语言是一个问题吗? 德国计算机化诊断决策支持系统ISABEL的准确性和与英国同行进行交叉验证
Thimo Marcin1, Ailin Lüthi1,2, Ronny R Graf1,2
1Department of Emergency Medicine, Inselspital University Hospital Bern, Bern, Switzerland.
Diagnosis (Berlin, Germany)
|July 22, 2023
概括
德国版本的Isabel Pro和Isabel Symptom Checker分别在82%和71%的病例中正确识别了诊断. 当考虑在差异诊断列表中正确诊断的排名时,准确性下降.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
背景情况:
- 计算机化诊断决策支持工具 (CDDS) 通过基于患者数据提出差异诊断 (DDx) 来帮助临床医生.
- 德国版本的伊莎贝尔医疗保健工具,伊莎贝尔Pro (临床医生) 和伊莎贝尔症状检查器 (患者),缺乏事先验证.
研究的目的:
- 为了验证 Isabel Pro 和 Isabel 症状检查器的德语版本的准确性.
- 评估这些工具在从临床信息中识别正确诊断方面的性能.
主要方法:
- 来自50本教科书小说和50个现实世界急诊室 (ED) 病例的临床特征被输入到德国的Isabel Pro和症状检查器中.
- 分析了差异诊断清单中包含正确诊断的比例.
主要成果:
- 伊莎贝尔Pro和症状检查器分别在82%和71%的病例中包括了正确的诊断.
- 对于伊莎贝尔·普罗来说,正确的诊断分别在71%的病例中排在前20名,10名和前3名的建议中,分别为61%和37%.
- 与真正的ED病例相比,小幅图的准确性通常更高.
结论:
- 德国伊莎贝尔版本的准确性略低于之前报道的英语版本.
- 诊断准确度受到正确诊断在建议清单中的排名的影响.
- 需要进一步的研究来确定伊莎贝尔Pro是否可以在常规的临床ED实践中提高诊断准确性.
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