Jonsbu J, Aase O, Arnesen K E, Rollag A, Erikssen J
Medisinsk avdeling, Sentralsykehuset i Akershus, Nordbyhagen.
Tidsskr Nor Laegeforen. 1990 Mar 30;110(9):1077-81.
A computerized diagnostic system to be used in patients with acute chest pain was recently developed in our department, and was tested prospectively in 213 consecutive patients with acute chest pain. In our study, the computer system almost invariably improved the decision as to whether or not admission to the coronary care unit was necessary. Thus, compared with decisions made by the emergency room physicians the computer system would have reduced by approximately 75% the number of patients with acute myocardial infarction who are incorrectly referred to the general ward. The system would also have reduced by the same figure the number of cases wrongly placed in the coronary care unit. Thus, in patients admitted with acute chest pain, the use of our computerized system would have improved both diagnostic accuracy and correct referral of patients from the emergency room.
我们科室最近开发了一种用于急性胸痛患者的计算机诊断系统，并对213例连续的急性胸痛患者进行了前瞻性测试。在我们的研究中，计算机系统几乎总是能改善关于是否有必要收治入冠心病监护病房的决策。因此，与急诊室医生做出的决策相比，该计算机系统将使被错误转诊至普通病房的急性心肌梗死患者数量减少约75%。该系统还会使被错误安置在冠心病监护病房的病例数量减少相同比例。因此，对于因急性胸痛入院的患者，使用我们的计算机系统将提高诊断准确性，并改善患者从急诊室的正确转诊情况。
