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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
A clinical informatics approach to bronchopulmonary dysplasia: current barriers and future possibilities
Alvaro G Moreira1, Ameena Husain2, Lindsey A Knake3
1Department of Pediatrics, University of Texas Health San Antonio, San Antonio, TX, United States.
Insights
Clinical informatics can improve outcomes for preterm neonates with bronchopulmonary dysplasia (BPD) by identifying at-risk infants for earlier intervention. Addressing data challenges is key to unlocking its full potential in BPD management.
Area of Science:
- Biomedical Informatics
- Neonatal Medicine
- Computational Health
Background:
- Bronchopulmonary dysplasia (BPD) is a serious lung disease in preterm infants with long-term complications.
- Current BPD treatments focus on symptom management, highlighting the need for predictive and preventative strategies.
- Clinical informatics offers a novel approach to integrate patient data for improved healthcare outcomes.
Purpose of the Study:
- To review the potential of clinical informatics in identifying BPD phenotypes.
- To explore the development of clinical decision support tools for BPD management.
- To highlight opportunities for earlier, targeted interventions in extremely preterm neonates.
Main Methods:
- Leveraging electronic health record (EHR) data.
- Applying machine learning algorithms to patient data.
- Implementing clinical decision support systems for BPD care.
Main Results:
- Clinical informatics can identify clinically relevant BPD phenotypes.
- Opportunities exist for developing predictive models and decision support tools.
- Early identification and intervention can potentially improve outcomes for neonates at risk for BPD.
Conclusions:
- Clinical informatics holds significant promise for advancing BPD understanding and management.
- Overcoming data challenges (collection, storage, privacy, bias) is crucial for realizing informatics' full potential.
- Future efforts should focus on integrating informatics solutions for proactive BPD care in preterm infants.
Abstract:
Bronchopulmonary dysplasia (BPD) is a complex, multifactorial lung disease affecting preterm neonates that can result in long-term pulmonary and non-pulmonary complications. Current therapies mainly focus on symptom management after the development of BPD, indicating a need for innovative approaches to predict and identify neonates who would benefit most from targeted or earlier interventions. Clinical informatics, a subfield of biomedical informatics, is transforming healthcare by integrating computational methods with patient data to improve patient outcomes. The application of clinical informatics to develop and enhance clinical therapies for BPD presents opportunities by leveraging electronic health record data, applying machine learning algorithms, and implementing clinical decision support systems. This review highlights the current barriers and the future potential of clinical informatics in identifying clinically relevant BPD phenotypes and developing clinical decision support tools to improve the management of extremely preterm neonates developing or with established BPD. However, the full potential of clinical informatics in advancing our understanding of BPD with the goal of improving patient outcomes cannot be achieved unless we address current challenges such as data collection, storage, privacy, and inherent data bias.
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