Prospective evaluation of the MET-AP system providing triage plans for acute pediatric abdominal pain

International Journal of Medical Informatics

Volumn 77, Issue 3, 2008, Pages 208-218

  Farion, Ken J ^a   Michalowski, Wojtek ^a   Rubin, Steven ^a   Wilk, Szymon ^b   Correll, Rhonda ^c   Gaboury, Isabelle ^d  

^a UNIVERSITY OF OTTAWA   (Canada)

^b POZNAN UNIVERSITY OF TECHNOLOGY   (Poland)

^c CHILDREN S HOSPITAL OF EASTERN ONTARIO   (Canada)

^d Chalmers Research Group   (Canada)

Author keywords

Clinical; Computer; Decision support system; Handheld; Hospital; Pediatric abdominal pain; Triage

Indexed keywords

DECISION SUPPORT SYSTEMS; EMERGENCY ROOMS; MEDICAL PROBLEMS; PEDIATRICS;

PEDIATRIC ABDOMINAL PAIN; TRIAGE;

MEDICAL COMPUTING;

ABDOMINAL PAIN; ACCURACY; APPENDICITIS; ARTICLE; ELECTRONICS; EMERGENCY HEALTH SERVICE; EMERGENCY PHYSICIAN; EMERGENCY WARD; FEMALE; FOLLOW UP; GOLD STANDARD; HUMAN; MALE; MOBILE EMERGENCY TRIAGE ABDOMINAL PAIN; PEDIATRICS; PREDICTION; PRESCHOOL CHILD; PRIORITY JOURNAL; PROSPECTIVE STUDY; RESIDENCY EDUCATION; TERTIARY HEALTH CARE; TREATMENT PLANNING;

ABDOMINAL PAIN; ACUTE DISEASE; ADOLESCENT; CHILD; CHILD, PRESCHOOL; COHORT STUDIES; DIAGNOSIS, COMPUTER-ASSISTED; EMERGENCY SERVICE, HOSPITAL; FEMALE; FOLLOW-UP STUDIES; HUMANS; INFANT; MALE; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT DISCHARGE; POINT-OF-CARE SYSTEMS; PROSPECTIVE STUDIES; TRIAGE;

EID: 38549122960     PISSN: 13865056     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2007.01.004     Document Type: Article

References (49)

