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一刀切并不适用于所有情况:解读儿科患者的实验室数据。

One size does not fit all: interpreting laboratory data in pediatric patients.

作者信息

Gillespie Robert S, Johnson L Clark

机构信息

Department of Pediatrics, University of Washington, Seattle WA, USA.

出版信息

AMIA Annu Symp Proc. 2003;2003:850.

Abstract

Results of laboratory tests for kidney stone risk factors are reported based on adult reference ranges and are not readily interpretable in children. We have developed a solution which converts laboratory output to appropriate pediatric patient-adjusted relative units, compares results using age-specific reference ranges, and flags out-of-range values. The example presented demonstrates how clinicians with technical skills can use existing computer resources to develop effective solutions to problems they experience in clinical practice.

摘要

肾结石风险因素的实验室检测结果是根据成人参考范围报告的,在儿童中不易解释。我们开发了一种解决方案,可将实验室输出转换为适合儿科患者调整后的相对单位,使用特定年龄的参考范围比较结果,并标记出超出范围的值。给出的示例展示了具有技术技能的临床医生如何利用现有的计算机资源来开发有效的解决方案,以解决他们在临床实践中遇到的问题。

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