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急性肾损伤与信息技术

Acute Kidney Injury and Information Technology.

作者信息

Küllmar Mira, Zarbock Alexander

出版信息

Contrib Nephrol. 2018;193:81-88. doi: 10.1159/000484965. Epub 2018 Jan 23.

Abstract

Acute kidney injury (AKI) is a common complication that occurs in critically ill patients and it is associated with a worse outcome. Since therapy options are limited, prevention and early detection are the essential cornerstones to improve patient outcomes. Therefore, using health information technology (HIT) to detect AKI early might be useful for clinicians. Patient data can be extracted real-time from electronic health records. Programmed electronic alert systems (e-alerts) can increase clinicians' awareness for AKI. Integrated into clinical decision support systems, implementation of HIT might improve clinical processes and patient outcomes. Several studies show the application of e-alerts in AKI detection and the implementation in processes of care. Monitoring nephrotoxic medication is one successful approach of implementing e-alerts in prevention of AKI. Information technology in AKI is in an early phase of development and further multicenter prospective studies are required to draw optimally on the maximum potential of this concept.

摘要

急性肾损伤(AKI)是危重症患者中常见的并发症,且与更差的预后相关。由于治疗选择有限,预防和早期检测是改善患者预后的重要基石。因此,利用健康信息技术(HIT)早期检测AKI对临床医生可能有用。患者数据可从电子健康记录中实时提取。程序化电子警报系统(电子警报)可提高临床医生对AKI的认识。将HIT集成到临床决策支持系统中,可能会改善临床流程和患者预后。多项研究表明了电子警报在AKI检测中的应用以及在护理过程中的实施情况。监测肾毒性药物是在预防AKI中实施电子警报的一种成功方法。AKI领域的信息技术尚处于早期发展阶段,需要进一步开展多中心前瞻性研究,以充分发挥这一概念的最大潜力。

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