1. Fathi T., and Meyer D. MEDUSA: a fuzzy expert system for medical diagnosis of acute abdominal pain. Methods Inf. Med. 33 (1994) 522-529
2. Goldman G.M. The tacit dimension of clinical judgment. Yale J. Biol. Med. 63 (1990) 47-61
3. Johnson J.E., and Carpenter J.L. Medical house staff performance in physical examination. Arch. Intern. Med. 146 (1986) 937-941
4. Mangione S., Burdick W.P., and Peitzman S.J. Physical diagnosis skills of physicians in training: a focused assessment. Acad. Emerg. Med. 2 (1995) 622-629
5. In: Ashcroft K.W., Murphy J.P., Sharp R.J., Siga D.L., and Snyder C.L. (Eds). Pediatric Surgery. third ed. (2000), W.B. Saunders, Philadelphia
6. Garcia Pena B.M., Mandl K.D., Kraus S.J., Fischer A.C., Fleisher G.R., Lund D.P., and Taylor G.A. Ultrasonography and limited computed tomography in the diagnosis and management of appendicitis in children. JAMA 282 (1999) 1041-1046
7. Rice H.E., Arbesman M., Martin D.J., Brown R.L., Gollin G., Gilbert J.C., Caty M.G., Glick P.L., and Azizkhan R.G. Does early ultrasonography affect management of pediatric appendicitis? A prospective analysis. J. Pediatr. Surg. 34 (1999) 754-758
8. Pena B.M., Taylor G.A., Lund D.P., and Mandl K.D. Effect of computed tomography on patient management and costs in children with suspected appendicitis. Pediatrics 104 (1999) 440-446
9. Kharbanda A.B., Taylor G., Fishman S., and Bachur R. Development of a clinical score to improve diagnosis of appendicitis and reduce use of CT scans. Pediatr. Res. 55 (2004) 598a (Abstract)
10. Tsung J.W., Acosta R., and Crain E.F. Accuracy of the leukocyte count in the diagnosis of acute appendicitis in children. Acad. Emerg. Med. 9 (2002) 518a (Abstract)
11. Rodriguez-Sanjuan J.C., Martin-Parra J.I., Seco I., Garcia-Castrillo L., and Naranjo A. C-reactive protein and leukocyte count in the diagnosis of acute appendicitis in children. Dis. Colon Rectum 42 (1999) 1325-1329
12. Gronroos J.M. Do normal leucocyte count and C-reactive protein value exclude acute appendicitis in children?. Acta Paediatr. 90 (2001) 649-651
13. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann. Emerg. Med. 15 (1986) 557-564
14. Anatol T.I., and Holder Y. A scoring system for use in the diagnosis of acute abdominal pain in childhood. West Indian Med. J. 44 (1995) 67-69
15. Samuel M. Pediatric appendicitis score. J. Pediatr. Surg. 37 (2002) 877-881
16. Bond G.R., Tully S.B., Chan L.S., and Bradley R.L. Use of the MANTRELS score in childhood appendicitis: a prospective study of 187 children with abdominal pain. Ann. Emerg. Med. 19 (1990) 1014-1018
17. Macklin C.P., Radcliffe G.S., Merei J.M., and Stringer M.D. A prospective evaluation of the modified Alvarado score for acute appendicitis in children. Ann. R. Coll. Surg. Engl. 79 (1997) 203-205
18. Malik A.A., and Wani N.A. Continuing diagnostic challenge of acute appendicitis: evaluation through modified Alvarado score. Aust. N. Z. J. Med. 68 (1998) 504-505
19. Kharbanda A.B., and Bachur R. Performance of the Alvarado and Samuel appendicitis scores on a prospective cohort. Pediatr. Res. 55 (2004) 715a (Abstract)
20. Goldman R.D., Crump S., Stephens D., and Langer J.C. Prospective validation of a pediatric appendicitis score. Acad. Emerg. Med. 12 Suppl. 1 (2005) 20 (Abstract)
21. Musen M.A., Shahar Y., and Shortcliffe E.H. Clinical decision-support systems. In: Shortcliffe E.H., Perreault L.E., Wiederhold G., and Fagan L.M. (Eds). Medical Informatics. Computer Applications in Health Care and Biomedicine. second ed. (2001), Springer Verlag
22. Anderson J.G. Clearing the way for physicians' use of clinical information systems. Commun. ACM 40 (1997) 83-90
23. Hunt D.L., Haynes R.B., Hanna S.E., and Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA 280 (1998) 1339-1346
24. Kaplan B. Evaluating informatics applications-clinical decision support systems literature review. Int. J. Med. Inf. 64 (2001) 15-37
25. Fieschi M., Dufour J.C., Staccini P., Gouvernet J., and Bouhaddou O. Medical decision support systems: old dilemmas and new paradigms?. Methods Inf. Med. 42 (2003) 190-198
26. de Dombal F.T., Leaper D.J., Staniland J.R., McCann A.P., and Horrocks J.C. Computer-aided diagnosis of acute abdominal pain. Br. Med. J. 2 (1972) 9-13
27. de Dombal F.T. Surgical diagnosis assisted by a computer. Proceedings of the Royal Society of London-Biological Sciences, vol. 184 (1973) 433-440
