临床实践和公共卫生中的目标咳计数:范围审查
Alexandra J Zimmer1, Rishav Das1, Patricia Espinoza Lopez2
1Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada; McGill International TB Centre, Montreal, QC, Canada.
The Lancet. Digital health
|November 22, 2025
概括
数字咳计数工具为呼吸道疾病评估提供客观数据. 然而,有限的证据和可行性挑战阻碍了它们的临床整合,需要进一步的验证研究.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 数字健康数字健康
- 医疗技术 医疗技术 医学技术
背景情况:
- 传统的患者报告的咳结果是主观的.
- 使用数字工具对咳的客观量化正在出现,但在临床实践中尚未广泛使用.
- 在了解自动化和半自动化咳计数技术的临床实用性和整合方面存在差距.
研究的目的:
- 对患者护理和公共卫生中使用自动化和半自动化咳计数工具进行范围审查.
- 为了确定临床用例,并评估数字咳量化可用的证据.
- 探索将这些新技术整合到医疗保健中的挑战和要求.
主要方法:
- 在六个数据库和预印服务器进行系统的文献搜索,截至2025年2月12日.
- 选了6968个记录,其中618篇全文文章被评估了资格.
- 包括77项研究,检查临床和公共卫生环境中的数字咳计数工具.
主要成果:
- 确定了五个临床用例:诊断,严重性评估,治疗监测,结果预测和综合征监测,每个病例的支持证据有限.
- 在客观咳频率和患者报告的咳严重程度 (中位数r=0.42) 和生活质量 (中位数r=-0.49) 之间观察到中等相关性.
- 关键的可行性挑战包括设备的侵入性,患者的坚持和隐私问题.
结论:
- 数字咳计数工具显示出客观呼吸道疾病评估的潜力,但需要进一步验证.
- 客观咳计数和感知症状之间的关系是复杂的.
- 成功的临床整合需要解决可行性,可接受性,并通过综合性研究证明明确的临床价值.
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