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SCI REP：电子干预措施对血液透析患者的医疗结局的影响！

2017-06-07 xing.T MedSci原创

电子干预血液透析结局
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由此可见，实施电子干预可以改善患者的结局，但仍需要额外的研究来评估使用这种方法的成本效益。

在医疗保健行业中积极运用电子干预措施已成为提高医疗质量的全球趋势。近日，Scientific reports 杂志上发表了一篇研究文章，该回顾性研究旨在评估电子信息系统对提供给血液透析患者医疗质量的影响。

总的来说，在研究者所在机构接受4年以上血液透析的600名患者被纳入研究（在电子干预组和非电子干预组各有300名患者，并且每组患者的性别、年龄、血液透析时间、糖尿病和高血压等指标进行了匹配）。

研究人员发现，电子干预组的患者相比于非电子干预组的患者住院天数更少。研究人员采用Cox回归分析发现非电子干预组的患者较电子干预组患者死亡率显著升高。分层分析显示随访一年后电子干预组患者与非电子干预组患者之间在血清白蛋白、尿素下降率和心胸比水平上存在显著的差异。在电子干预组患者有显著较高的血液透析血流速率，住院天数有所减少并且4年的死亡率较低，相比于那些非电子干预组患者。

由此可见，实施电子干预可以改善患者的结局，但仍需要额外的研究来评估使用这种方法的成本效益。

原始出处：

Chang-Chyi Jenq,et al. The Effects of e-interventions on the Medical Outcomes of Hemodialysis Patients: A Retrospective Matched Patient Cohort Study.Scientific reports. 2017. https://www.nature.com/articles/s41598-017-02815-9

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    2017-07-12 xiaoyang_ambs

    #干预措施#

    0

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    2017-06-09 habb

    #血液透析#

    0

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    2017-06-09 ewsr6

    #透析患者#

    0

  4. 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createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Thu Jun 08 21:01:34 CST 2017, time=2017-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208103, encodeId=fbd3208103d8, content=不错的，学习了！谢谢分享！, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Thu Jun 08 09:28:13 CST 2017, time=2017-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=208091, encodeId=bd1f20809131, content=越来越先进的科学技术, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, 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    2017-06-08 changjiu

    科技服务

    0

  5. 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    2017-06-08 中医痴

    不错的，学习了！谢谢分享！

    0

  6. 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    2017-06-08 楠博One

    越来越先进的科学技术

    0

  7. 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    2017-06-08 飛歌

    这是一个新的发展方向

    0

  8. 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    2017-06-08 187****0626

    这个好早之前就统计了，透析中心是要定期上传数据的

    0

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    2017-06-08 惠映实验室

    学习了新技术

    0

  10. 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objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDcohE5MKT1FYlH69x7qib45icLgBDMANxIiauEA62nuQI1eE8Ez2rO3yqOkRLH6ha6Lw0x1IBRm0N7g/0, createdBy=e1ff2033933, createdName=187****0626, createdTime=Thu Jun 08 07:15:01 CST 2017, time=2017-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207932, encodeId=2b2420e93209, content=学习了新技术, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/xkvRjYnJzzRJ2R0y7VhicibvkjPWHjIMmu4ZpKnE9cWAu4lVicS3uDUCfF4M4JWvrkrYfpb2KehPV0Ee29tPqyPEebBUibiaKhnvD/0, createdBy=f8412001184, createdName=惠映实验室, createdTime=Thu Jun 08 00:13:05 CST 2017, time=2017-06-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207925, encodeId=462220e92548, content=学习了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5Kzuf9u71gZhPYMiajRtENwicoAABeQtfXOlic8ibhYSy6DvJZWUDVtjRvTfqBffr1XJ6JLtFB5kHicthl/0, createdBy=d41c2055892, createdName=184****9840, createdTime=Thu Jun 08 00:11:31 CST 2017, time=2017-06-08, status=1, ipAttribution=)]
    2017-06-08 184****9840

    学习了谢谢分享。

    0

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