A computer-based medical record system and personal digital assistants to assess and follow patients with respiratory tract infections visiting a rural Kenyan health centre
Open accessAbstract
Background: Clinical research can be facilitated by the use of informatics tools. We used an existing electronic medical record (EMR) system and personal data assistants (PDAs) to assess the characteristics and outcomes of patients with acute respiratory illnesses (ARIs) visiting a Kenyan rural health center. Methods: We modified the existing EMR to include details on patients with ARIs. The EMR database was then used to identify patients with ARIs who were prospectively followed up by a research assistant who rode a bicycle to patients' homes and entered data into a PDA. Results: A total of 2986 clinic visits for 2009 adult patients with respiratory infections were registered in the database between August 2002 and January 2005; 433 patients were selected for outcome assessments. These patients were followed up in the villages and assessed at 7 and 30 days later. Complete follow-up data were obtained on 381 patients (88%) and merged with data from the enrollment visit's electronic medical records and subsequent health center visits to assess duration of illness and complications. Symptoms improved at 7 and 30 days, but a substantial minority of patients had persistent symptoms. Eleven percent of patients sought additional care for their respiratory infection. Conclusion: EMRs and PDA are useful tools for performing prospective clinical research in resource constrained developing countries.
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- Authors
- Diero, L., Rotich, J. K., Bii, J., Mamlin, B. W., Einterz, R. M., Kalamai, I. Z., & Tierney, W. M.
- Affiliations
- Moi University (KE)
- Regenstrief Institute (US)
- Indiana University School of Medicine (US)
- Corresponding author
- Diero, Lameck
- Venue
- BMC Medical Informatics and Decision Making
- Published
- 2006-04-10
- Volume
- 6
- Issue
- 1
- Pages
- 21-21
- ISSN
- 1472-6947 (ISSN-L)
- PMC
- PMC1482308
- OpenAlex
- W1590268794
- Cited by
- 54
- References
- 20
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 4 · 2013: 2 · 2012: 9
- FWCI
- 10.93
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Medical Informatics and Decision Making (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IUScholarWorks (Indiana University) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institutes of Health
- Fogarty International Center (D43TW001082)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
- Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
- Keywords
- electronic health records, personal digital assistants, acute respiratory infections, rural health care, home follow-up, clinical research informatics, resource-limited settings, persistent symptoms, disease duration
- MeSH terms
- Acute Disease, Adult, Aftercare, Ambulatory Care Information Systems, Community Health Centers, Developing Countries, Follow-Up Studies, Humans, Kenya, Middle Aged, Quality Assurance, Health Care, Surveys and Questionnaires, Respiratory Tract Infections, Time Factors, Medical Records Systems, Computerized, Outcome Assessment, Health Care, Rural Health Services, Computers, Handheld
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