Health Informatics J - Effects of a computerized decision support system in improving pharmacological management in high-risk cardiovascular patients: A cluster-randomized open-label controlled trial.

Tópicos

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Resumo

This study was aimed to investigate the effects of computerized decision support system in improving the prescription of drugs for cardiovascular prevention. A total of 197 Italian general practitioners were randomly allocated to receive either the alerting computerized decision support system integrated into standard software (intervention arm) or the standard software alone (control arm). Data on 21230 patients with diabetes, 3956 with acute myocardial infarction, and 2158 with stroke were analysed. The proportion of patients prescribed with cardiovascular drugs and days of drug-drug interaction exposure were evaluated. Computerized decision support system significantly increased the proportion of patients with diabetes prescribed with antiplatelet drugs (intervention: +2.7% vs. control: +0.15%; p < 0.001) or lipidlowering drugs (+4.2% vs. +2.8%; p = 0.001). A statistically significant decrease in days of potential interactions has been observed only among patients with stroke (-1.2 vs. -0.5 days/person-year; p = 0.001). In conclusion, computerized decision support system significantly increased the use of recommended cardiovascular drugs in diabetic patients, but it did not influence the exposure to potential interactions.

Resumo Limpo

studi aim investig effect computer decis support system improv prescript drug cardiovascular prevent total italian general practition random alloc receiv either alert computer decis support system integr standard softwar intervent arm standard softwar alon control arm data patient diabet acut myocardi infarct stroke analys proport patient prescrib cardiovascular drug day drugdrug interact exposur evalu computer decis support system signific increas proport patient diabet prescrib antiplatelet drug intervent vs control p lipidlow drug vs p statist signific decreas day potenti interact observ among patient stroke vs dayspersonyear p conclus computer decis support system signific increas use recommend cardiovascular drug diabet patient influenc exposur potenti interact

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