使用电子医疗记录来识别患有潜在心脏粉症风险的患者
Michael A Pascoe1, Andrew Kolodziej2, Emma J Birks2
1Department of Internal Medicine, University of Kentucky, Lexington, KY, USA.
Journal of cardiology
|July 11, 2024
概括
电子医疗记录 (EMR) 系统可以识别患有心脏氨基粉症 (ATTR-CA) 的高风险患者. 这种自动化方法有助于早期检测和及时干预ATTR-CA.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
背景情况:
- 晶氨酸心肌粉症 (ATTR-CA) 诊断依赖于提供者模式识别.
- 电子医疗记录 (EMR) 系统为自动化ATTR-CA患者识别提供了潜力.
研究的目的:
- 开发和验证基于EMR的评分系统,用于识别ATTR-CA的高风险患者.
- 评估将该系统整合到临床实践中用于早期查的可行性.
主要方法:
- 分析了一组年龄大于60岁,患有慢性心力衰竭和没有先前确诊的氨基粉症的患者.
- 一个Epic EMR算法根据与ATTR-CA相关的ICD-10和CPT代码分配了风险得分.
- 根据风险得分分层患者,最高得分 (≥30) 被指定为高风险病例.
主要成果:
- 该EMR系统确定了11,648名患者,其中132人被标记为高风险 (得分≥30).
- 高风险患者表现出更高的ATTR-CA相关发现的流行率,包括非裔美国人种族,左心室质量指数增加和射出分数减少.
- 在高风险患者中观察到高托罗邦素水平,并趋向于更高NT-proBNP.
结论:
- 现代的EMR系统可以有效地使用定义的评分逻辑标记具有ATTR-CA高风险的患者.
- 这种自动标记系统,可能通过最佳实践建议,可以在心声回声或诊所访问期间促使进一步查.
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