Main Catalog Medical sciences Medical equipment and devices

Research of the possibility of using a medical decision support system in the diagnosis of acute abdominal diseases

Authors: Andreeva D.A., Solovyev D.A.
Published in issue: #8(61)/2021
DOI: 10.18698/2541-8009-2021-8-729
Category: Medical sciences \| Chapter: Medical equipment and devices
Keywords: diagnostics, symptoms, abdominal diseases, diagnostic algorithm, medical decision support system, emergency abdominal surgery, diagnosis check, acute mesenteric circulation disorder
Published: 06.09.2021

The actual problem of the introduction of medical decision support systems into the clinical practice of diagnostics according to the profile of acute abdominal diseases is considered. A brief description of the principles of operation of the proposed system is given. Based on the results of approbation, a proposal was given forward to profile the system into a symptom checker of such a difficultly diagnosed and dangerous disease for a patient as an acute violation of mesenteric circulation. In the future, the system being developed will allow, at the stage of a preliminary comprehensive examination of a patient, to prevent potential diagnostic errors associated with untimely establishment of a clinical diagnosis, inaccurate or insufficient implementation of the rules for obtaining, processing and analyzing information obtained as a result of diagnostic search.

References

[1] Skryabin O.N., Movchan K.N., Vovk A.V. et al. The performance of the specialists working in a big clinical facility of Szint Petersburg in the field of “urgent abdominal surgery” from the standpoints of medical quality assessment and its administrative monitoring. Vestnik Severo-Zapadnogo gosudarstvennogo meditsinskogo universiteta im. I.I. Mechnikova [Herald of North-Western State Medical University named after I.I. Mechnikov], 2019, no. 2, pp. 13–26. DOI: https://doi.org/10.17816/mechnikov201911213-26 (in Russ.).

[2] Yablonskiy P.K., Kabushka Ya.S., Orlov G.M. et al. The possibility of using elements of management records in evaluating of effectiveness of a large city surgical department (on example of St. Petersburg). Vestnik SPbGU. Seriya 11. Meditsina [Vestnik of St Petersburg University. Series 11. Medicine], 2016, no. 4, pp. 62–75. DOI: https://doi.org/10.21638/11701/spbu11.2016.406 (in Russ.).

[3] Cheminava R.V., Babakhanyan R.V., Bykhovskaya O.A. Brief analysis of mistakes and complications during the treatment of patients with acute abdominal surgical pathology. Vestnik Sankt-Peterburgskogo universiteta. Meditsina [Vestnik of St Petersburg University. Medicine], 2006, no. 3, pp. 107–113 (in Russ.).

[4] Bogdanova Yu.A., Zaripova G.R., Kataev V.A. et al. Expert systems in the prediction of operational risk for the most common surgical interventions (review). Vrach i informatsionnye tekhnologii [Information Technologies for the Physician], 2017, no. 1, pp. 40–48 (in Russ.).

[5] Orlov A.I. Organizatsionno-ekonomicheskoe modelirovanie. Ch. 2. Ekspertnye otsenki [Business modeling. P. 2. Expert analysis]. Moscow, Bauman MSTU Publ., 2011 (in Russ.).

[6] Klinicheskie rekomendatsii po diagnostike i lecheniyu ostroy intestinal’noy ishemii [Clinical guidelines on diagnostics and curing acute intestinal ischemia] (in Russ.). URL: http://xn----9sbdbejx7bdduahou3a5d.xn--p1ai/stranica-pravlenija/klinicheskie-rekomendaci/urgentnaja-abdominalnaja-hirurgija/klinicheskie-rekomendaci-po-diagnostike-i-lecheniyu-ostroi-intestinalnoi-ishemi.html (accessed: 21.12.2020).

[7] Meyer A.N., Payne V.L., Meeks D.W. et al. Physicians’ diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern. Med., 2013, vol. 173, no. 21, pp. 1952–1958. DOI: https://doi.org/10.1001/jamainternmed.2013.10081

[8] Razzaki S., Baker A., Perov Y. et al. A comparative study of artificial intelligence and human doctors for the purpose of triage and diagnosis. arxiv.org: website (in Russ.). URL: https://arxiv.org/abs/1806.10698v1 (accessed: 10.05.2021).

[9] Semigran H.L., Linder J.A., Gidengil C. et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ, 2015, vol. 351, art. h3480. DOI: https://doi.org/10.1136/bmj.h3480

[10] Gilbert S., Mehl A., Baluch A. et al. How accurate are digital symptom assessment apps for suggesting conditions and urgency advice? A clinical vignettes comparison to GPs. BMJ Open, 2020, vol. 10, no. 12. DOI: https://doi.org/10.1136/bmjopen-2020-040269

[11] Acosta-Mérida M.A., Marchena-Gómez J., Saavedra-Santana P. et al. Surgical outcomes in acute mesenteric ischemia: has anything changed over the years? World J. Surg., 2020, vol. 44, no. 1, pp. 100–107. DOI: https://doi.org/10.1007/s00268-019-05183-9

[12] Bala M., Kashuk J., Moore E.E. et al. Acute mesenteric ischemia: guidelines of the World Society of Emergency Surgery. World J. Emerg. Surg., 2017, vol. 12, no. 7, pp. 12–38. DOI: https://doi.org/10.1186/s13017-017-0150-5

[13] O servise “Simptomcheker” [On Simptomcheker service]. webiomed.ai: website (in Russ.). URL: https://webiomed.ai/blog/o-servise-simptomcheker/ (accessed: 30.04.2021).