Back to Search Start Over

The effect of computerized decision support systems on cardiovascular risk factors: a systematic review and meta-analysis

Authors :
Groenhof, T. Katrien J.
Asselbergs, Folkert W.
Groenwold, Rolf H. H.
Grobbee, Diederick E.
Visseren, Frank L. J.
Bots, Michiel L.
Nathoe, H. M.
de Borst, G. J.
Geerlings, M. I.
Emmelot, M. H.
de Jong, P. A.
Leiner, T.
Lely, A. T.
van der Kaaij, N. P.
Kappelle, L. J.
Ruigrok, Y. M.
Verhaar, M. C.
Westerink, J.
Source :
BMC Medical Informatics and Decision Making, BMC Medical Informatics and Decision Making, 19(1), 108. BioMed Central, BMC Medical Informatics and Decision Making, Vol 19, Iss 1, Pp 1-12 (2019), BMC Medical Informatics and Decision Making, 19
Publication Year :
2019

Abstract

Background Cardiovascular risk management (CVRM) is notoriously difficult because of multi-morbidity and the different phenotypes and severities of cardiovascular disease. Computerized decision support systems (CDSS) enable the clinician to integrate the latest scientific evidence and patient information into tailored strategies. The effect on cardiovascular risk factor management is yet to be confirmed. Methods We performed a systematic review and meta-analysis evaluating the effects of CDSS on CVRM, defined as the change in absolute values and attainment of treatment goals of systolic blood pressure (SBP), low density lipoprotein cholesterol (LDL-c) and HbA1c. Also, CDSS characteristics related to more effective CVRM were identified. Eligible articles were methodologically appraised using the Cochrane risk of bias tool. We calculated mean differences, relative risks, and if appropriate (I2

Subjects

Subjects :
medicine.medical_specialty
020205 medical informatics
Health Informatics
Cardiovascular risk management
02 engineering and technology
Disease
lcsh:Computer applications to medicine. Medical informatics
Research Support
Clinical decision support system
Health informatics
03 medical and health sciences
0302 clinical medicine
Journal Article
0202 electrical engineering, electronic engineering, information engineering
Medicine
Humans
030212 general & internal medicine
Medical Informatics Applications
Risk factor
Non-U.S. Gov't
Intensive care medicine
Risk management
Risk Management
business.industry
Research Support, Non-U.S. Gov't
Health Policy
Medical record
Computerized decision support
Decision Support Systems, Clinical
Computer Science Applications
Cardiovascular Diseases
Meta-analysis
Relative risk
lcsh:R858-859.7
CDSS
business
Research Article

Details

Language :
English
ISSN :
14726947
Database :
OpenAIRE
Journal :
BMC Medical Informatics and Decision Making, BMC Medical Informatics and Decision Making, 19(1), 108. BioMed Central, BMC Medical Informatics and Decision Making, Vol 19, Iss 1, Pp 1-12 (2019), BMC Medical Informatics and Decision Making, 19
Accession number :
edsair.doi.dedup.....1577565b429fabcc6d18160c8803da08

Tools

Authors Abstract Subjects Details