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ANGYCOR: Software for control of
procedures in a of Hemodynamical Service
Tardío López, María Antonia; Arie,
Siguemituzo; Bisbé York, Ana María.
SOFTEL. Ciudad Habana, Cuba.
Equipment and Methods
registration, prosecution, control and analysis of the variables associated to the
procedures carried out in a Hemodynamical Service (HS), facilitate the study of patients.
Objectives: To develop to simple, flexible
software of low cost, that allows register the multivariables that characterize each
procedure type that is carried out in to HS, allowing to recover information on the
studied population, and the result of each executed test, including the statistical
analyses, that could be of interest for the scientists investigations associated to this
Equipment and Methods: The application was
developed in computer databases language FoxPro 2.6 for Windows 95, installed in a
Personal Computer 486 / DX4 120, 16 MB of RAM, and 40 free MB in hard disk of 1,2 GB of
Angycor is a software that allows, through a friendly interface, to create and to
structure a database where they register or they store the data associated to four of the
types of procedures that can be carried out in a HS, they are: Coronariography,
Hemodynamic Study, Valvuloplasty Mitral and Lung and Coronary Angioplasty. The system
bases its operation on a data dictionary that can be personalized by each service and is
organized through a menu of options like it continues:
- Tools: Contains the functions that allow to give maintenance to the system.
- Masters files (Data dictionary or Codifiers): Each specialist goes making this
dictionary, that facilitates the definition of the possible values of the clinical
characteristics and the fisiopatologic parameters that represent each procedure. The
dictionary associates to each procedure type, for example: to the Coronariographys
procedures are associated to such codifiers as: Clinical Diagnoses, Used Techniques and
Degree of the lesions; for the Angioplastias they have been defined other like for example
Extensive Arteries, Types of Stens, Complications, etc.
- Updating: Once defined the data dictionary, the doctor, for each patient-procedure,
registers the clinical characteristics that correspond him and it assigns the value that
he acquires for each one of the variables, starting from the primary information offered
by the specialist during or when concluding the exam. They also register the hemodynamic
values, the evolution and it is distinguished if it is interest for conferences,
demonstrations y/o publications. Once stored these data can be printed in a text report
and images, so that they be together the patient's clinical history. The option of search
of this module allows the quick localization of the procedures that were applied, those
are identified through the whole system with a number. This module allows the access to
the four existent options in correspondence with the four procedures before mentioned:
(Coronariography, Hemodynamic Study, Valvuloplasty Mitral and Lung and Coronary
- Reports: Is the module that allows the doctor to make the investigations on the marry
registered, in way of being able to already cross the variable stored in the updating
option, for example: the patients by age and sex, the incidence of coronary risk factor,
stend type used for each lesion type, to compares the degree of residual lesion, another
word, it allows to carry out a logical combinations of the registered dates and to obtain
the patients cuantty that fulfill the selection approaches or the these patients
names . They also offer charts summaries for periods of number of used stend, presented
complications, total of extensive arteries, of them how many with success and how many
with failure, satisfying the information requested by Sociedad Latinoamericana de
Results: Their use since
December of 1998 in several HS located in Cuba and Brazil has allowed to store more than
1500 cases, proving in this period that are required between 5 and 10 minutes to
transcribe the data and to generate the reports, according to the complexity of the case.
As a result of their use it has been possible to create a knowledge base by the
accumulated experience in the application of the procedures. The proposed objectives were
completed and it was possible to obtain to software of easy operation and available
acquisition in Spanish and Portuguese languages.
- It facilitates the systematizing of terms and medical attitudes of the work team and the
organization of the hemodynamical service room, causing a sensitive increase of the
efficiency and the security.
- It systematizes the registration of the primary information.
- It elaborates a quick report with the results and it allows the quick finding of applied
procedures, being able to consult the details from each patient to exam.
- It proposes a group of codifiers that define in a coherent and simple way the group of
values and attributes that characterize to the procedures and to adapt it to each service.
- It allows to correlate clinical characteristics and results of the applied procedures.
- It allows to elaborate systems of evolution control for the subjected patients to the
Questions, contributions and commentaries to the Authors:
send an e-mail message (up to 15 lines, without attachments) to firstname.lastname@example.org ,
written either in English, Spanish, or Portuguese.