A computer program for interpreting pulmonary artery catheterization data: results of the European HEMODYN Resident Study.

Autor:	Squara, Pierre, Fourquet, Etienne, Jacquet, Luc, Broccard, Alain, Uhlig, Thomas, Rhodes, Andrew, Bakker, Jan, Perret, Claude
Předmět:	PULMONARY blood vessels ARTERIES PULMONARY artery BLOOD vessels CATHETERIZATION CRITICAL care medicine CLINICAL competence COMPARATIVE studies HEMODYNAMICS INTENSIVE care units INTERNSHIP programs RESEARCH methodology MEDICAL quality control MEDICAL cooperation RESEARCH RESEARCH evaluation STATISTICS DATA analysis EVALUATION research SWAN-Ganz catheterization COMPUTER-aided diagnosis
Zdroj:	Intensive Care Medicine; May2003, Vol. 29 Issue 5, p735-741, 7p
Abstrakt:	We previously validated an expert computer program (Hemodyn) designed to assist in interpreting pulmonary artery catheterization data. The present multicentric study assessed the influence of Hemodyn on the therapeutic strategies of residents. Each resident made several diagnostic choices and suggested appropriate treatments based on pulmonary artery catheterization (PAC) data. After knowledge of the computer interpretation, the resident could either maintain or change his or her diagnosis and treatment under a senior supervision. Agreement between the residents' initial evaluation and the computer's was poor (kappa <0.6). After computer assistance, agreement improved dramatically (kappa >0.9). Computer assistance led the residents to change at least one suggested treatment in 63% of cases, and in 8% of cases the residents changed the initial suggestion to its opposite. Expert software capable of helping residents to interpret PAC data properly may improve the quality of care given to critically ill patients. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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