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

Authors :
Mazzaglia, Giampiero
Piccinni, Carlo
Filippi, Alessandro
Sini, Giovanna
Lapi, Francesco
Sessa, Emiliano
Cricelli, Iacopo
Cutroneo, Paola
Trifirò, Gianluca
Cricelli, Claudio
Caputi, Achille Patrizio
Source :
Health Informatics Journal; Jun2016, Vol. 22 Issue 2, p232-247, 16p
Publication Year :
2016

Abstract

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 [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14604582
Volume :
22
Issue :
2
Database :
Complementary Index
Journal :
Health Informatics Journal
Publication Type :
Academic Journal
Accession number :
115739584
Full Text :
https://doi.org/10.1177/1460458214546773