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CN113539468A - Cerebral apoplexy multizone risk rapid assessment and screening service system - Google Patents

Cerebral apoplexy multizone risk rapid assessment and screening service system
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CN113539468A
CN113539468ACN202110700729.XACN202110700729ACN113539468ACN 113539468 ACN113539468 ACN 113539468ACN 202110700729 ACN202110700729 ACN 202110700729ACN 113539468 ACN113539468 ACN 113539468A
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stroke
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CN113539468B (en
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杜登斌
杜小军
杜乐
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Wuzheng Intelligent Technology Beijing Co ltd
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Abstract

The invention discloses a stroke multi-region risk rapid evaluation and screening service system, which comprises a remote management platform, a plurality of risk evaluation and screening intelligent systems connected to the remote management platform, and prevention, intervention and disposal systems corresponding to the risk evaluation and screening intelligent systems; the remote management platform is used for receiving data and intervention measure records of high risk group objects of cerebral apoplexy in a plurality of regions and detection of key monitoring objects, and performing tracking and statistical services; the intelligent risk assessment and screening system is used for performing risk assessment and screening on high-risk groups with cerebral apoplexy in the region and determining key monitoring objects in the abnormal-risk group objects with cerebral apoplexy; the prevention, intervention and treatment system is used for establishing health records for the middle-high risk individuals and formulating personalized and comprehensive prevention and intervention measures. The invention can effectively and timely carry out risk assessment and screening and continuous tracking management on a plurality of objects in the target area at the same time.

Description

Cerebral apoplexy multizone risk rapid assessment and screening service system
Technical Field
The invention relates to the field of medical intelligent services, in particular to an intelligent service system capable of rapidly evaluating and screening risks in multiple areas of cerebral apoplexy at the same time.
Background
Cerebral apoplexy is a dysfunction of hemiplegia, aphasia and the like caused by ischemia and anoxia of local brain cells due to embolism or hemorrhage of cerebral vessels. The risk rate of the stroke is high, the disability rate is high, the risk condition of the stroke high risk group can be found in time, the risk condition of the stroke high risk group can be reported in time and monitored in real time, and the important target of traceability and controllability at the present stage is realized. However, no intelligent product and service for simultaneously and rapidly evaluating and screening the risk of stroke in multiple areas is available in the market at present.
Disclosure of Invention
In view of this, the invention provides a stroke multi-region risk rapid assessment and screening service system, which is used for solving the problem that stroke risk screening and tracking management are scattered in the prior art.
The invention discloses a stroke multi-region risk rapid assessment and screening service system in a first aspect, which comprises:
the remote management platform is used for receiving data of high-risk group objects with cerebral apoplexy in a plurality of regions, detection of key monitoring objects and intervention measure records, and performing tracking and statistical services;
the intelligent risk assessment and screening systems are connected to the remote management platform and used for performing risk assessment and screening on the high-risk group with cerebral apoplexy in the region by acquiring the information of the user basic files in the region; meanwhile, by combining the eating and living behavior habits of the user, predicting the stroke risk according to the risk factor score by using an improved Fuminghan algorithm model, and determining a key monitoring object in the stroke risk abnormal population object;
and the prevention, intervention and treatment system corresponding to the multiple risk assessment and screening intelligent systems is used for establishing health files for middle-high risk individuals, formulating personalized and comprehensive prevention and intervention measures and providing one-stop management service.
Preferably, the intelligent risk assessment and screening system comprises:
the object screening module is used for acquiring the information and the data table of the multi-region crowd basic file and determining a primary high-risk object according to a set stroke crowd basic screening range;
the field detection module is used for detecting sign data of the primary high-risk subject;
the first storage module is used for storing the preliminary high-risk subject and the detected vital sign data;
a region-locating module having unique identification codes, each unique identification code corresponding to a screening region of one of the risk assessment and screening modules.
Preferably, the preliminary high-risk subjects include:
has a history of hypertension, or is taking hypotensor; atrial fibrillation and valvular heart disease; there is a history of smoking; dyslipidemia; hypercholesterolemia, low density lipoprotein, cholesterol; diabetes mellitus; the amount of the physical activities is lower than a preset threshold value at ordinary times; obesity; there is a family history of stroke.
Preferably, the detection module specifically includes:
and the vital sign detector is used for detecting blood pressure, blood oxygen, heart rate and atrial fibrillation data of the user and determining vital sign data of key monitoring objects which are detected to exceed a detection threshold value in the high risk group of objects according to a preset detection threshold value.
Preferably, the intelligent risk assessment and screening system further comprises:
the second storage module is used for storing the living behavior habits of the key monitoring objects such as diet and exercise and the clinical performance information;
the relationship establishing module is used for establishing the corresponding relationship between the vital sign data exceeding the detection threshold value and the dietary, athletic and life behavior habits and clinical performance information;
a risk assessment module: the method is used for establishing a Fuminghan risk algorithm model, and calculating a total score value according to the scores of various risk factors by contrasting an improved Fuminghan stroke quantity table; and finding out the 10-year stroke attack risk corresponding to each total score.
