Osterhoff Georg, Pförringer Dominik, Scherer Julian, Juhra Christian, Maerdian Sven, Back David A
Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland.
Klinik für Unfallchirurgie, Klinikum Rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland.
Unfallchirurg. 2020 Mar;123(3):199-205. doi: 10.1007/s00113-019-0676-y.
In the management of trauma patients in the resuscitation room many time-pressured and critical decisions must continuously be made in complex situations. Even experienced teams frequently make errors in this context. Computer-assisted decision-making systems can predict critical situations based on patient data continuously acquired online. Based on the calculated predictions these systems can suggest the next steps in managing the patient. This review summarizes the current literature on computer-assisted decision-making in the management of trauma patients.
A literature review summarizing existing concepts and applications of computer-assisted decision-making support for the management of trauma patients.
Narrative review article based on an analysis of literature in the German and English languages from the last 10 years.
There exist numerous computer-assisted decision-making systems in the field of trauma care. Several studies could show that computer-assisted decision-making can improve the outcome in the preclinical setting, the resuscitation room and in the intensive care unit. For further validation and implementation of these systems, information technological barriers have to be overcome, existing systems need to be adapted to current data protection regulations and large multicenter studies are necessary.
Computer-assisted decision-making can help to improve the management of trauma patients; however, before a ubiquitous implementation a number of technological and legislative barriers have to be overcome.
在复苏室对创伤患者进行管理时,必须在复杂情况下不断做出许多时间紧迫且关键的决策。即使是经验丰富的团队在这种情况下也经常犯错。计算机辅助决策系统可以根据在线持续获取的患者数据预测危急情况。基于计算出的预测结果,这些系统可以为患者管理建议下一步措施。本综述总结了创伤患者管理中计算机辅助决策的当前文献。
对计算机辅助决策支持在创伤患者管理中的现有概念和应用进行文献综述。
基于对过去10年德语和英语文献的分析撰写叙述性综述文章。
创伤护理领域存在众多计算机辅助决策系统。多项研究表明,计算机辅助决策可以改善院前、复苏室和重症监护病房的治疗结果。为了对这些系统进行进一步验证和实施,必须克服信息技术障碍,现有系统需要适应现行数据保护法规,并且需要开展大型多中心研究。
计算机辅助决策有助于改善创伤患者的管理;然而,在广泛实施之前,必须克服一些技术和立法障碍。