Osteoguia: Sistema de apoio a decisão em osteoporose

• Autor(a) principal: Bernardi, Hélio Luiz Fernando
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/5929
• topic: Ageing; Brazil; eHealth; Osteoporosis; Telemedicine; Geriatrics; Envelhecimento; Brasil; eHealth; Osteoporose; Telemedicina; Geriatria; Osteoporose; Telemedicina; População - Envelhecimento; CNPQ::CIENCIAS DA SAUDE::MEDICINA::CLINICA MEDICA::REUMATOLOGIA

As the population ages, the prevalence of osteoporosis and fragility fractures increases, generating an important impact on mortality and on public health costs. In 2010 there were more than 20 million Brazilians over 65 years of age, and the projection is to exceed 50 million by 2050. Brazil is a multi ethnic country with continental dimensions and with low resources making population studies on osteoporosis a difficult task. Some of them, such as the Brazilian Osteoporosis Study, showed that the prevalence of the disease ranges from 6 to 33% and fragility fractures is about 15.1% and that in the country 15% to 30% of patients with hip fractures die In the first year after the event. To develop a clinical decision support system in osteoporosis for health professionals. The system was developed using web technologies such as HTML and CSS and programming languages Javascript and PHP. It features responsive design that can be accessed by computers, tablets and smartphones. A structured form collects patient clinical information, risk factors and bone densitometry examination results. The system presents definitions about the disease, explanations about each risk factor and about the bone densitometry interpretation. According to the patient profile informed in the evaluation form the system issues a personalized report based on the prevention guidelines of the Ministry of Health. It also calculates the patient´s risk classification as low, medium or high according to the Osteorisk tool validated for Latin America. If the patient has undergone bone densitometry the system offers the diagnosis of the exam based on the WHO classification. The dissemination of information and communication technologies using mobile phones and the expansion of broadband in the world had great repercussions in the medical field with the development of web systems and specific applications for health professionals and patients. The country has potential for telemedicine expansion and a decision support system in osteoporosis can be useful for better planning of public health actions, approaching patients and potentially reducing the costs involved