{"id":85234,"date":"2021-07-23T04:33:04","date_gmt":"2021-07-23T04:33:04","guid":{"rendered":"https:\/\/prod.wplb.labbenchmarking.com\/uncategorized\/tich-hop-giai-phap-cong-nghe-thong-tin-trong-danh-gia-phan-loai-benh-nhan-nhoi-mau-co-tim-cap-theo-phac-do-esc-0-1h-tai-viet-nam\/"},"modified":"2026-02-17T12:20:27","modified_gmt":"2026-02-17T12:20:27","slug":"leveraging-a-lab-it-solution-and-the-esc-0-1h-algorithm-for-acs-patient-triage-in-the-ed-a-case-study-from-vietnam","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/vi\/disease-area\/cardiology\/leveraging-a-lab-it-solution-and-the-esc-0-1h-algorithm-for-acs-patient-triage-in-the-ed-a-case-study-from-vietnam\/","title":{"rendered":"T\u00edch h\u1ee3p gi\u1ea3i ph\u00e1p IT (Information Technology, c\u00f4ng ngh\u1ec7 th\u00f4ng tin) trong \u0111\u00e1nh gi\u00e1 ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p theo ph\u00e1c \u0111\u1ed3 ESC 0\/1h t\u1ea1i Vi\u1ec7t Nam"},"content":{"rendered":"<p class=\"text-align-justify\">B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i (\u0110HYHN) ti\u1ebfp nh\u1eadn kho\u1ea3ng 3.500 b\u1ec7nh nh\u00e2n m\u1ed7i ng\u00e0y, trong \u0111\u00f3 c\u00f3 kho\u1ea3ng 100 b\u1ec7nh nh\u00e2n t\u1ea1i DKhoa C\u1ea5p c\u1ee9u v\u00e0 H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c (DEIC). M\u1ed9t trong nh\u1eefng \u01b0u ti\u00ean quan tr\u1ecdng nh\u1ea5t c\u1ee7a Khoa CC-HSTC l\u00e0 ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p (ACS) c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. C\u1ea7n ph\u1ea3i nhanh ch\u00f3ng \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng ph\u00f9 h\u1ee3p \u0111\u1ec3 ch\u1ea5p nh\u1eadn (rule \u2013 in) ho\u1eb7c lo\u1ea1i tr\u1eeb (rule \u2013 out) v\u00e0 theo d\u00f5i li\u00ean t\u1ee5c t\u1ea1i c\u00e1c khoa ph\u00f2ng kh\u00e1c.<\/p>\n<p class=\"text-align-justify\">Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p (AMI) l\u00e0 b\u1ec7nh c\u1ea3nh c\u1ea5p c\u1ee9u v\u00e0 \u0111e d\u1ecda tr\u1ef1c ti\u1ebfp \u0111\u1ebfn t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 \u0111o\u1ea1n ST ch\u00eanh l\u00ean h\u1eb1ng \u0111\u1ecbnh tr\u00ean ECG, h\u01b0\u1edbng d\u1eabn m\u1edbi nh\u1ea5t n\u0103m 2020 c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u (ESC) v\u1ec1 qu\u1ea3n l\u00fd h\u1ed9i ch\u1ee9ng V\u00e0nh c\u1ea5p t\u00ednh khuy\u1ebfn ngh\u1ecb ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n v\u00e0 ph\u00e2n t\u1ea7ng nguy c\u01a1 v\u1edbi ph\u00e1c \u0111\u1ed3 hs-cTn 0h\/1h, ngh\u0129a l\u00e0 l\u1ea5y m\u00e1u t\u1ea1i th\u1eddi \u0111i\u1ec3m 0h v\u00e0 1h. N\u00ean s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m hs-cTn \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u1ed9 ch\u00ednh x\u00e1c trong ch\u1ea9n \u0111o\u00e1n, cung c\u1ea5p th\u00f4ng tin quan tr\u1ecdng cho vi\u1ec7c \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh l\u00e2m s\u00e0ng v\u00e0 r\u00fat ng\u1eafn kho\u1ea3ng th\u1eddi gian c\u1ee7a l\u1ea7n \u0111\u00e1nh gi\u00e1 troponin tim th\u1ee9 hai.