Mobile Health Apps for Medical Emergencies: Systematic Review

Roncero, Alejandro Plaza; Marques, Gonçalo; Abajo, Beatriz Sainz de; Martin-Rodríguez, Francisco; Vegas, Carlos Del Pozo; Garcia‐Zapirain, Begonya; Díez, Isabel de la Torre

doi:10.2196/18513

Cited by 25 publications

(23 citation statements)

References 36 publications

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“…Only 5 diagnostic apps were evaluated. It is worth mentioning STB—Stop The Bleed , an app designed to help anyone learn how to safely and effectively deal with life-threatening bleeding, which has demonstrated the potential of mobile apps in emergency scenarios [ 30 ]. The other 4 diagnostic apps are screening tools based on hematological parameters, questionnaires, and gene traits.…”

Section: Discussionmentioning

confidence: 99%

“…Patients usually search for a health app that allows for medication management, clinical and analytical parameter register, and symptom tracking [ 28 , 37 ]. Patients with hematological conditions would benefit significantly from this type of assistance, as several blood conditions demand constant patient monitoring and high adherence to treatment for a better health outcome [ 18 , 30 ]. My INR , INR Care , and Diario de INR are apps that allow anticoagulated patients to record and track their international normalized ratio readings and antivitamin K dosages.…”

Section: Discussionmentioning

confidence: 99%

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Mobile Apps for Hematological Conditions: Review and Content Analysis Using the Mobile App Rating Scale

Narrillos-Moraza¹,

Gómez-Martínez-Sagrera²,

Amor-García³

et al. 2022

JMIR Mhealth Uhealth

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Background Hematological conditions are prevalent disorders that are associated with significant comorbidities and have a major impact on patient care. Concerning new tools for the care of these patients, the number of health apps aimed at hematological patients is growing. Currently, there are no quality analyses or classifications of apps for patients diagnosed with hematological conditions. Objective The aim of this study is to analyze the characteristics and quality of apps designed for patients diagnosed with hematological conditions by using the Mobile App Rating Scale (MARS). Methods We performed an observational, cross-sectional descriptive study of all smartphone apps for patients diagnosed with hematological conditions. A search was conducted in March 2021 using the following terms: anemia, blood cancer, blood disorder, hematological cancer, hematological malignancy, hematological tumor, hematology, hemophilia, hemorrhage, lymphoma, leukemia, multiple myeloma, thalassemia, thrombocytopenia, and thrombosis. The apps identified were downloaded and evaluated by 2 independent researchers. General characteristics were registered, and quality was analyzed using MARS scores. Interrater reliability was measured by using the Cohen κ coefficient. Results We identified 2100 apps in the initial search, and 4.19% (88/2100) of apps met the inclusion criteria and were analyzed. Of the 88 apps, 61% (54/88) were available on Android, 30% (26/88) were available on iOS, and 9% (8/88) were available on both platforms. Moreover, 7% (6/88) required payment, and 49% (43/88) were updated in the last year. Only 26% (23/88) of the apps were developed with the participation of health professionals. Most apps were informative (60/88, 68%), followed by preventive (23/88, 26%) and diagnostic (5/88, 6%). Most of the apps were intended for patients with anemia (23/88, 26%). The mean MARS score for the overall quality of the 88 apps was 3.03 (SD 1.14), ranging from 1.19 (lowest-rated app) to 4.86 (highest-rated app). Only 47% (41/88) of the apps obtained a MARS score of over 3 points (acceptable quality). Functionality was the best-rated section, followed by aesthetics, engagement, information, and app subjective quality. The five apps with the highest MARS score were the following: Multiple Myeloma Manager, Hodgkin Lymphoma Manager, Focus On Lymphoma, ALL Manager, and CLL Manager. The analysis by operating system, developer, and cost revealed statistically significant differences in MARS scores (P<.001, P<.001, and P=.049, respectively). The interrater agreement between the 2 reviewers was substantial (k=0.78). Conclusions There is great heterogeneity in the quality of apps for patients with hematological conditions. More than half of the apps do not meet acceptable criteria for quality and content. Most of them only provide information about the pathology, lacking interactivity and personalization options. The participation of health professionals in the development of these apps is low, although it is narrowly related to better quality.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Mobile Apps for Hematological Conditions: Review and Content Analysis Using the Mobile App Rating Scale

Narrillos-Moraza¹,

Gómez-Martínez-Sagrera²,

Amor-García³

et al. 2022

JMIR Mhealth Uhealth

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“…Supported by the rapid spread of mobile devices and their innovative features (eg, connectivity, embedded computing capabilities, small size, and versatility), mobile health (mHealth) apps have great potential as tools to support out-of-hospital emergency drug preparation at the point of care. However, a recent systematic review showed that few mHealth apps are available for prehospital settings [ 35 ]. Among these mHealth apps, none has been validated to specifically support emergency drug preparation by EMS personnel with the aim of reducing medication dosing errors and the stress hassle of this procedure.…”

Section: Introductionmentioning

confidence: 99%

Impact of a Mobile App on Paramedics’ Perceived and Physiologic Stress Response During Simulated Prehospital Pediatric Cardiopulmonary Resuscitation: Study Nested Within a Multicenter Randomized Controlled Trial

