Advances in the research of application of clinical decision support system in fluid resuscitation following severe burn

Although guidelines and formulas have been developed through clinical practice to define infusion rate and volume, over- and under-resuscitation are still common, followed by increasing morbidity and mortality. In order to establish an effective management for early fluid resuscitation, the clinical...

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Bibliographic Details
Published inZhonghua shao shang za zhi Vol. 29; no. 1; p. 59
Main Authors Chen, Bi-hua, Li, Yong-qin, Luo, Qi-zhi, Wang, Kai-fa
Format Journal Article
LanguageChinese
Published China 01.02.2013
Subjects
Burns - therapy
Decision Support Systems, Clinical
Fluid Therapy
Humans
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Summary:Although guidelines and formulas have been developed through clinical practice to define infusion rate and volume, over- and under-resuscitation are still common, followed by increasing morbidity and mortality. In order to establish an effective management for early fluid resuscitation, the clinical decision support system (CDSS) has been established. The CDSS, by utilizing information systems coupled with decision support technology, could provide recommendations for the amount of fluid to be infused based on measured biological response. The results showed that patients treated with CDSS had a significantly lower mortality, increased ventilator-free days, and ICU-free days as compared with those treated with traditional fluid management. This article reviews the concepts as well as the result of recent clinical studies of CDSS for burn patients.
ISSN:1009-2587
DOI:10.3760/cma.j.issn.1009-2587.2013.01.019