<\/p>\n<div style=\"padding: 56.25% 0 0 0; position: relative;\"><iframe style=\"position: absolute; top: 0; left: 0; width: 100%; height: 100%;\" title=\"Leveraging a Lab IT solution and the ESC 01h algorithm for ACS patient triage in the ED a case study from Vietnam\" src=\"https:\/\/www.youtube.com\/embed\/h4_pMornsRE\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<p>cho Ph\u00f2ng x\u00e9t nghi\u1ec7m \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1ea1o ra nh\u1edd s\u1ef1 h\u1ee3p t\u00e1c t\u00edch c\u1ef1c gi\u1eefa Ph\u00f2ng x\u00e9t nghi\u1ec7m b\u1ec7nh vi\u1ec7n \u0110HYHN v\u00e0 c\u00e1c chuy\u00ean gia t\u01b0 v\u1ea5n CNTT trong l\u0129nh v\u1ef1c ch\u1ea9n \u0111o\u00e1n. M\u1eabu m\u00e1u t\u1eeb Khoa DEIC c\u00f3 ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m troponin tim \u0111\u1ed9 nh\u1ea1y cao (hs-cTn) \u0111\u01b0\u1ee3c \u01b0u ti\u00ean tr\u1ea3 k\u1ebft qu\u1ea3 trong th\u1eddi gian ng\u1eafn nh\u1ea5t (d\u01b0\u1edbi 30 ph\u00fat).<\/p>\n<p class=\"text-align-justify\">Gi\u1ea3i ph\u00e1p IT c\u1ee7a Ph\u00f2ng x\u00e9t nghi\u1ec7m cho ph\u00e9p theo d\u00f5i\u00a0k\u1ebft\u00a0qu\u1ea3 c\u1ee7a\u00a0b\u1ec7nh nh\u00e2n trong m\u1ed9t \u00f4 \u0111\u1ed9c l\u1eadp m\u00e3 h\u00f3a theo m\u00e0u v\u1edbi m\u00e0n h\u00ecnh hi\u1ec3n th\u1ecb \u0111\u1ed3ng th\u1eddi \u1edf c\u1ea3 Ph\u00f2ng x\u00e9t nghi\u1ec7m v\u00e0 Khoa DEIC. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m hs-cTnT \u0111\u1ea7u ti\u00ean (T0) s\u1ebd \u0111\u01b0\u1ee3c xem x\u00e9t v\u00e0 ph\u00e2n lo\u1ea1i ngay l\u1eadp t\u1ee9c. N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 T0 hs-cTnT &lt;5ng\/L (\u00f4 m\u00e0u xanh d\u01b0\u01a1ng), khuy\u1ebfn c\u00e1o l\u00e0 lo\u1ea1i tr\u1eeb ho\u1eb7c ch\u1ea5p nh\u1eadn b\u1ec7nh nh\u00e2n n\u1ebfu &gt; 52ng\/L (\u00f4 m\u00e0u \u0111\u1ecf).<\/p>\n<p class=\"text-align-justify\">N\u1ebfu k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m t\u1eeb 5-52 ng\/L (\u00f4 m\u00e0u v\u00e0ng), b\u1ec7nh nh\u00e2n thu\u1ed9c \u201cv\u00f9ng quan s\u00e1t\u201d c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh l\u00e0m x\u00e9t nghi\u1ec7m hs-cTnT l\u1ea7n th\u1ee9 hai (T1). Khuy\u1ebfn c\u00e1o ti\u1ebfp t\u1ee5c theo d\u00f5i \u1edf c\u00e1c m\u1ee9c (T1: 3 &lt;1h<span style=\"font-family: 'Cambria Math';\"><span style=\"language: en-US;\"><span style=\"font-style: normal;\">\u2206<\/span><\/span><\/span>\u00a0&lt;5ng\/L) v\u00e0 ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m l\u1ea1i \u1edf T3.