利用电子健康记录前咨询数据,创建用于诊断慢性儿科类类风湿病的预测算法
Kendra R Lauer1, Kyla Driest1,2, Laura R Pratt1,2
1Division of Pediatric Rheumatology, Nationwide Children's Hospital, 405 Butterfly Gardens Drive, Columbus, OH, 43215, USA.
Clinical rheumatology
|August 16, 2025
概括
开发电子健康记录 (EHR) 算法可以预测儿科类风湿性疾病,可能减少专家咨询的长期等待时间,并改善患者的护理机会.
科学领域:
- 类风湿病学 类风湿病学
- 儿科 儿科 儿科
- 医疗信息学 医疗信息学
背景情况:
- 长时间等待儿科风湿病学服务的咨询是一个重大挑战.
- 患者转诊专家可能并不总是导致风湿性病的诊断.
- 电子健康记录 (EHR) 包含有价值的患者数据,用于诊断支持.
研究的目的:
- 开发一种用于诊断慢性儿科类风湿病的预测算法.
- 在EHR中利用患者报告,历史和转诊数据.
- 解决和减轻儿科风湿病学中长时间的咨询等待时间.
主要方法:
- 从2021年至2023年对新的风湿病患者评估的回顾性审查.
- 数据包括访问的原因,患者记录的结果和ICD代码.
- 后勤回归被用来分析诊断和转介数据的关联.
主要成果:
- 这项研究包括3139名受试者,10%被诊断患有炎症性关节炎,2%患有全身性红斑狼 (SLE).
- 炎症性关节炎和SLE的中位诊断时间分别为88天和42天.
- 转诊原因如胀,抗核抗体阳性,皮疹和狼与特定的诊断有关,尽管转诊数据显示敏感性低.
结论:
- 基于EHR的预测算法提供了一种有前途的方法来改善儿科类风湿病患者的护理.
- 将预测模型集成到推过程中可以加快获得专业服务的机会.
- 这一策略可以帮助缓解与儿科风湿病学医生短缺和长时间等待相关的问题.
相关概念视频
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
57
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
57
Rheumatic Heart Disease III: Medical Management
32
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
32
Methods of Documentation VII: EMR
913
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...
913
Rheumatic Heart Disease IV: Nursing Management
38
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
38
Rheumatic Heart Disease I: Introduction
40
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
40