Lacour

Bloudeau²,

Combescure

et al. 2021

JMIR Mhealth Uhealth

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Background Out-of-hospital cardiac arrests (OHCAs) are stressful, high-stake events that are associated with low survival rates. Acute stress experienced in this situation is associated with lower cardiopulmonary resuscitation performance in calculating drug dosages by emergency medical services. Children are particularly vulnerable to such errors. To date, no app has been validated to specifically support emergency drug preparation by paramedics through reducing the stress level of this procedure and medication errors. Objective This study aims to determine the effectiveness of an evidence-based mobile app compared with that of the conventional preparation methods in reducing acute stress in paramedics at the psychological and physiological levels while safely preparing emergency drugs during simulated pediatric OHCA scenarios. Methods In a parent, multicenter, randomized controlled trial of 14 emergency medical services, perceived and physiologic stress of advanced paramedics with drug preparation autonomy was assessed during a 20-minute, standardized, fully video-recorded, and highly realistic pediatric OHCA scenario in an 18-month-old child. The primary outcome was participants’ self-reported psychological stress perceived during sequential preparations of 4 intravenous emergency drugs (epinephrine, midazolam, 10% dextrose, and sodium bicarbonate) with the support of the PedAMINES (Pediatric Accurate Medication in Emergency Situations) app designed to help pediatric drug preparation (intervention) or conventional methods (control). The State-Trait Anxiety Inventory and Visual Analog Scale questionnaires were used to measure perceived stress. The secondary outcome was physiologic stress, measured by a single continuous measurement of the participants’ heart rate with optical photoplethysmography. Results From September 3, 2019, to January 21, 2020, 150 advanced paramedics underwent randomization. A total of 74 participants were assigned to the mobile app (intervention group), and 76 did not use the app (control group). A total of 600 drug doses were prepared. Higher State-Trait Anxiety Inventory–perceived stress increase from baseline was observed during the scenario using the conventional methods (mean 35.4, SD 8.2 to mean 49.8, SD 13.2; a 41.3%, 35.0 increase) than when using the app (mean 36.1, SD 8.1 to mean 39.0, SD 8.4; a 12.3%, 29.0 increase). This revealed a 30.1% (95% CI 20.5%-39.8%; P<.001) lower relative change in stress response in participants who used the app. On the Visual Analog Scale questionnaire, participants in the control group reported a higher increase in stress at the peak of the scenario (mean 7.1, SD 1.8 vs mean 6.4, SD 1.9; difference: −0.8, 95% CI −1.3 to −0.2; P=.005). Increase in heart rate during the scenario and over the 4 drugs was not different between the 2 groups. Conclusions Compared with the conventional method, dedicated mobile apps can reduce acute perceived stress during the preparation of emergency drugs in the prehospital setting during critical situations. These findings can help advance the development and evaluation of mobile apps for OHCA management and should be encouraged. Trial Registration ClinicalTrials.gov NCT03921346; https://clinicaltrials.gov/ct2/show/NCT03921346 International Registered Report Identifier (IRRID) RR2-10.1186/s13063-019-3726-4

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“…Kerst, Zielasek e Gaebel, 2020), principalmente entre profissionais jovens (Plaza Roncero et al, 2020).…”

Section: Aplicabilidade Do Protocolo Na Prática Clínicaunclassified

“…Além disso, apenas 45,8% dos médicos residentes de psiquiatria consideram a plataforma REDCap de fácil entendimento. Esse dado foi surpreendente, uma vez que dados da literatura sugerem que os dispositivos móveis como aplicativos estão se tornando os principais instrumentos de acesso à informação clínica, especialmente para estudantes e jovens profissionais de saúde (Plaza Roncero et al, 2020). Em geral, o uso do REDCap é considerado de fácil entendimento, sendo esse método preferido ao uso de papel e caneta (Grimes et al, 2020;Thomas et al, 2020), mesmo em população idosa (Hurria et al, 2016).…”

Section: Aplicabilidade Do Protocolo Na Prática Clínicaunclassified

Saúde digital: desenvolvimento de protocolo de avaliação de pacientes com transtorno depressivo maior

Boin¹

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pela oportunidade oferecida de continuar aprendendo com ela após a residência médica em psiquiatria, por todos os aprendizados, estímulos, orientações e por compartilhar sua sabedoria. Por ser exemplo de pesquisadora, gestora e profissional, fundamental para a minha formação.Aos meus pais, Áurea e Plínio, por sempre estarem do meu lado e fornecendo o sedimento necessário para que eu me desenvolvesse não somente como profissional mas como pessoa. Por sempre me estimularem a buscar o melhor e nunca desistir. O apoio de vocês e da nossa família foi fundamental para que eu chegasse aqui hoje.Aos meus amigos que comigo compartilharam essa jornada, ouvindo minhas angústias, aflições, por sempre me apoiar, encorajar. Em especial gostaria de agradecer a minha amiga, supervisora, confidente, Natália Mota, por estar presente na minha vida em tantos momentos de formas tão únicas. Sua disponibilidade tanto física como afetiva ajudou muito para realização desse trabalho em horários não usuais.Aos meus companheiros de jornada da pós-graduação, Luiz, Jéssica, Fernanda, Camila, Fabiana, Juliana, Marcos, Rosana e Taciana, muito pude aprender com a cooperação de vocês, me enriqueceu como pessoa e profissional. Em especial, à Rosana Shuhama pela disponibilidade, humildade e conhecimento compartilhado comigo.

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Mobile Health Apps for Medical Emergencies: Systematic Review

Cited by 25 publications

References 36 publications

Mobile Apps for Hematological Conditions: Review and Content Analysis Using the Mobile App Rating Scale

Mobile Apps for Hematological Conditions: Review and Content Analysis Using the Mobile App Rating Scale

Impact of a Mobile App on Paramedics’ Perceived and Physiologic Stress Response During Simulated Prehospital Pediatric Cardiopulmonary Resuscitation: Study Nested Within a Multicenter Randomized Controlled Trial

Saúde digital: desenvolvimento de protocolo de avaliação de pacientes com transtorno depressivo maior

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