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A Digital Clinical Guideline Based on HL7 Arden Syntax for the Treatment of Children with Traumatic Brain Injury.

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BACKGROUND Intracranial hypertension is a serious complication accompanying the intensive care of children with traumatic brain injury. Intensive care of these patients is based on internationally accepted guidelines and their… Click to show full abstract

BACKGROUND Intracranial hypertension is a serious complication accompanying the intensive care of children with traumatic brain injury. Intensive care of these patients is based on internationally accepted guidelines and their local editions. OBJECTIVE The goal was to develop a software system for digital implementation of the clinical protocol for the treatment of intracranial hypertension in children, based on HL7 Arden Syntax clinical decision support. METHODS Arden Syntax, an HL7 medical knowledge representation and processing standard, was used to develop a digital version of the local guideline. RESULTS Comparison of 37 patients given conventional treatment with a second group of 84 patients treated with the digital clinical guideline yielded statistically significant differences. CONCLUSION The digital clinical guideline system undoubtedly improves the doctor's awareness of the patient's existing condition and potential complications of intracranial hypertension.

Keywords: guideline; arden syntax; treatment; digital clinical; syntax; clinical guideline

Journal Title: Studies in health technology and informatics
Year Published: 2020

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