使用电子健康记录向住院痴呆症患者的提供者发出警报
Zaldy S Tan1, Nabeel Qureshi1,2, Pamela Roberts1,3
1Cedars Sinai Medical Center, Los Angeles, California, USA.
Journal of the American Geriatrics Society
|November 8, 2023
概括
一个新的电子健康记录 (EHR) 横幅有效地识别住院的痴呆症患者,改善老年人的早期检测和结果. 这种工具有助于临床试验和质量改善计划.
科学领域:
- 老年学是指老年学的学科.
- 医疗信息学 医疗信息学
- 神经学 神经学
背景情况:
- 与没有痴呆症的患者相比,患有痴呆症的住院患者的健康状况较差.
- 在医院环境中早期发现痴呆症仍然是一个挑战,目前的发病率低于50%.
研究的目的:
- 开发和评估一种新的电子健康记录 (EHR) 标志的积极预测值 (PPV) 和可行性,用于在住院环境中识别痴呆症患者.
- 改进住院认知障碍患者的识别.
主要方法:
- 在Epic系统中创建了一个EHR算法,以标记65岁及以上的潜在认知障碍患者.
- 该算法利用痴呆症ICD-10代码,FDA批准的痴呆症药物,以及在急诊室注释中提到的"痴呆症".
- 从2022年10月到2023年5月,审查了标记患者的医疗记录.
主要成果:
- 在344名被标记的个人中,280人 (81.4%) 患有痴呆症或正在服用痴呆症药物.
- 很大一部分 (15.4%) 仅通过药物记录来确定.
- 只有9.0%的标记患者在他们的记录中没有痴呆症或认知能力下降的迹象.
结论:
- 在医院实施用于痴呆症识别的EHR算法是可行的,并显示出高的积极预测价值.
- 这种方法为各种医疗保健计划准确识别住院老年人提供了宝贵的机会.
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