CodeX可有效识别荷兰初级医疗保健中患有哮喘或慢性阻塞性肺疾病（COPD）的高危患者，为遵循指南的治疗提供支持。
CodeX effectively identifies high-risk patients with asthma or COPD in Dutch primary care, supporting guideline-driven treatment.
作者信息
van Geer-Postmus Iris, Leving Marika T, Gerritsma Yoran H, Baan Esmé, Dijk Lars, Harms Evelien, Price David, Prins Gerian H, Quint Jennifer K, Ryan Dermot, Salomé Philippe, Ställberg Björn, Stoker Nilouq, Kocks Janwillem H
机构信息
General Practitioners Research Institute, Prof. ED Wiersmastraat 5, Groningen, 9713 GH, The Netherlands.
General Practitioners Research Institute, Groningen, The Netherlands.
出版信息
Ther Adv Respir Dis. 2025 Jan-Dec;19:17534666251329192. doi: 10.1177/17534666251329192. Epub 2025 Apr 30.
BACKGROUND
Prevention of lung attacks (LAs)/exacerbation is an important treatment goal in both asthma and chronic obstructive pulmonary disease (COPD). However, LAs are often not registered as such in medical records.
OBJECTIVES
Development and evaluation of CodeX Asthma and COPD.
DESIGN
An electronic medical record-based algorithm to identify LAs in Dutch primary care patients with asthma or COPD was developed. The algorithms were evaluated in nine general practices in the Netherlands.
RESULTS
A total of 479 LAs (in 1164 patients) were identified with CodeX Asthma in the past year, of which only 16% were registered. CodeX COPD identified 321 LAs (in 242 patients) in the past 3 years, of which two were registered.
CONCLUSION
CodeX algorithms are capable of identifying unrecorded LAs and high-risk/uncontrolled patients in an easy way. This offers primary care providers a simple solution to easily identify and closely manage high-risk patients with asthma or COPD by identifying LAs' frequency and potential under- or overtreatment.
背景
预防肺部发作（LAs）/病情加重是哮喘和慢性阻塞性肺疾病（COPD）治疗的重要目标。然而，肺部发作在医疗记录中往往未被如此记录。
目的
开发并评估CodeX哮喘与COPD系统。
设计
开发了一种基于电子病历的算法，用于识别荷兰初级保健中患有哮喘或COPD的患者的肺部发作情况。该算法在荷兰的九个全科诊所进行了评估。
结果
过去一年中，CodeX哮喘系统共识别出479次肺部发作（涉及1164名患者），其中只有16%被记录。CodeX COPD系统在过去3年中识别出321次肺部发作（涉及242名患者），其中只有两次被记录。
结论
CodeX算法能够以简便的方式识别未记录的肺部发作以及高危/未得到控制的患者。这为初级保健提供者提供了一个简单的解决方案，通过识别肺部发作的频率以及潜在的治疗不足或过度治疗情况，轻松识别并密切管理患有哮喘或COPD的高危患者。
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