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

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...

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Veröffentlicht in:	BMC medical informatics and decision making 2019-06, Vol.19 (1), p.108-108, Article 108
Hauptverfasser:	Groenhof, T Katrien J, Asselbergs, Folkert W, Groenwold, Rolf H H, Grobbee, Diederick E, Visseren, Frank L J, Bots, Michiel L
Format:	Artikel
Sprache:	eng
Schlagworte:	Analysis Artificial intelligence Blood pressure Cardiovascular disease Cardiovascular Diseases Cardiovascular risk management Care and treatment CDSS Cholesterol Clinical decision making Computerized decision support Decision making Decision support systems Decision Support Systems, Clinical - statistics & numerical data Diabetes mellitus Empowerment Evidence-based medicine Glycosylated hemoglobin Health informatics Health risks Heterogeneity Humans Low density lipoprotein Low density lipoproteins Medical Informatics Applications Medical records Meta-analysis Morbidity Patient compliance Patient education Patients Phenotypes Risk analysis Risk factors Risk management Risk Management - statistics & numerical data Systematic review
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Zusammenfassung:	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. 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 (I
ISSN:	1472-6947 1472-6947
DOI:	10.1186/s12911-019-0824-x