电子报警系统在急性肾损伤的应用与改进展望
The Application and Amelioration Prospect of the Electronic Alert System for Acute Kidney Injury
DOI: 10.12677/ACM.2018.81003, PDF,    国家自然科学基金支持
作者: 贺忆培, 倪兆慧：上海交通大学医学院附属仁济医院肾脏科，上海
关键词: 急性肾损伤；电子报警系统；电子健康记录；临床决策支持系统；Acute Kidney Injury； Electronic Alert； Electronic Health Records； Clinical Decision Support
摘要: 急性肾损伤，是一种临床常见危重病症，具有很高的致残率及死亡率，早期发现并及时干预可改善其临床预后。电子报警系统可在肌酐、尿量等必需数据被记录后发出警报而早期识别急性肾损伤的发生和进展，与临床决策支持系统整合后更可提供干预建议，具有很大发展前景。本文就目前国际上电子报警系统在急性肾损伤中的应用，包括工作模式、影响表现因素、效果评估、最佳临床实践等方面进行综述，并针对尚可改进之处提出了发展方向。
Abstract: Acute kidney injury (AKI) is a common clinical critical illness with high morbidity and mortality. Early detection and timely intervention may improve its clinical prognosis. When the necessary data such as serum creatinine, urine output are recorded, the electronic alert system can deliver an alarm to reach the goal of early recognition of the occurrence and progress of AKI. Besides, when integrated with the clinical decision support system, it can provide recommendations for intervention. So it has great prospects for development. In this paper, we will focus on the current worldwide applications of the electronic alert system for AKI from the aspect of working patterns, the impact of performance factors, effect evaluation and the best clinical practice, and propose the direction for the amelioration.
文章引用：贺忆培, 倪兆慧. 电子报警系统在急性肾损伤的应用与改进展望[J]. 临床医学进展, 2018, 8(1): 14-21. https://doi.org/10.12677/ACM.2018.81003

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