Preferably, the prevention, intervention and treatment system comprises: the short message notification module, the hospitalizing registration module and the stroke intervention center;
the short message notification module notifies the contact of the key monitoring object according to the user profile information;
the hospitalizing registration module registers and delivers the medical services to the key monitoring object according to the risk assessment result;
and the stroke intervention center is used for receiving key monitoring objects, user file information and a risk assessment and screening area corresponding to the unique identification code, which are sent by the risk assessment and screening intelligent system.
Preferably, the remote management platform communicates with the plurality of prevention, intervention and treatment systems, stores an evaluation screening area corresponding to the detection record, notification record, medical record, user profile information and the unique identification code of risk evaluation screening of the key monitoring objects in the plurality of prevention, intervention and treatment systems, and performs data analysis and statistical evaluation.
In a second aspect of the present invention, an electronic device is disclosed, comprising: at least one processor, at least one memory, a communication interface, and a bus;
the processor, the memory and the communication interface complete mutual communication through the bus;
the memory stores program instructions executable by the processor, which invokes the program instructions to implement the system in aspects of the invention.
In a third aspect of the invention, a computer-readable storage medium is disclosed, the computer-readable storage medium storing computer instructions for causing a computer to implement the system of the first aspect of the invention.
Compared with the prior art, the invention has the following beneficial effects:
1) according to the method, a regional stroke risk assessment and screening intelligent system is used for carrying out primary screening and secondary vital sign data detection on a plurality of target people in a plurality of regions, and the stroke risk is scientifically predicted by using an improved Fuminghan algorithm model according to risk factor grading, so that key monitoring objects of high-risk people in stroke in the target region are determined; the prevention, intervention and treatment system performs prevention, intervention and treatment measures on the key monitored object according to the detected vital sign data, timely records risk assessment and screening records, secondary sign detection records and intervention measures to a remote management platform, and performs analysis and early warning; the method can effectively perform preliminary risk assessment and screening on a plurality of objects in the target area in time, so that the risk assessment and screening efficiency is improved;
2) the invention can find the risk condition of the high risk group of the cerebral apoplexy in time, make early warning response and corresponding intervention measure in time, and achieve traceable and accurate intervention; and finally, the remote management platform is utilized to make statistics and analysis on cerebral apoplexy risk assessment, screening, detection and intervention measures in multiple regions, so that the management efficiency is improved, assessment, screening, monitoring, detection, reporting and tracking management can be simultaneously performed on cerebral apoplexy risks in multiple regions, and a standardized, integrated and sustainable service system is formed.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without any creative effort.
Fig. 1 is a schematic structural diagram of a stroke multi-zone risk rapid assessment and screening service system according to the present invention;
FIG. 2 is a modified Fumingham stroke scale (male) of the present invention;
figure 3 is another modified fumonis stroke scale (female) of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.
As shown in fig. 1, the invention discloses a service system for rapid evaluation and screening of stroke multi-region risk, which comprises: the system comprises a remote management platform 100, a plurality of risk assessment and screening intelligent systems 200 connected to the remote management platform, and a prevention, intervention and disposal system 300 corresponding to the plurality of risk assessment and screening intelligent systems.
The remote management platform 100 is configured to receive data and intervention measure records of multiple regional stroke risk high risk group objects and key monitoring object detection, and perform tracking and statistical services.
The remote management platform 100 communicates with the plurality of prevention, intervention and treatment systems 300, stores evaluation screening areas corresponding to detection records, notification records, medical records, user profile information and unique identification codes of risk evaluation screening of key monitoring objects in the plurality of prevention, intervention and treatment systems, and performs data analysis and statistical evaluation.
The intelligent risk assessment and screening system 200 is used for assessing and screening the risk of the high-risk group with cerebral apoplexy in the region by acquiring the information of the user basic files in the region; meanwhile, by combining the eating and living behavior habits of the user, the risk of the stroke is predicted by utilizing an improved Fuminghan algorithm model according to the risk factor score, and the key monitoring object in the group object with abnormal stroke risk is determined.
The intelligent risk assessment and screening system 200 specifically includes:
the object screening module 201 is used for acquiring information and a data table of multi-region crowd basic files and determining a primary high-risk object according to a set stroke crowd basic screening range; the preliminary high-risk subjects include: has a history of hypertension, or is taking hypotensor; atrial fibrillation and valvular heart disease; there is a history of smoking; dyslipidemia; hypercholesterolemia, low density lipoprotein, cholesterol; diabetes mellitus; the amount of the physical activities is lower than a preset threshold value at ordinary times; obesity; there is a family history of stroke.