28. de Dombal F.T., Horrocks J.C., Walmsley G., and Wilson P.D. Computer aided diagnosis and decision making in the acute abdomen. J. R. Coll. Phys. Lond. 9 (1974) 211-218
29. Sutton G.C. Computer-aided diagnosis: a review. Br. J. Surg. 76 (1989) 82-85
30. Adams I.D., Chan M., Clifford P.C., Cooke W.M., Dallos V., de D., Edwards M.H., Hancock D.M., Hewett D.J., and McIntyre N. Computer aided diagnosis of acute abdominal pain: a multicentre study. Br. Med. J. Clin. Res. Ed. 293 (1986) 800-804
31. Lawrence P.C., Clifford P.C., and Taylor I.F. Acute abdominal pain: computer aided diagnosis by non-medically qualified staff. Ann. R. Coll. Surg. Engl. 69 (1987) 233-234
32. Guerlain S., LeBeau K., Thompson M., Donnelly C., McClelland H., Syverud S., and Calland J.F. The effect of a standardized data collection form on the examination and diagnosis of patients with abdominal pain. Proceedings of the Human Factors and Ergonomics Society (2001), Human Factors an Ergonomics Society Inc., Minneapolis/St. Paul, MN 1284-1288 (Abstract)
33. Sadeghi S., Barzi A., Sadeghi N., and King B. A Bayesian model for triage decision support. Int. J. Med Inform. 75 (2006) 403-411
34. Michalowski W., Rubin S., Slowinski R., and Wilk S. Mobile clinical support system for pediatric emergencies. Decis. Support Syst. Electron. Commerce 36 (2003) 161-176
35. Michalowski W., Slowinski R., Wilk S., Farion K.J., Pike J., and Rubin S. Design and development of a mobile system for supporting emergency triage. Methods Inf. Med. 44 (2005) 14-24
36. Rubin S., Michalowski W., and Slowinski R. Developing an emergency room diagnostic checklist using rough sets: a case study of appendicitis, simulation in the medical sciences. Proceedings of the 1996 Western Multiconference (1996), The Society for Computer Simulation, San Diego, CA 19-24 (Abstract)
37. Michalowski W., Rubin S., Slowinski R., and Wilk S. Triage of the child with abdominal pain: a clinical algorithm for emergency patient management. Paediatr. Child Health 6 (2001) 23-28
38. Michalowski W., Slowinski R., Rubin S., and Wilk S. Triage of acute abdominal pain in childhood: clinical use of a palm handheld in a pediatric Emergency Department. Proceedings of the Hawaii International Conference on System Sciences (2004), Institute of Electrical and Electronics Engineers Computer Society, Piscataway, NJ, Big Island, HI 2493-2499 (Abstract)
39. Wilk S., Slowinski R., Michalowski W., and Greco S. Supporting triage of children with abdominal pain in the emergency room. Eur. J. Oper. Res. 160 (2005) 696-709
40. In: Pawlak Z. (Ed). Rough Sets: Theoretical Aspects of Reasoning About Data (1991), Kluwer Academic, Dordrecht
41. Greco S., Matarazzo B., and Slowinski R. Dealing with missing data in rough set analysis of multi-attribute and multi-criteria decision problems. In: Zanakis S.H., Doukidis G., and Zopounidis C. (Eds). Decision Making: Recent Developments and Worldwide Applications (2000), Kluwer Academic Publishers, Dordrecht
42. Greco S., Matarazzo B., and Slowinski R. Fuzzy Measures as a Technique for Rough Sets Analysis (1998), Verlag Meinz, Aachen (Abstract, pp. 99-103)
43. Stefanowski J. Classification support based on the rough sets. Foundations Comput. Decis. Sci. 18 (1993) 371-380
44. Newcombe R.G. Two-sided confidence intervals for the single proportion: comparison of seven methods. Stat. Med. 17 (1998) 857-872
45. Posner K.L., Sampson P.D., Caplan R.A., Ward R.J., and Cheney F.W. Measuring interrater reliability among multiple raters: an example of methods for nominal data. Stat. Med. 9 (1990) 1103-1115
46. Kawamoto K., Houlihan C.A., Lobach D.F., and Balas E.A. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. Br. Med. J. 330 (2005) 765-768
47. Aronis J.M., and Provost F.J. Increasing the efficiency of data mining algorithms with breadth-first marker propagation. Proceedings of the Third International Conference on Knowledge Discovery and Data Mining (1997), AAAI Press 119-122 (Abstract)
48. Pines J., Pines L.U., Hall A., Hunter J., Srinivasan R., and Ghaemmaghami C. The interrater variation of ED abdominal examination findings in patients with acute abdominal pain. Am. J. Emerg. Med. 23 (2005) 483-487
49. Yen K., Karpas A., Pinkerton H.J., and Gorelick M.H. Interexaminer reliability in physical examination of pediatric patients with abdominal pain. Arch. Pediatr. Adolesc. Med. 159 (2005) 373-376