TY -的盟Joshi米拉盟——Ashrafian Hutan AU - Arora,声速的非盟-汗,Sadia AU -库克,格雷厄姆盟——Darzi Ara PY - 2019 DA - 2019/12/20 TI -数字报警和脓毒症患者的结果:系统回顾和荟萃分析乔- J地中海互联网Res SP - e15166六世- 21 - 12 KW -诊断KW -电子健康记录,败血症KW -医疗订单输入系统,评估结果(卫生保健)AB -背景:脓毒症的诊断和管理仍然是全球卫生保健的挑战。数字技术有改善败血症护理的潜力。目的:本文的目的是系统地回顾数字报警系统对败血症相关结果影响的证据。方法:检索1964年4月至2019年2月12日发表的研究，不受语言限制:EMBASE、MEDLINE、HMIC、PsycINFO和Cochrane。在标题和摘要审查后，所有被确定为可能符合条件的研究的全文报告都被获取以供进一步审查。调查对象仅限于成年住院病人。手工检索了其他研究的相关文章。仅纳入有明确预警前和预警后阶段的研究。主要结局是住院时间(LOS)和重症监护住院时间(icu LOS)，次要结局是使用抗生素的时间和死亡率。 Studies based solely on intensive care, case reports, narrative reviews, editorials, and commentaries were excluded. All other trial designs were included. A qualitative assessment and meta-analysis were performed. Results: This review identified 72 full-text articles. From these, 16 studies met the inclusion criteria and were included in the final analysis. Of these, 8 studies reviewed hospital LOS, 12 reviewed mortality outcomes, 5 studies explored time to antibiotics, and 5 studies investigated intensive care unit (ICU) LOS. Both quantitative and qualitative assessments of the studies were performed. There was evidence of a significant benefit of digital alerting in hospital LOS, which reduced by 1.31 days (P=.014), and ICU LOS, which reduced by 0.766 days (P=.007). There was no significant association between digital alerts and mortality (mean decrease 11.4%; P=.77) or time to antibiotics (mean decrease 126 min; P=.13). Conclusions: This review highlights that digital alerts can considerably reduce hospital and ICU stay for patients with sepsis. Further studies including randomized controlled trials are necessary to confirm these findings and identify the choice of alerting system according to the patient status and pathological cohort. SN - 1438-8871 UR - //www.mybigtv.com/2019/12/e15166/ UR - https://doi.org/10.2196/15166 UR - http://www.ncbi.nlm.nih.gov/pubmed/31859672 DO - 10.2196/15166 ID - info:doi/10.2196/15166 ER -