The field detection module 202 is used for performing sign data detection on the preliminary high-risk subject; the detection module specifically comprises: and the vital sign detector is used for detecting blood pressure, blood oxygen, heart rate and atrial fibrillation data of the user and determining vital sign data of key monitoring objects which are detected to exceed a detection threshold value in the high risk group of objects according to a preset detection threshold value.
A first storage module 203, configured to store the preliminary high-risk subject and the detected vital sign data;
a region locating module 204, having unique identification codes corresponding to the screening modules one, each unique identification code corresponding to a screening region of one of the risk assessment and screening modules;
the second storage module 205 is configured to store living behavior habit and clinical performance information of the key monitoring object, such as diet, exercise, and the like;
a relationship establishing module 206, configured to establish a corresponding relationship between the vital sign data exceeding the detection threshold and the lifestyle habits and clinical performance information of the diet and exercise;
the risk evaluation module 207 is used for establishing a Fraunhofer risk algorithm model, and calculating a total score value according to the scores of various risk factors by contrasting with an improved Fraunhofer stroke scale; and finding the 10-year stroke onset risk corresponding to each total score. Figure 2 is a modified fumehan stroke scale (male) and figure 3 is another modified fumehan stroke scale (female).
The following is illustrated with reference to specific examples:
example 1, taking ischemic stroke risk as an example:
a 70 year old female (5 points); systolic blood pressure is 135mmHg, and blood pressure lowering medicine (6 min) is being taken; there was a history of smoking (score 3); no history of diabetes (score 0); the past history of coronary heart disease (2 points); no history of atrial fibrillation (score 0); there was no history of left cardiac hypertrophy (score 0). Then the modified framingham stroke scale (female) is queried and the results are: the total score is 16, and the corresponding 10-year ischemic stroke risk is 19%.
Example 2, evaluation of risk of stroke recurrence as an example:
TABLE 1 evaluation chart of risk of cerebral apoplexy recurrence
Figure BDA0003129721690000061
The corresponding risk and score results are:
TABLE 2 cerebral apoplexy recurrence Risk and score results
Figure BDA0003129721690000071
Example 3, taking assessment of stroke risk in atrial fibrillation patients:
TABLE 3 evaluation table for risk of apoplexy of atrial fibrillation patient
Figure BDA0003129721690000072
The corresponding evaluation result of the stroke risk and the score of the atrial fibrillation patient is as follows:
TABLE 4 Risk of stroke and score for patients with atrial fibrillation
Figure BDA0003129721690000073
Figure BDA0003129721690000081
The prevention, intervention and treatment system 300 is used for establishing health records for the middle and high risk individuals, formulating individual and comprehensive prevention and intervention measures, and providing one-stop management service.
The prevention, intervention and treatment system 300 specifically comprises:
a short message notification module 301, configured to notify the contact of the key monitoring object according to the user profile information;
a hospitalizing registration module 302, configured to register and deliver a doctor to the key monitoring object according to the risk assessment result;
and the stroke intervention center 303 is used for receiving the key monitoring object, the user profile information and the risk assessment and screening area corresponding to the unique identification code, which are sent by the risk assessment and screening intelligent system.
The intelligent service system disclosed by the invention carries out primary screening and secondary vital sign data detection on a plurality of target people in a plurality of regions through the regional cerebral apoplexy risk assessment and screening intelligent system, scientifically predicts the cerebral apoplexy risk according to risk factor grading by utilizing an improved Fuminghan algorithm model, and further determines a key monitoring object of a cerebral apoplexy high-risk group in the target region; the prevention, intervention and treatment system performs prevention, intervention and treatment measures on key monitored objects according to the detected vital sign data, timely records risk assessment and screening records, secondary sign detection records and intervention measures to a remote management platform, and performs analysis and early warning; the method can effectively and timely perform primary risk assessment and screening on a plurality of objects in the target area at the same time, and improves the risk assessment and screening efficiency; meanwhile, the risk condition of high-risk groups of cerebral apoplexy can be found in time, early warning response and corresponding intervention measures can be made in time, and traceability, check and accurate intervention can be realized; finally, a remote management platform is used for carrying out statistics and analysis on cerebral apoplexy risk assessment, screening, detection and intervention measures in multiple regions, management efficiency is improved, and the technical problem that assessment, screening, monitoring, detection, reporting and management of cerebral apoplexy risks in multiple regions are inconvenient in the prior art is solved.
The present invention also discloses an electronic device, comprising: at least one processor, at least one memory, a communication interface, and a bus; the processor, the memory and the communication interface complete mutual communication through the bus; the memory stores program instructions executable by the processor, which are invoked by the processor to implement the system of the present invention.
