safetyriskБезопасность и риск фармакотерапииSafety and Risk of Pharmacotherapy2312-78212619-1164Federal State Budgetary Institution ‘Scientific Centre for Expert Evaluation of Medicinal Products’ of the Ministry of Health of the Russian Federation (FSBI ‘SCEEMP’)10.30895/2312-7821-2022-10-2-247safetyrisk-247Research ArticleИНФОРМАЦИОННЫЕ ТЕХНОЛОГИИINFORMATION TECHNOLOGYАвтоматизированные информационные системы как новый подход к управлению рисками фармакотерапии при лечении эпилепсииAutomated Information Systems as a New Approach to Risk Management of Pharmacotherapy in the Treatment of Epilepsyhttps://orcid.org/0000-0002-1441-3418АрхиповВ. В.ArkhipovV. V.

Архипов Владимир Владимирович, доктор медицинских наук, доцент.

Петровский б-р, д. 8, стр. 2, Москва, 127051

Vladimir V. Arkhipov, Dr. Sci. (Med.), Associate Professor.

8/2 Petrovsky Blvd, Moscow 127051

arkhipov@expmed.ruhttps://orcid.org/0000-0001-9182-6307БурмистроваН. И.BurmistrovaN. I.

Бурмистрова Наталия Игоревна. 

Петровский б-р, д. 8, стр. 2, Москва, 127051

Nataliia I. Burmistrova. 

8/2 Petrovsky Blvd, Moscow 127051

zykova@expmed.ruФедеральное государственное бюджетное учреждение «Научный центр экспертизы средств медицинского применения» Министерства здравоохранения Российской ФедерацииРоссияScientific Centre for Expert Evaluation of Medicinal ProductsRussian Federation202203072022102151160Copyright © Архипов В.В., Бурмистрова Н.И., 20222022Архипов В.В., Бурмистрова Н.И.Arkhipov V.V., Burmistrova N.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.risksafety.ru/jour/article/view/247

Эпилепсия — распространенное социально значимое заболевание, и использование информационных систем и программного обеспечения для сопровождения пациентов с эпилепсией является перспективным направлением развития мобильной и электронной медицины. Цель работы: анализ данных о существующих информационных системах, устройствах и программных приложениях, используемых для сопровождения пациентов с эпилепсией и управления рисками фармакотерапии при лечении этого заболевания, и оценка перспектив разработки информационных систем для сопровождения пациентов с эпилепсией. Результаты расширенного поиска и систематизации данных литературы и информации сети Интернет свидетельствуют о высоком интересе к мобильному и электронному здравоохранению. Мобильные приложения для сопровождения пациентов с эпилепсией достаточно широко представлены среди инструментов электронного здравоохранения. Использование приложений позволяет осуществлять мониторинг припадков, фиксировать периодичность приема препаратов, получать консультации по неотложной помощи при припадке, коррекции схемы фармакотерапии и в целом способствует снижению рисков фармакотерапии антиконвульсантами, соблюдению пациентами комплаенса и повышению компетенций участников лечебного процесса. Проведенный анализ удобства и функциональности приложений Epilepsy Journal, Seizure Tracker, Helpilepsy, Seizure First Aide, разработчиками которых являются зарубежные компании, существенных различий не показал. Выявлены следующие недостатки указанных мобильных приложений: отсутствие русификации (за исключением Epilepsy Journal), возможности бесплатного использования без рекламы, использование не в полном объеме возможностей мобильных устройств по видеорегистрации и взаимодействию с геолокационными системами. Мировые тенденции в развитии мобильной медицины свидетельствуют об актуальности разработки отечественных программных продуктов для сопровождения пациентов с эпилепсией с учетом выявленных недостатков существующих зарубежных мобильных приложений.

Epilepsy is a fairly common disease which challenges social life, therefore the use of information systems and software to support patients with epilepsy is a promising trend in electronic and mobile medicine. The aim of the study was to analyse data on the existing information systems, devices, and mobile applications used to support patients with epilepsy and control risks associated with pharmacotherapy, and to assess the prospects for the development of information systems to support patients with epilepsy. The results of an advanced search and systematisation of literature and Internet data suggest a high demand for mobile and e-health. Mobile applications for patients with epilepsy have a large share of e-health tools. The applications help to monitor seizures, record the frequency of taking medications, receive advice on emergency treatment of seizures, adjust the dosage regimen, and, in general, help to reduce the risks of anticonvulsant therapy, increase patient compliance and the competence of the participants in the treatment process. The analysis of the convenience and functionality of the foreign-produced mobile applications: Epilepsy Journal, Seizure Tracker, Helpilepsy, Seizure First Aide, did not reveal any significant differences between them. The following shortcomings of the mobile applications were identified: lack of Russian language support (except Epilepsy Journal), lack of advertisement blocking options in free applications, incomplete use of video recording capabilities and location-based systems. Global trends in the development of mobile medicine suggest the need for Russian-produced software that would address the identified shortcomings of the existing foreign applications and help support patients with epilepsy.

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The authors declare that there are no conflicts of interest present.