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[急性腹痛综合征的诊断辅助与决策制定]

[Aid to diagnosis and decision making in an acute abdominal pain syndrome].

出版信息

Rev Epidemiol Sante Publique. 1984;32(1):40-4.

PMID:6371950
Abstract

Diagnostic and decision making performances of a Bayesian model have been compared with clinically performances in abdominal pain of acute onset. Diagnostic accuracy of computer (63.3 p. cent) was lower than diagnostic accuracy of clinicians (72.6 p. cent). A two-fold increase in the number of diagnoses similarly decreased both performances. When the computer came to use national data base (6 916 patients) instead of local data base (571 patients), diagnostic accuracy of low-prevalence diseases increased and diagnostic accuracy of high-prevalence diseases decreased. Decision making accuracy of computer and clinicians were identical.

摘要

已将贝叶斯模型的诊断和决策性能与急性腹痛的临床性能进行了比较。计算机的诊断准确率(63.3%)低于临床医生的诊断准确率(72.6%)。诊断数量增加两倍同样会降低这两种性能。当计算机使用全国数据库(6916例患者)而非本地数据库(571例患者)时,低患病率疾病的诊断准确率提高,高患病率疾病的诊断准确率降低。计算机和临床医生的决策准确率相同。

相似文献

1
[Aid to diagnosis and decision making in an acute abdominal pain syndrome].[急性腹痛综合征的诊断辅助与决策制定]
Rev Epidemiol Sante Publique. 1984;32(1):40-4.
2
[Acute abdominal pain syndrome. The computer as an aid to diagnosis (author's transl)].
Nouv Presse Med. 1981 Dec 19;10(46):3767-9.
3
Computer-assisted diagnosis of acute abdominal pain.急性腹痛的计算机辅助诊断
Compr Ther. 1989 Feb;15(2):26-35.
4
Acute abdominal pain: computer aided diagnosis by non-medically qualified staff.急性腹痛:由非医学专业人员进行的计算机辅助诊断。
Ann R Coll Surg Engl. 1987 Sep;69(5):233-4.
5
Computers and the surgeon--a matter of decision.计算机与外科医生——一个决策问题。
Surg Annu. 1979;11:33-57.
6
The diagnosis of acute abdominal pain with computer assistance: worldwide perspective.计算机辅助下急性腹痛的诊断:全球视角
Ann Chir. 1991;45(4):273-7.
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Diagnostic peritoneal lavage (DPL)--is it useful decision making process for management of the equivocal acute abdomen?诊断性腹腔灌洗(DPL)——对于处理不明确的急腹症而言,它是一种有用的决策方法吗?
Trop Gastroenterol. 2003 Jul-Sep;24(3):140-3.
8
Diagnostic pitfalls and accuracy of diagnosis in acute abdominal pain.急性腹痛的诊断陷阱与诊断准确性
Scand J Gastroenterol. 2006 Oct;41(10):1126-31. doi: 10.1080/00365520600587485.
9
[Acute abdominal pain--standardized findings as diagnostic support. Results of a prospective multicenter intervention study and testing of a computer-assisted diagnosis system].[急性腹痛——作为诊断支持的标准化发现。一项前瞻性多中心干预研究及计算机辅助诊断系统测试的结果]
Chirurg. 1992 Feb;63(2):113-22; discussion 122-3.
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The acute abdomen: management with microcomputer aid.急腹症:微机辅助管理
Ann R Coll Surg Engl. 1986 Jul;68(4):182-4.

引用本文的文献

1
Acute abdomen of unknown origin: impact of CT on diagnosis and management.不明原因的急腹症:CT对诊断和治疗的影响
Gastrointest Radiol. 1992 Fall;17(4):287-91. doi: 10.1007/BF01888571.