[Main principles of rapid diagnosis and intensive care in emergency states: their realization in expert systems].
A retrospective analysis of 543 case histories over 1980-1990 in the town of Yekaterinburg and analysis of published data permitted the authors to single out the signs characterizing the most frequent syndromes requiring urgent intensive care. By either diagnostic value, these signs are distributed into main, accessory, and ruling out. An expert system has been created, making use of the productive-Freimont's approach to representing information on the basis of blurred multiplicities and ambiguous logics. The diagnosis was made by stages: first the main signs were analyzed, determining the severity of patient's status, then (after first aid was rendered) accessory and ruling out signs, which help make the diagnosis more precise. The system was tried in 231 patients, 102 of these with acute respiratory failure, 63 with acute hemodynamic insufficiency, and 66 with acute cerebral insufficiency. Primary diagnosis of the underlying syndrome was correct in 87-89% of cases, of the concomitant syndrome in 92-97%. Repeated evaluations (in 1-3 and 24 h) taking account of the time course of the symptoms and of the results of unsophisticated instrumental examinations increased the share of correct diagnoses to 92-96%.
Zislin
B D
BD
Bazhenov
A M
AM
Belkin
A A
AA
Bazylev
S V
SV
Badaev
F I
FI
Trifonov
Iu O
IuO
D000208:Acute Disease; D002318:Cardiovascular Diseases / Q000175:diagnosis; D002561:Cerebrovascular Disorders / Q000175:diagnosis; D003422:Critical Care; D003936:Diagnosis, Computer-Assisted; D003937:Diagnosis, Differential; D004630:Emergencies; D005103:Expert Systems; D006439:Hemodynamics; D006801:Humans; D012131:Respiratory Insufficiency / Q000175:diagnosis; D013577:Syndrome