在急性损伤时的电子警报:为什么好处的证据仍然难以捉摸?
Kerry Horne1,2, Rebecca Noble1,2, Shivaali Karelia1,2
1Centre for Kidney Research and Innovation, Academic Unit of Translational Medical Sciences, School of Medicine, University of Nottingham.
Current opinion in nephrology and hypertension
|August 24, 2023
概括
针对急性损伤 (AKI) 的电子警报 (eAlerts) 没有显示死亡率益处,但可以减少AKI的发生率和进展. 需要进一步的研究来优化eAlert的实施,以改善AKI的护理服务.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床信息学 临床信息学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 急性损伤 (AKI) 是一种具有高死亡率和医疗保健成本的危急疾病.
- 无声呈现的AKI往往导致识别延迟和低于最佳的护理.
- 电子警报 (eAlerts) 已经成为改善AKI识别和管理的战略.
研究的目的:
- 审查评估AKI eAlerts有效性的重大随机试验.
- 综合当前关于eAlerts对患者结果和护理交付影响的证据.
- 确定AKI eAlert实施的未来研究领域.
主要方法:
- 对AKI eAlerts的随机试验进行系统审查.
- 对不同研究设计,警报系统和结果措施的分析.
- 评估单独使用的eAlerts或作为更广泛干预的一部分.
主要成果:
- 目前的证据并未证明与AKI eAlerts相关的死亡率降低.
- 研究报告说,通过eAlert策略,AKI的发病率,进展和持续时间都有所减少.
- 根据警报设计,医疗保健环境和实施策略,有效性有所不同.
结论:
- 虽然没有影响死亡率,但eAlerts可以通过减少发病率和进展来改善AKI护理的提供.
- 优化使用,定位和实施eAlerts对于未来的进步至关重要.
- 进一步的研究应该集中在完善eAlert系统和将其整合到临床工作流中.
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