使用电子健康记录的PCOS患病率和诊断:范围审查和数据库分析
William Atiomo1, Mohamed Nor Haq Rizwan1, Muhammad Hamza Bajwa1
1Department of Clinical Sciences, College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Building 14, Dubai Healthcare City, Dubai P.O. Box 505055, United Arab Emirates.
概括
电子健康记录 (EHR) 可能低估了多囊卵巢综合征 (PCOS) 的流行率和误诊病例. 这影响了PCOS风险和患者识别的研究.
科学领域:
- 内分泌学 在内分泌学.
- 生殖健康 生殖健康
- 医疗信息学 医疗信息学
背景情况:
- 多囊卵巢综合征 (PCOS) 是生殖年龄妇女常见的内分泌疾病.
- PCOS增加了2型糖尿病,心血管疾病,不孕症和其他严重健康问题的风险.
- 准确识别PCOS对于管理相关的健康风险至关重要.
研究的目的:
- 评估使用电子健康记录 (EHR) 诊断PCOS的流行率和可靠性.
- 评估从患者数据库中获取PCOS诊断变量的可行性.
- 了解基于EHR的PCOS诊断对研究的影响.
主要方法:
- 通过使用EHR进行了PCOS诊断文献的范围审查.
- 分析PCOS患者数据库,以确定诊断变量的可用性.
- 基于EHR的诊断与已确定的PCOS诊断标准的比较 (罗德堡,NIH,AEPCOS).
主要成果:
- 在EHR中,PCOS患病率从0.27%到5.8%不等,往往低于预期.
- 对于PCOS诊断的EHR的可靠性各不相同,其中一项研究显示了50%的灵敏度和29%的特异性.
- 数据库中很少有女性满足了使用鹿特丹 (13.7%),NIH (8%) 或AEPCOS (7.5%) 标准的PCOS全部标准.
结论:
- 电子健康记录可能导致低估PCOS患病率.
- 许多通过EHR识别的女性可能不符合完整的诊断标准.
- 这些发现突显了PCOS研究和患者识别的电子健康记录的局限性.
相关概念视频
01:30Methods of Documentation VII: EMR
832
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
832
01:26Methods of Documentation II: POMR
947
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
947
01:10Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
01:24Disorders of the Female Reproductive System
357
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
357
01:19Purpose of Health Records II
967
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
967
02:07Oogenesis
63.7K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.7K