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Effects of Computerized Guideline-Oriented Clinical Decision Support System on Glycemic Control in Diabetic Patients: A Systematic Review and Meta-Analysis

机译:计算机化指南临床决策支持系统对糖尿病患者血糖控制的影响:系统综述与荟萃分析

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In a meta-analysis of 4 trials, computerized guideline-oriented clinical decision support system (CDSS) for healthcare providers showed a similar change in glycated hemoglobin (HbA_(1C)) from baseline to follow up (weighted mean difference (95% confidence interval (CI)): -0.29 (-0.74, 0.16), p=0.212), but a reduced proportion of patients with HbA_(1C)>=7.0% at follow up (odds ratio (95%CI)): 0.85 (0.74, 0.97), p=0.014) compared with the control group, suggesting the need for the development of multifaceted computerized CDSS.
机译:在4项试验的META分析中,医疗保健提供者的计算机化指导的临床决策支持系统(CDS)显示出从基线的糖化血红蛋白(HBA_(1C))发生类似的变化(加权平均差异(95%置信区间) (CI)):-0.29(-0.74,0.16),p = 0.212),但随后的HBA_(1c)> = 7.0%的患者的比例减少(差距(95%CI)):0.85(0.74与对照组相比,0.97),P = 0.014),表明需要开发多方面的计算机化CDS。

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