开发和验证糖尿病解释器,一种基于移动应用程序的工具,用于对患有糖尿病的儿童进行临床评估
Alapan Mahapatra1, Anurag Bajpai2, Proteek Sen1
1Department of Pediatric Endocrinology, Regency Center for Diabetes, Endocrinology & Research, Kanpur, UP, India.
Indian journal of pediatrics
|August 22, 2025
概括
一个新的移动应用程序"糖尿病解释器"准确地分类了儿童和青少年的糖尿病, 这种工具提供了可靠的护理指南,提高了糖尿病儿童和青少年的诊断准确性.
科学领域:
- 内分泌学
- 移动医疗技术
- 儿童护理
背景情况:
- 准确地对儿童和青少年糖尿病进行分类对于适当的治疗至关重要.
- 现有的诊断和评估方法在不同的医疗保健提供者之间可能存在差异.
- 需要一个标准化的,可访问的工具来帮助诊所诊断糖尿病.
研究的目的:
- 开发和验证"糖尿病解释器" (Diabetes Interpreter),这是一款用于儿童和青少年糖尿病的诊所分类的移动应用.
- 与专家临床诊断相比,评估糖尿病解释器的准确性.
主要方法:
- 使用诊断时的年龄,疾病持续时间,表现和胰岛素需求等临床参数开发了糖尿病解释器工具.
- 验证包括将应用程序的建议与302名儿童和青少年糖尿病患者的诊断进行比较.
- 应用程序的指导与儿科内分泌学家,成人内分泌学家,儿科医生和儿科实习生的评估进行了比较.
主要成果:
- 糖尿病解释器与临床诊断的一致性很高,达到98.6%的一致性 (596/604).
- 该应用程序的一致率超过了所有评估的人类临床医生,包括儿科内分泌学家 (90.4%和81.3%).
- 与临床医生相比,该工具可能会减少多达55.9%的诊断不一致,并建议进行更少的不必要调查.
结论:
- 糖尿病解释器的一致性得分很高,强调其作为治疗指导工具的价值.
- 移动应用程序显示了提高年轻人糖尿病评估准确性和效率的巨大潜力.
- 这项技术可以作为医疗保健提供者管理儿童和青少年糖尿病的宝贵辅助.
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