Creating a Paper-Based Personal Health Record for HIV-Infected Persons

Nokes, Kathleen M.; Hughes, Valery; Santos, Ryan; Bang, Heejung

doi:10.1016/j.jana.2011.11.004

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…As patients living with HIV are considered to be at higher risk of CVD, 30 the detection and management of both risk factors and manifest heart disease, along with a number of medications that HIV-infected patients take, have become a priority in the routine care of these patients. 31 - 33 …”

Section: Discussionmentioning

confidence: 99%

Prolonged QTc in HIV-Infected Patients: A Need for Routine ECG Screening

Myerson

Kaplan-Lewis

Poltavskiy

et al. 2019

J Int Assoc Provid AIDS Care

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Background: With patients infected with HIV living longer, there is an increased burden of comorbidities related to aging, HIV itself and polypharmacy. Cardiac morbidity is of particular importance. Methods: This two-group comparison study (156 HIV-positive and 105 HIV-negative patients) investigated the prevalence of abnormalities in and factors associated with an electrocardiogram (ECG) measure, corrected QT interval (QTc), where prolongation can lead to arrhythmia and sudden death. Medications prescribed (antiretroviral therapy (ART), psychiatric medications, methadone, and antibiotics) at the time of ECG were noted. Patient characteristics, medications, QTc and ECG characteristics were compared between two groups. Results: Prolongation (29% vs. 19%) and extreme prolongation (6% vs. 1%) in QTc were more frequent in those with HIV. ART was associated with lower odds of prolonged QTc (OR=0.35; p=0.04), while methadone with higher odds (OR=4.6; p=0.01) in HIV-positive patients. With methadone and medication groups adjusted, HIV status was still associated with 17 msec longer QTc (p=0.04). Conclusion: This study provides evidence that patients with HIV may have clinically relevant longer QTc interval on ECG. Baseline and routine ECG monitoring may be warranted among patients living with HIV in clinical practice based on cumulative evidence.

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Section: Discussionmentioning

confidence: 99%

Prolonged QTc in HIV-Infected Patients: A Need for Routine ECG Screening

Myerson

Kaplan-Lewis

Poltavskiy

et al. 2019

J Int Assoc Provid AIDS Care

Self Cite

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“…Some studies have been carried out on a small sample size [24,25] and others on a very large one [26]. In this respect, researchers found that paper-based PHR studies encompassed a small sample size and electronic PHR studies had been conducted by employing a large sample size.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Effect of Web-Based Iranian Diabetic Personal Health Record App on Self-Care Status and Clinical Indicators: Randomized Controlled Trial

Azizi¹,

Aboutorabi²,

Khorasani³

et al. 2016

JMIR Med Inform

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BackgroundThere are 4 main types of chronic or noncommunicable diseases. Of these, diabetes is one of the major therapeutic concerns globally. Moreover, Iran is among the countries with the highest incidence of diabetic patients. Furthermore, library-based studies by researchers have shown that thus far no study has been carried out to evaluate the relationship between Web-based diabetic personal health records (DPHR) and self-care indicators in Iran.ObjectiveThe objective of this study is to examine the effect of Web-based DPHR on self-care status of diabetic patients in an intervention group as compared with a control group.MethodsThe effect of DPHR on self-care was assessed by using a randomized controlled trial (RCT) protocol for a 2-arm parallel group with a 1:1 allocation ratio. During a 4-month trial period, the control group benefited from the routine care; the intervention group additionally had access to the Web-based DPHR app besides routine care. During the trial, 2 time points at baseline and postintervention were used to evaluate the impact of the DPHR app. A sample size of 72 people was randomly and equally assigned to both the control and intervention groups. The primary outcome measure was the self-care status of the participants.ResultsTest results showed that the self-care status in the intervention group in comparison with the control group had a significant difference. In addition, the dimensions of self-care, including normal values, changes trend, the last measured value, and the last time measured values had a significant difference while other dimensions had no significant difference. Furthermore, we found no correlation between Web-based DPHR system and covariates, including scores of weight, glycated hemoglobin (HbA1c), serum creatinine, high-density lipoprotein (HDL), low-density lipoprotein (LDL), total cholesterol, and planned visit adherence, as well as the change trend of mean for blood glucose and blood pressure.ConclusionsWe found that as a result of the Web-based DPHR app, the self-care scores in the intervention group were significantly higher than those of the control group. In total, we found no correlation between the Web-based DPHR app and covariates, including planned visit adherence, HbA1c, serum creatinine, HDL, LDL, total cholesterol, weight, and the change trend of mean for blood glucose and blood pressure.ClinicalTrialIranian Registry of Clinical Trials (IRCT): 2013082914522N1; http://www.irct.ir/searchresult.php?id= 14522&number=1 (Archived by WebCite at http://www.webcitation.org/6cC4PCcau)

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What is a PHR? Definitions of Personal Health Record (PHR) Used in Literature—A Systematic Literature Review

Koskinen

Rantanen

2020

Communications in Computer and Information Science

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Creating a Paper-Based Personal Health Record for HIV-Infected Persons

Cited by 4 publications

References 12 publications

Prolonged QTc in HIV-Infected Patients: A Need for Routine ECG Screening

Prolonged QTc in HIV-Infected Patients: A Need for Routine ECG Screening

Evaluating the Effect of Web-Based Iranian Diabetic Personal Health Record App on Self-Care Status and Clinical Indicators: Randomized Controlled Trial

What is a PHR? Definitions of Personal Health Record (PHR) Used in Literature—A Systematic Literature Review

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