Safran C, Chueh HC, Barnett GO. Maintaining the confidentiality of medical records shared over the Internet and the World Wide Web. Ann Intern Med. 1997;127(2):138-41.
28 Massad E, Marin HF, Azevedo RS No. O prontuário eletrônico do paciente na assistência, informação e conhecimento médico. São Paulo: Universidade Federal de São Paulo; 2003.
29 Erzinger FL, Malafaia O, Timi JRR. Base eletrônica de dados dos aneurismas arteriais. J Vasc Bras. 2014;13(4):294-305.
30 Brandão ABF, Timi JRR, Malafaia O. Protocolo eletrônico de coleta de dados clínicos da isquemia visceral crônica. J Vasc Bras. 2017;16(1):35-42.
31 Nejm CS Jr, Timi JRR, Amaral VB. Base eletrônica de dados clinicos e cirúrgicos em isquemia crônica de membros inferiores. J Vasc Bras. 2013;12(3):207-15.
32 Borsato EP, Pinto JSP, Malafaia O. Um repositório de metadados para protocolos de pesquisa na área médica. In: Anais do IX Congresso Brasileiro de Informática em Saúde (CBIS'2004); 2004; Ribeirão Preto. Ribeirão Preto: SBIS; 2004.
Submitted date:
12/09/2019
Accepted date:
05/15/2020