Automatic interactive system of bronchial obstructive diseases risk evaluation “electronic polyclinic”

Development of interactive online resources and computer programs which are devoted to identification of early symptoms of various human diseases and their risk factors is an urgent task of modern medicine [1,2]. In 2011 scientists from Perm (Russia) developed an electronic resource which identifies key health problems, specialists a patient has to visit, an examination plan, and principles of health care: “Electronic polyclinic”. This work aims to study the effectiveness of automatic system in the case of symptom assessment in bronchial obstructive diseases. The computer PC program “Electronic polyclinic” is located on the Web-page http://klinikcity.ru . It consists of 6 modules including “Respiratory module”, which makes possible the calculation of 20 clinical respiratory symptoms, consisted of 163 questions and summarize one of the 8 different syndromic preliminary conclusions. Material: of the study consists of 12 patients with COPD, 11 with bronchial asthma (BA) and 41 healthy people. Results: An interactive program conclusion concerning the patient group showed the frequency of bronchial obstructive syndrome of 75,0%, but in the control group it was only 2,4%. We analyzed the prevalence of respiratory symptoms among the patients with bronchial obstructive diseases and among healthy people as well. Conclusion: The respiratory module of the PC interactive program “Electronic polyclinic” is an effective method for those clinical cases which demand spirometric examination in order to diagnose COPD and asthma with sensitivity of 75,0% and specificity of 97,6%. Referances 1. J. Maurice Lancet 2013; 382: 671-672. 2. K. Baiker, H. Levy N.Engl.J.Med. 2013; 369:9.