确定儿童急性损伤:将电子警报与健康记录数据进行比较
Lucy Plumb1,2, Manuela Savino3, Anna Casula4
1UK Renal Registry, UK Kidney Association, Building 20A1, Filton 20, Filton, Bristol, BS34 7RR, UK. lucy.plumb@nhs.net.
BMC nephrology
|February 13, 2025
概括
儿童急性损伤 (AKI) 的电子警报与医院编码的相关性很差. 这表明,AKI受到认可不足,影响了患者护理和研究准确性.
科学领域:
- 儿科脏病学 儿科脏病学
- 临床信息学 临床信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于肌水平上升的电子 (电子) 警报可以识别潜在的急性损伤 (AKI).
- 在住院儿童中,AKI是一个严重的问题.
- 准确的编码对于监测发病率和结果至关重要.
研究的目的:
- 评估电子警报中发现的AKI发作与儿童医院记录中的编码之间的相关性.
- 检查AKI编码是否与国家队列中的30天死亡率一致.
主要方法:
- 在英格兰 (2017年) 的住院儿童 (<18岁) 中分析了6272个AKI警报事件.
- 链接电子警报到医院记录进行编码状态.
- 使用多变量逻辑回归来识别与AKI编码相关的因素.
- 检查了编码和30天死亡率之间的医院级协议.
主要成果:
- 在AKI发作的总体编码不佳 (19.7%).
- 更高的AKI阶段,更老的年龄和更低的贫困与更高的编码可能性有关.
- 在出生入院期间,AKI的编码率明显较低.
- 在AKI编码和30天死亡率之间没有发现相关性.
结论:
- 对于已识别的AKI电子警报的低编码率表明不充分识别和低估发病率.
- 需要进一步调查编码差异和警报在临床识别中的作用.
- 了解各医院的编码差异对于改善AKI监控至关重要.
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