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早期败血症反应系统与儿童早期预警分数在败血症识别中没有相关性
Jody Huber1,2, Shelley Feng2, Amber Veldman3
1Sanford Children's Hospital, Sanford Medical Center, Sioux Falls, South Dakota.
概括
电子医疗记录中的新的败血症警报系统与现有方法相比,显著改善了儿童早期败血症检测. 这种败血症预警系统可以更好地识别及时干预和改善患者的治疗结果.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 临床信息学是一种临床信息学.
- 卫生系统研究 卫生系统研究
背景情况:
- 败血症是全球儿童死亡的主要原因,需要早期检测.
- 基于电子医疗记录 (EMR) 的早期识别系统被推用于儿科护理.
- 现有的儿科早期预警分数 (PEWS) 有助于识别有风险的儿童,但可能不适合败血症.
研究的目的:
- 开发和评估一个新的败血症早期反应预警系统,集成到EMR中.
- 为了比较这种新系统与一般PEWS在识别儿科败血症方面的有效性.
- 评估在儿童医院实施这种败血症预警系统的可行性.
主要方法:
- 在第三级儿科医院的EMR中实施了一种新的败血症早期预警系统.
- 一个最佳实践警报 (BPA) 触发了满足败血症标准的患者.
- 分析了2018年12月至2020年5月的数据,将BPA败血症识别与PEWS分数进行比较.
主要成果:
- 在不同医院单位的736名儿科患者中,BPA触发了BPA.
- 败血症标准确定71%的这些患者 (524/736) 患有败血症.
- 现有的PEWS仅确定了13% (66/524) 的血患者被BPA识别出来.
结论:
- 在EMR中实施特定于败血症的触发工具是可行的.
- 新的最佳实践警报系统有效地识别了患有早期败血症的儿童.
- 这种败血症警报系统可以集成到电子医疗记录中,以改善检测.
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