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[基于电子病历的谵妄识别研究现状与展望]

[Present research situation and prospect for delirium recognition based on electronic medical record].

作者信息

Zhao Yanli, Chen Ling, Yue Jirong

机构信息

National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;Center of Gerontology and Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, P.R.China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2020 Feb 25;37(1):185-188. doi: 10.7507/1001-5515.201909048.

Abstract

Delirium is a common complication in elderly inpatients which could result in cognitive impairment, and increase the risk of disability, fall and mortality. Moreover, it could cause heavy social burden. Even with multiple bedside screening scales to detect delirium, the rate of missed diagnosis is still high. Maybe it is associated with the acute fluctuation and nocturnal onset of delirium. With the development of the intelligence and automation of the electronic medical record (EMR), previous studies have explored the use of EMR to identify delirium patients, and this method provides help for delirium diagnosis and prevention. In this paper, we reviewed and summarized the current situation of research on delirium recognition by EMR, and put forward the development prospect in this method in order to provide basis and lay a foundation for intelligent diagnosis of delirium.

摘要

谵妄是老年住院患者常见的并发症,可导致认知障碍,增加残疾、跌倒和死亡风险。此外,它还会造成沉重的社会负担。即便有多种床边筛查量表用于检测谵妄,但漏诊率仍然很高。这可能与谵妄的急性波动和夜间发作有关。随着电子病历(EMR)智能化和自动化的发展,以往研究探索了利用EMR识别谵妄患者,该方法为谵妄的诊断和预防提供了帮助。本文回顾并总结了目前利用EMR识别谵妄的研究现状,并提出该方法的发展前景,以期为谵妄的智能诊断提供依据和奠定基础。

相似文献

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Validation of a Delirium Risk Assessment Using Electronic Medical Record Information.使用电子病历信息验证谵妄风险评估。
J Am Med Dir Assoc. 2016 Mar 1;17(3):244-8. doi: 10.1016/j.jamda.2015.10.020. Epub 2015 Dec 15.

本文引用的文献

3
Unrecognized Incident Delirium in Older Emergency Department Patients.老年急诊科患者中未被识别的谵妄事件
J Emerg Med. 2019 Oct;57(4):535-542. doi: 10.1016/j.jemermed.2019.05.024. Epub 2019 Jul 26.
8
Risk Factors and Hospital Mortality in Surgical and Non-surgical Patients with Delirium.手术和非手术谵妄患者的危险因素与医院死亡率
Rev Colomb Psiquiatr (Engl Ed). 2018 Jul-Sep;47(3):148-154. doi: 10.1016/j.rcp.2017.03.001. Epub 2017 Apr 21.

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