Lehmann Christoph U, Subbiani Vignesh
The University of Texas Southwestern Medical Center, Dallas, Texas, USA.
The University of Arizona, Tucson, Arizona, USA.
Yearb Med Inform. 2024 Aug;33(1):175-177. doi: 10.1055/s-0044-1800739. Epub 2025 Apr 8.
To summarize significant research contributions published in 2023 in the field of clinical decision support (CDS) systems and to select the best papers for the Decision Support section of the International Medical Informatics Association (IMIA) Yearbook 2024.
We refreshed a previous search query for identifying CDS research using Medical Subject Headings (MeSH) terms and related keywords. The query was executed in PubMed in January 2024. Two reviewers reviewed the search results in three stages: title-based triaging, followed by abstract screening, and then full text review. The resulting articles were sent for external review to identity best paper candidates.
We retrieved 1948 articles related to CDS, of which four articles were selected as candidates for best papers. The general themes of the final three best papers were (1) improving transfer or discharge timeliness for children in pediatric intensive care units (ICUs), (2) improving acute kidney injury outcomes using medication-targeted interventions, (3) evaluating the safety of medication-related CDS in outpatient settings, and (4) demonstrating potential use cases for CDS in spaceflight missions.
Our synopsis highlighted the application of CDS in environments ranging from primary care to pediatric ICUs, and even spaceflight, addressing conditions such as acute kidney injury and bronchiolitis. Ongoing evaluation of the safety and effectiveness of these systems continues to be a central focus of CDS implementation efforts.
总结2023年临床决策支持（CDS）系统领域发表的重要研究贡献，并为《国际医学信息学协会（IMIA）年鉴2024》的决策支持部分挑选最佳论文。
我们更新了之前用于识别CDS研究的检索式，使用医学主题词（MeSH）术语和相关关键词。该检索式于2024年1月在PubMed中执行。两名评审员分三个阶段对检索结果进行评审：基于标题的筛选，接着是摘要筛选，然后是全文评审。将所得文章送交外部评审以确定最佳论文候选者。
我们检索到1948篇与CDS相关的文章，其中四篇文章被选为最佳论文候选者。最后三篇最佳论文的总体主题分别为：（1）提高儿科重症监护病房（ICU）儿童的转院或出院及时性；（2）使用药物靶向干预改善急性肾损伤结局；（3）评估门诊环境中与药物相关的CDS的安全性；（4）展示CDS在太空飞行任务中的潜在用例。
我们的综述强调了CDS在从初级保健到儿科ICU甚至太空飞行等环境中的应用，涉及急性肾损伤和细支气管炎等病症。对这些系统的安全性和有效性进行持续评估仍然是CDS实施工作的核心重点。
