钟南山院士:大数据视角下的呼吸疾病防控:CTS 2019

2019-09-07 seven MedSci原创

由中华医学会和中华医学会呼吸病学分会主办、湖北省医学会承办的中华医学会呼吸病学年会-2019(第二十次全国呼吸病学学术会议)于2019年9月5日-8日在武汉盛大召开。在6号的主会场报告上,钟南山院士给大家做了一场呼吸疾病防控工作指导,呼吸疾病防控是中国健康发展战略的重大需求由于空气污染、吸烟等众多因素,我国的肺癌及慢阻肺分别占死亡率的第3、4位,WHO估计呼吸疾病死亡率占总死亡率的20%。所以,在

由中华医学会和中华医学会呼吸病学分会主办、湖北省医学会承办的中华医学会呼吸病学年会-2019(第二十次全国呼吸病学学术会议)于2019年9月5日-8日在武汉盛大召开。



在6号的主会场报告上,钟南山院士给大家做了一场呼吸疾病防控工作指导,

呼吸疾病防控是中国健康发展战略的重大需求

由于空气污染、吸烟等众多因素,我国的肺癌及慢阻肺分别占死亡率的第3、4位,WHO估计呼吸疾病死亡率占总死亡率的20%。所以,在健康中国行动中,呼吸疾病的防控显得极其重要。
那如何提高呼吸疾病的防控效率呢?
自然是离不开大数据的支持。但是,医学信息量大,数据繁多,信息的规范化管理意识薄弱,各地医疗机构标准不一,医疗信息孤岛现象严重!所以,目前的疾病防控工作中亟待发展大数据的分析应用。
好在,国家2018重点研发计划中,重大慢病定向专项指南里,建立了呼吸系统疾病临床研究大数据与生物样本库平台,建立具有国家代表性的,基于EMR、LIS、PACS等数据交换的共享平台,手机慢阻肺、小船、肺栓塞、间质性肺病等常见、多发、危害巨大的呼吸系统疾病,建立对应的生物样本给影像与肺功能数据库,数据中心及判读分析平台。

我国呼吸临床中心大数据建设概况



我国呼吸疾病临床医学研究中心从2013年的7家分中心和122家网络单位,增长到了2018年内的42家区域分中心和724家网络单位。按照大数据平台的企业服务总线,中心大数据网络可以连接医院信息系统安全防火墙和同步数字体系,通过一系列呼吸健康标准化数据元,采集除个人信息以外的医疗记录生物样本库资源、图像、物联网等信息。数据的管理和备份已通过ISO/IEC27001 和国家信息系统安全等级保护政策的认证,并进行了伦理审查。

在大数据平台的支待下,可以实现科研管理、高级数据筛选真实世界数据分析、数据演示、图像沪另叭机器学习、病历质量控制多中心协作以及大数据融合。同时,我们建立了一系列数据采集、管理、交换和共享的标准规范。截至2019年6月,全国40家分中心和网络医院签署了《呼吸系统疾病大数据网络建设战略合作协议》。平台部署工作已在30家医院启动,其中10家已完成院内部署和验收。纳入慢性阻塞性肺疾病、哮喘、肺栓塞、肺动脉高压、肺间质性疾病、肺炎、肺癌、烟草依赖等呼吸系统疾病30多万例。有8项多中心研究正依托该平台开展。

呼吸大数据分析应用

数据标准规范是大数据平台可以应用的第一个版块,在2013年-2018年间,呼吸科六大类疾病诊断描述不规范的情况不容忽视,特别是门诊诊断不规范的比例会比较高。目前制定慢阻肺专病标准数据元共985个,后续将进一步拓展到支气管哮喘、支气管扩张、肺部感染等疾病。
其次,运用在肺功能检查及标准的建立,我国从2015年8月开始举办的肺功能规培万里行覆盖了全国31个省、自治区、直辖市,8044家医院25000+名人员参加了活动。通过平台肺功能报告质控平台审核结果。

另外,大数据分析还可以应用在专病数据的分析、模型建立风险预测、影像大数据与人工智能结合创新、支撑多中心临床研究的开展等。



钟南山院士强调,医疗大数据分析和挖掘疾病的特征,有助于临床诊治水平的提高,对学科建设有积极的促进作用,对医疗卫生政策的制定和实施有重大的意义,期待国内外专家同道共同参与研发,共享大数据带来的成果。

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    2019-09-08 docwu2019
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    2019-09-07 130****4638

    学习了,谢谢分享

    0

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    2019-09-07 junJUN

    院士是学术至高点,也是大家必争之地呀

    0

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