数字技术和临床决策支持工具可用于住院患者的糖尿病选:系统文献审查
Giuliana Murfet1,2, Nicola Carey3, Ashley H Ng4
1School of Nursing, UTAS Health, University of Tasmania, Hobart, Tasmania, Australia.
Diabetic medicine : a journal of the British Diabetic Association
|January 22, 2026
概括
数字工具可以改善糖尿病患者的医院护理. 采用采用入院查和电子健康记录监控的双层方法,可以更好地管理住院糖尿病风险,并预防不良结果.
科学领域:
- 数字健康数字健康
- 临床决策支持系统 临床决策支持系统
- 糖尿病管理 糖尿病管理
背景情况:
- 住院糖尿病管理受到血糖失调的挑战,导致不良结果,特别是在农村医院.
- 数字解决方案为改善糖尿病评估和医院入院时的护理协调提供了潜力.
- 农村地区现有的基础设施局限性加剧了这些挑战.
研究的目的:
- 系统地审查和描述数字技术和临床决策支持工具,用于对糖尿病住院患者进行分类.
- 确定当前的应用,并评估它们在改善住院糖尿病护理方面的有效性.
主要方法:
- 对2014年1月至2024年8月期间发表的研究进行了六个电子数据库的系统审查.
- 研究重点是数字技术或决策支持工具,用于对糖尿病成人住院患者进行分类.
- 使用了叙事合成,遵循PRISMA指南和PROSPERO注册.
主要成果:
- 九项研究符合纳入标准,评估了各种数字干预措施.
- 三项研究的重点是开发或加强对住院糖尿病患者团队的转诊系统.
- 六项研究报告了低血糖,不良血糖,ICU患者的死亡率和术后血糖管理的风险预测.
结论:
- 数字技术和临床决策支持工具在增强住院糖尿病患者分拣方面显示出前景.
- 拟议的双层方法涉及一个初始的风险查工具,其次是动态的EHR监测即时低血糖风险.
- 该战略旨在平衡入院敏感性与持续,动态的住院风险监测.
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