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智能手机如何改变过敏诊断。

How the Smartphone Is Changing Allergy Diagnostics.

机构信息

Allergy Unit, Instituto and Hospital CUF, Porto, Portugal.

CINTESIS- Center for Health Technologies and Information Systems Research, Faculty of Medicine, University of Porto, Porto, Portugal.

出版信息

Curr Allergy Asthma Rep. 2018 Oct 25;18(12):69. doi: 10.1007/s11882-018-0824-4.

Abstract

PURPOSE OF REVIEW

Evidence-based clinical diagnosis of allergic disorders is increasingly challenging. Clinical decision support systems implemented in mobile applications (apps) are being developed to assist clinicians in diagnostic decisions at the point of care. We reviewed apps for allergic diseases general diagnosis, diagnostic refinement and diagnostic personalisation. Apps designed for specific medical devices are not addressed.

RECENT FINDINGS

Apps with potential usefulness in the initial diagnosis and diagnostic refinement of respiratory, food, skin and drug allergies are described. Apps to support diagnostic personalisation are not yet available. There is an urgent need to increase the scientific evidence on the real usefulness of these apps, as well as to develop new scientifically grounded apps designed and validated to support all allergic diseases and diagnostic levels. Apps have the potential to change the diagnosis of allergic diseases becoming part of the routine diagnostics toolset, but its usefulness needs to be established.

摘要

目的综述

基于证据的过敏症临床诊断越来越具有挑战性。目前正在开发移动应用程序(app)中的临床决策支持系统,以帮助临床医生在护理点做出诊断决策。我们综述了用于一般诊断、诊断细化和诊断个体化的过敏性疾病 app。专门为特定医疗设备设计的 app 不在讨论范围内。

最近的发现

描述了在呼吸、食物、皮肤和药物过敏的初始诊断和诊断细化方面具有潜在用途的 app。支持诊断个体化的 app 尚不存在。非常有必要增加这些 app 的实际用途的科学证据,同时开发新的基于科学的 app,以支持所有过敏性疾病和诊断级别。app 有可能改变过敏性疾病的诊断,成为常规诊断工具集的一部分,但需要确定其有用性。

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