<\/p>\n<p class=\"text-align-justify\">Nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00f4ng ST ch\u00eanh <span style=\"font-size: 12.0pt;\">l\u00ean\u00a0(NSTEMI) c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb b\u1eb1ng s\u1ef1 k\u1ebft h\u1ee3p \u1edf m\u1ee9c Troponin ban \u0111\u1ea7u th\u1ea5p (T0: 5-12 ng\/L) v\u00e0 kh\u00f4ng t\u0103ng cao trong v\u00f2ng 1 gi\u1edd (1h<span style=\"font-size: 12.0pt;\"><span style=\"font-family: 'Cambria Math';\"><span style=\"language: en-US;\"><span style=\"font-style: normal;\">\u2206<\/span><\/span><\/span><\/span>\u00a0&lt;3) (\u00f4 m\u00e0u xanh d\u01b0\u01a1ng). Khuy\u1ebfn c\u00e1o l\u00e0 ch\u1ea5p nh\u1eadn khi Troponin ban \u0111\u1ea7u cao n\u1ebfu (T0: 12 \u2013 52 ng\/L) v\u00e0 1h<span style=\"font-size: 12.0pt;\"><span style=\"font-family: 'Cambria Math';\"><span style=\"language: en-US;\"><span style=\"font-style: normal;\">\u2206<\/span><\/span><\/span><\/span>&gt; 5\u00a0(\u00f4 m\u00e0u \u0111\u1ecf).<\/span><\/p>\n<p class=\"text-align-justify\">\u201cGi\u1ea3i ph\u00e1p c\u00f4ng ngh\u1ec7 th\u00f4ng tin \u0111\u00e1nh gi\u00e1 ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p theo ph\u00e1c \u0111\u1ed3 ESC 0\/1h \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n, \u0111\u1eb7c bi\u1ec7t \u1edf Khoa DEIC. T\u1eeb \u0111\u00e2y, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng, ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Vi\u1ec7c chuy\u1ec3n t\u1eeb quy tr\u00ecnh l\u00e0m vi\u1ec7c th\u1ee7 c\u00f4ng sang c\u00e1c gi\u1ea3i ph\u00e1p h\u1ec7 th\u1ed1ng h\u00f3a cung c\u1ea5p s\u1ef1 h\u1ed7 tr\u1ee3 v\u00e0 ph\u1ed1i h\u1ee3p trong m\u1ed9t quy tr\u00ecnh l\u00e0m vi\u1ec7c gi\u1eefa Khoa DEIC v\u00e0 Khoa X\u00e9t nghi\u1ec7m, gi\u00fap b\u00e1c s\u0129 l\u00e2m s\u00e0ng nh\u1eadn \u0111\u01b0\u1ee3c th\u00f4ng tin h\u1eefu \u00edch v\u00e0 \u0111\u00e1ng tin c\u1eady cho k\u1ebft qu\u1ea3\u00a0l\u00e2m s\u00e0ng v\u00e0 s\u1ef1 qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n t\u1ed1t h\u01a1n.\u201d \u2013 PGS.TS.BS Ho\u00e0ng V\u0103n H\u1ea3i, Tr\u01b0\u1edfng Khoa DEIC.<\/p>\n<h2 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">Gi\u1edbi thi\u1ec7u v\u1ec1 B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i<\/h3>\n<p>B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i\u00a0l\u00e0 b\u1ec7nh vi\u1ec7n\u00a0\u00a0\u0111a khoa tr\u1ef1c thu\u1ed9c Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i, ph\u00e1t tri\u1ec3n d\u1ef1a tr\u00ean th\u1ebf m\u1ea1nh c\u1ee7a Nh\u00e0 tr\u01b0\u1eddng, \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp ng\u00e0y 16\/01\/2007 theo Quy\u1ebft \u0111\u1ecbnh s\u1ed1 137\/Q\u0110-BYT c\u1ee7a B\u1ed9 Y t\u1ebf. L\u00fac m\u1edbi \u0111i v\u00e0o ho\u1ea1t \u0111\u1ed9ng, c\u01a1 s\u1edf v\u1eadt ch\u1ea5t c\u1ee7a b\u1ec7nh vi\u1ec7n ch\u1ec9 \u1edf m\u1ee9c c\u01a1 b\u1ea3n v\u1edbi 150 gi\u01b0\u1eddng b\u1ec7nh v\u00e0 kho\u1ea3ng 150 ca\u0301n b\u00f4\u0323 nh\u00e2n vi\u00ean.