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Network Care: Network of Care in Pediatric Cardiology and Perinatology with use of telemedicine in Paraíba.
Brazil (IFMSA-Brazil) - Faculdade de Ciências Médicas de Paraíba (FCM-PB), João Pessoa
Department of Health Promotion, Center of Medical Sciences,
Claudio Teixeira Regis
Claudio Teixeira Regis, Juliana S. Soares de Araujo
English, Spanish, Portuguese
Type of Research Project
- Clinical Project with Laboratory work
What is the background of the project?
Congenital malformations represent the second major cause of mortality in children under one year, being the most frequent congenital heart diseases and with high mortality in the first year of life especially in Latin America. The scarcity of studies using official data about congenital heart diseases in Brazilian Health System led to the elaboration of this study. Knowledge about completing this information promotes indicators related to the prevalence of cases, good assistance practices and specific outcomes. As an important instrument, there is the Network Care. It has in telemedicine one of the tools to enable the assistance process in the state of Paraíba, and aims to qualify the local professional, so that it can fill the gap existing by the professional deficit, as well as compile data that allow the development of medical research to help improve the work of this network. Network Care acts in the early diagnosis, when implementing a screening program in congenital heart disease in the state maternity units by performing arterial- pulse oximetry (APO) after 24 hours of birth, as well as the screening by performing the echocardiogram screening by neonatologist in the course of an APO considered altered; appropriate assistance to children with congenital and acquired heart disease, including surgical procedure, hospitalization and ambulatory follow-up.
What is the aim of the project?
To characterize the epidemiological and clinical profile of congenital heart diseases through clinical outpatient follow-up and screening of congenital heart diseases by arterial pulse oximetry and screening echocardiogram in Maternity.
What techniques and methods are used?
The Network Care is composed of a specialized regional center and a local specialized complex; level I maternity hospitals (high complexity care) and level II maternities (low and medium complexity care). The axis of pediatric cardiology works in partnership with the maternity care teams, with the first screening for diagnosis of severe congenital heart disease through arterial-pulse oximetry, performed from the first 24 hours after birth. Secondly, neonatologists carry out a second screening through echocardiography, under direct on-line supervision by pediatric cardiologists, in patients with murmurs, children of diabetic mothers, who present with cyanosis or have arterial-pulse oximetry altered in order to rule out serious structural pathologies. The patients with alterations will be referred to the pediatric cardiologist, classified according to their severity, in the Arlinda Marques Pediatric Complex. The Network also provides outpatient follow-up, in a third moment, with clinical pediatricians accompanying the patients with heart disease, assisted by the cardiologist through telemedicine. The data collected are stored in a database system and sent for further analysis in the Statistical Department of the Federal University of Paraíba (UFPB).
What is the role of the student?
- The student will mainly observe
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- If the project includes “lab work”
- the student will take active part in the practical aspect of the project
- If the project is clinical
- the student will take active part in the clinical examination
- If the project is clinical
- the student will be allowed to work with patients
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
The student will be responsible for feeding a spreadsheet with information such as the child's name, date of birth, mother's name, prenatal and perinatal complications, and eventually cause patient mortises. The student will participate in the collection of these data by interviewing patients and performing the physical examination, which includes assessing arterial-pulse oximetry (APO), and using the echocardiogram. Based on these data, the student will calculate the coefficients of early neonatal mortality, late neonatal and postneonatal mortality, and the infant mortality coefficient for congenital heart disease - CC according to the pre-defined formulas. Regarding data analysis, the student will tabulate this data with the support of Epi info and Excel software, in the Statistical Department of the Federal University of Paraiba. In addition, it is expected that the student, during the exchange, accomplish bibliographic research about the study area.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a scientific report - The student will prepare an abstract - The student will have the opportunity to present the results together with the supervisor at a conference
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Knowledge in cardiology and neonatology. Curiosity, proactive and being committed towards the project. Besides that, it is required writing skills, especially about scientific articles.
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students - Graduated students (less than 6 months) - Pre-Medical students from the American-British system - Students in biomedical fields
- DE ARAUJO; J. S. S.; DIAS FILHO; A.V.; GOMES; R.G.S.; et al.; “Impact of a Virtual Clinic in a Paediatric Cardiology Network on Northeast Brazil;” International Journal of Telemedicine and Applications; vol. 2015; Article ID 504015; 4 pages; 2015. Available at: https://doi.org/10.1155/2015/504015
- MATTOS; S.S.; HAZIN; S.M.V.; REGIS; C.T.; et al. A telemedicine network for remote paediatric cardiology services in north-east Brazil. Bulletin of the World Health Organization; v. 93; n. 12; p.881-887; 2015. Available at: http://dx.doi.org/10.2471/BLT.14.148874
- GALDINO; M. M.; HAZIN; S. M.; DE ARAUJO; J. S.; REGIS; C. T.; et al. Diagnosis and management of Transposition of great arteries within a pediatric cardiology network with the aid of telemedicine: A case report from Brazil. Journal of Telemedicine and Telecare; v. 22; p. 179-182; 2016. Available at: https://doi.org/10.1177/1357633X15592733
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