导航医疗保健中的数据可用性挑战:评估肺功能测试对死亡风险的护理评估需求得分的附加值
Khalid A Ishani1, Anders Westanmo2, Amy Gravely3
1University of Minnesota Medical School, Minneapolis, Minnesota, USA.
强迫呼吸量 (FEV1) %pred独立预测死亡风险,即使考虑到VA的CAN分数. 减少将PFT数据集成到电子健康记录中是一个越来越令人担忧的问题.
科学领域:
- 肺部医学 肺部医学
- 医疗信息学 医疗信息学
- 生物统计学 生物统计学
背景情况:
- 肺功能测试 (PFT) 数据,包括强制呼气体积 (FEV1),越来越多地脱离电子健康记录 (EHR).
- 护理评估需求 (CAN) 评分是经过验证的退伍军人卫生管理局 (VA) 工具,用于预测死亡风险.
研究的目的:
- 为了确定FEV1预测的百分比 (%pred) 是否是死亡风险的独立预测指标,超出了CAN得分.
- 研究将PFT数据集成到VA EHR中的趋势.
主要方法:
- 一项回顾性队列研究分析了2013年至2018年的全国VA数据.
- 经过对CAN分数进行调整后勤回归,评估了FEV1 %pred和1年和5年全因死亡率之间的关联.
主要成果:
- 虽然PFT的表现有所提高,但自2006年以来,EHR的整合已经下降.
- 与FEV1 %pred ≥70%相比,FEV1 %pred <35%与显著更高的1年 (OR 2.94) 和5年 (OR 3.83) 死亡率相关.
结论:
- FEV1 %pred是死亡风险的重要独立预测指标,超过了CAN得分的预测能力.
- 越来越少的PFT数据融入VA EHR是一个关键问题,可能会影响患者的护理.
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