هوش بالینی: مطالعه روی پیوند قرنیه

The Oporto Hospital Center (CHP) is considered a reference in the area of corneal transplantation, having performed more than 4000 transplants to date. Corneas are the most transplanted tissues worldwide and is usually the main method to recover from the blindness caused by corneal diseases. With the purpose of obtaining a better comprehension on the corneal transplantation process, a solution was required. As traditional database systems are not sufficient for proper analysis of health data, a Clinical Intelligence (CI) system was designed. CI allows organizations to acquire new insights and knowledge as well as to integrate enormous volume of health data, mostly non-structured, ambiguous and inclusive. The purpose of this study was to evaluate the process of corneal transplantation, in the context of different key performance indicators that cover not only the analysis to the affected population but also the transplant process, using a CI system. This study was conducted with a sample size of 428 eyes, throughout the period 2013-2016 and 25 business indicators were developed in order to obtain a full comprehension of the subject. With the CI system, it was possible to understand and identify the most common type of procedures, diagnostics, anaesthetics, along with main patient’s characteristics. In addition, an analysis on the input and output flow of the number of requests and interventions as well as the averaging waiting days between them was conducted.