<\/p>\n<p class=\"text-align-justify\">.H\u01a1n 14 n\u0103m sau ng\u00e0y th\u00e0nh l\u1eadp v\u00e0 kh\u00f4ng ng\u1eebng ph\u00e1t tri\u1ec3n, \u0111\u1ebfn nay B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i \u0111\u00e3 l\u00e0 m\u1ed9t c\u01a1 s\u1edf y t\u1ebf l\u1edbn, quy m\u00f4 h\u01a1n 419 gi\u01b0\u1eddng b\u1ec7nh v\u1edbi h\u01a1n 1000 c\u00e1n b\u1ed9, nh\u00e2n vi\u00ean. C\u00e1c b\u00e1c s\u0129 l\u00e0m vi\u1ec7c t\u1ea1i \u0111\u00e2y \u0111\u1ec1u l\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n cao v\u00e0 gi\u00e0u kinh nghi\u1ec7m (quy t\u1ee5 nhi\u1ec1u Gi\u00e1o s\u01b0, Ph\u00f3 Gi\u00e1o s\u01b0 v\u00e0 Ti\u1ebfn s\u0129 Y khoa).<\/p>\n<p class=\"text-align-justify\">B\u1ec7nh vi\u1ec7n hi\u1ec7n c\u00f3 g\u1ea7n 20 chuy\u00ean khoa l\u00e2m s\u00e0ng v\u00e0 7 chuy\u00ean khoa c\u1eadn l\u00e2m s\u00e0ng ph\u1ee5c v\u1ee5 nhu c\u1ea7u kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh l\u00fd. B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng c\u01a1 s\u1edf y t\u1ebf \u0111i \u0111\u1ea7u trong vi\u1ec7c \u1ee9ng d\u1ee5ng k\u1ef9 thu\u1eadt cao v\u00e0 ph\u00e1t tri\u1ec3n c\u00e1c k\u1ef9 thu\u1eadt y khoa m\u1edbi t\u1ea1i Vi\u1ec7t Nam.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i (\u0110HYHN) ti\u1ebfp nh\u1eadn kho\u1ea3ng 3.500 b\u1ec7nh nh\u00e2n m\u1ed7i ng\u00e0y, trong \u0111\u00f3 c\u00f3 kho\u1ea3ng 100 b\u1ec7nh nh\u00e2n t\u1ea1i DKhoa C\u1ea5p c\u1ee9u v\u00e0 H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c (DEIC). M\u1ed9t trong nh\u1eefng \u01b0u ti\u00ean quan tr\u1ecdng nh\u1ea5t c\u1ee7a Khoa CC-HSTC l\u00e0 ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":85233,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"tags":[14860,15021],"pillarandcategory":[283,284,282,322,309],"reporter":[15178],"class_list":["post-85234","acf_article","type-acf_article","status-publish","has-post-thumbnail","hentry","tag-tim-mach","tag-viet-nam","pillarandcategory-cardiology","pillarandcategory-critical-care","pillarandcategory-disease-area","pillarandcategory-lab-it","pillarandcategory-operations","reporter-nguyen-lan-hieu"],"acf":[],"_links":{"self":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/85234","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article"}],"about":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/types\/acf_article"}],"author":[{"embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":5,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/85234\/revisions"}],"predecessor-version":[{"id":148785,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/acf_article\/85234\/revisions\/148785"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media\/85233"}],"wp:attachment":[{"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/media?parent=85234"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/tags?post=85234"},{"taxonomy":"pillarandcategory","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/pillarandcategory?post=85234"},{"taxonomy":"reporter","embeddable":true,"href":"https:\/\/labinsights.com\/vi\/wp-json\/wp\/v2\/reporter?post=85234"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}