Schwarz G, Pfurtscheller G, Litscher G, Grims R, Rom G, Rumpl E, Seitlinger H, Fuchs G
Universitäts-Klinik für Anästhesiologie, Graz.
Anaesthesist. 1993 Nov;42(11):793-9.
An interactive, knowledge-based computer system for brain death documentation is presented. The specific exponents BRAINDEX R and G were realised by the software tool Personal Consultant Plus and the programming language Clipper, respectively. The strategies of conclusion were forward chaining for approximate evaluation of coma stages and backward chaining for analysing the brain death syndrome. BRAINDEX was developed for use with an IBM personal computer or compatible equipment. Systemic analyses were compared retrospectively with the data from clinical brain death protocols (n = 132) of 128 comatose patients (mean age 35.1 +/- 15.8 years) with a Glasgow Coma Score of 3. Identical classifications (system vs physician) were found in all patients without diagnosis of brain death (n = 35). Differences related to the findings of the physician were evaluated in lower numbers of the systemic positive diagnosis of brain death (82 vs 89) and higher numbers of impossibility of systemic evaluation (11 vs 2). These results were obtained by conclusions of the computer system drawn by restrictive systemic mechanisms to avoid false-negative diagnoses. The system therefore seems to be useful for documentation, consultation, and as a teaching instrument and data bank in brain death.
本文介绍了一种用于脑死亡记录的交互式、基于知识的计算机系统。具体指数BRAINDEX R和G分别通过软件工具Personal Consultant Plus和编程语言Clipper实现。结论策略包括用于昏迷阶段近似评估的正向推理和用于分析脑死亡综合征的反向推理。BRAINDEX专为与IBM个人计算机或兼容设备配合使用而开发。对128名格拉斯哥昏迷评分为3分的昏迷患者（平均年龄35.1±15.8岁）的临床脑死亡记录（n = 132）数据进行了回顾性系统分析。在所有未诊断为脑死亡的患者（n = 35）中，系统分类与医生分类相同。在脑死亡系统阳性诊断数量较少（82对89）和系统评估不可能数量较多（11对2）的情况下，评估了与医生诊断结果的差异。这些结果是通过计算机系统采用限制性系统机制得出的结论获得的，以避免假阴性诊断。因此，该系统似乎可用于脑死亡的记录、咨询，以及作为教学工具和数据库。