The invention also discloses a computer readable storage medium storing computer instructions for causing the computer to implement the system of the invention. The storage medium includes: various media capable of storing program codes, such as a U disk, a removable hard disk, a memory ROM, a random access memory RAM, a magnetic disk, or an optical disk.
The above-described system embodiments are merely illustrative, wherein the units described as separate parts may or may not be physically separate, and the parts shown as units may or may not be physical units, i.e. may be distributed over a plurality of network units. Some or all of the modules may be selected according to actual needs to achieve the purpose of the solution of the present embodiment. One of ordinary skill in the art can understand and implement it without inventive effort.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (9)

1. A stroke multi-region risk rapid assessment and screening service system is characterized by comprising a remote management platform, a plurality of risk assessment and screening intelligent systems connected to the remote management platform, and prevention, intervention and treatment systems corresponding to the risk assessment and screening intelligent systems;
the remote management platform is used for receiving data and intervention measure records of high risk group objects of cerebral apoplexy in a plurality of regions and detection of key monitoring objects, and performing tracking and statistical services;
the intelligent risk assessment and screening system is used for assessing and screening the risk of the high-risk group with cerebral apoplexy in the region by acquiring the information of the user basic files in the region; meanwhile, by combining the eating and living behavior habits of the user, predicting the stroke risk according to the risk factor score by using an improved Fuminghan algorithm model, and determining a key monitoring object in the stroke risk abnormal population object;
the prevention, intervention and treatment system is used for establishing health records for the middle-high risk individuals, formulating personalized and comprehensive prevention and intervention measures and providing one-stop management service.
2. The stroke multi-zone risk rapid assessment and screening service system as claimed in claim 1, wherein the risk assessment and screening intelligent system comprises:
the object screening module is used for acquiring the information and the data table of the multi-region crowd basic file and determining a primary high-risk object according to a set stroke crowd basic screening range;
the field detection module is used for detecting sign data of the primary high-risk subject;
the first storage module is used for storing the preliminary high-risk subject and the detected vital sign data;
a region-locating module having unique identification codes, each unique identification code corresponding to a screening region of one of the risk assessment and screening modules.
3. The stroke multi-zone risk rapid assessment and screening service system according to claim 2, wherein the preliminary high-risk object is an object having any one or more of the following items:
has a history of hypertension, or is taking hypotensor; atrial fibrillation and valvular heart disease; there is a history of smoking; dyslipidemia; hypercholesterolemia, low density lipoprotein, cholesterol; diabetes mellitus; the physical activity is lower than a preset threshold value at ordinary times; obesity; there is a family history of stroke.
4. The stroke multi-zone risk rapid assessment and screening service system according to claim 2, wherein the detection module specifically comprises:
and the vital sign detector is used for detecting blood pressure, blood oxygen, heart rate and atrial fibrillation data of the user and determining vital sign data of key monitoring objects which are detected to exceed a detection threshold value in the high risk group of objects according to a preset detection threshold value.
5. The stroke multi-zone risk rapid assessment and screening service system according to claim 3, wherein the risk assessment and screening intelligent system further comprises:
the second storage module is used for storing the living behavior habits of the key monitoring objects such as diet and exercise and the clinical performance information;
the relationship establishing module is used for establishing the corresponding relationship between the vital sign data exceeding the detection threshold value and the dietary, athletic and life behavior habits and clinical performance information;
a risk assessment module: the system is used for establishing a Fraunhofer risk algorithm model, and calculating a total score value according to the scores of various risk factors by contrasting with an improved Fraunhofer stroke scale; and finding the 10-year stroke onset risk corresponding to each total score.
6. The stroke multi-zone risk rapid assessment and screening service system according to claim 2, wherein the prevention, intervention and treatment system comprises: the short message notification module, the hospitalizing registration module and the stroke intervention center;
the short message notification module is used for notifying the contact of the key monitoring object according to the user profile information;
the hospitalizing registration module is used for registering and delivering a doctor to the key monitoring object according to the risk assessment result;
the stroke intervention center is used for receiving key monitoring objects, user file information and a risk assessment and screening area corresponding to the unique identification code, which are sent by the risk assessment and screening intelligent system.
7. The stroke multi-region risk rapid assessment and screening service system as claimed in claim 6, wherein the remote management platform is in communication with the plurality of prevention, intervention and treatment systems, stores assessment screening regions corresponding to detection records, notification records, medical delivery records, user profile information and unique identification codes of risk assessment screening of key monitoring objects in the plurality of prevention, intervention and treatment systems, and performs data analysis and statistical assessment.
8. An electronic device, comprising: at least one processor, at least one memory, a communication interface, and a bus;
the processor, the memory and the communication interface complete mutual communication through the bus;
the memory stores program instructions executable by the processor, the processor invoking the program instructions to implement the system of any one of claims 1-7.
9. A computer readable storage medium storing computer instructions which cause a computer to implement the system of any one of claims 1 to 7.
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