Description and Validation of TAVIApp: A Novel Mobile Application for Support of Physicians in the Management of Aortic Stenosis—Management of Aortic Stenosis with TAVIApp.
Background. Aortic stenosis (AS) is the most common heart valve disease in developed countries. The advent of transcatheter aortic valve implantation (TAVI) significantly improved patients’ outcome but made clinical management more complex. The aim of the present study was to describe TAVIApp, a mob...
| Publicado en: | BioMed Research International Vol. 2017; pp. 1 - 9 |
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| Autores principales: | , , , , , |
| Formato: | algorithm diagnostic images pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
11/15/2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126237730&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126237730 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23146133 FT2T jtl: BioMed Research International issn: 23146133 maglogo: N pubinfo: dt: 11/15/2017 vid: 2017 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 126237730 126237730 126237730 10.1155/2017/9027597 126237730 ppf: 1 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Description and Validation of TAVIApp: A Novel Mobile Application for Support of Physicians in the Management of Aortic Stenosis—Management of Aortic Stenosis with TAVIApp. aug: au: Indolfi, Ciro Sabatino, Jolanda De Rosa, Salvatore Mongiardo, Annalisa Ricci, Pietrantonio Spaccarotella, Carmen affil: Division of Cardiology, Department of Medical and Surgical Sciences, Magna Græcia University, Catanzaro, Italy sug: subj: Aortic Valve Stenosis Therapy Mobile Applications Utilization Aortic Valve Stenosis Diagnosis Human Single-Blind Studies Cardiologists Interns and Residents kappa Statistic P-Value Heart Valve Prosthesis Decision Making, Clinical Patient Selection ab: Background. Aortic stenosis (AS) is the most common heart valve disease in developed countries. The advent of transcatheter aortic valve implantation (TAVI) significantly improved patients’ outcome but made clinical management more complex. The aim of the present study was to describe TAVIApp, a mobile app we developed to guide the management of AS, and test its efficacy. Methods and Results. Clinical cases comprising 42 patients with AS were blindly evaluated by (A) an interventional cardiologist, assisted by the Heart Team (EXPERT), (B) young residents in cardiology, and (C) a young resident supported by TAVIApp. There was poor concordance between Group A and Group B with low performance by young residents (k=0.52; p<0.001). However, concordance increased to an optimal value when young residents were supported by TAVIApp (k=1.0; p<0.001) for the diagnosis of severe AS and eligibility assessment. Furthermore, regarding the selection of the most appropriate prosthesis size, concordance to Group A was poor without TAVIApp support (Group B) (k=0.78; p=0.430), but excellent with TAVIApp (k=1.0; p<0.001). Conclusions. This study is the first describing and validating a new mobile application to support the management of AS. TAVIApp supports cardiologists in the evaluation of stenosis severity, eligibility for TAVI or AVR, and selection of the most appropriate prosthesis size in individual patients. pubtype: Academic Journal doctype: algorithm diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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