title: Mobile technology support for clinical decision in diabetic keto-acidosis emergency.
abstract: The main challenge of effectively managing emergencies in diabetic ketoacidosis (DKA) is the fine tuning of the treatment in order to re-establish the normal metabolic homeostasis. We propose a mobile application for clinical decision support in DKA emergencies (mDKA), running under Android on smart phones and tablet PCs. mDKA provides decision support for treatment concerning the main components (i.e. choice and dose of re-hydration agent, insulin, potassium or bicarbonate) for up to 12 hours after the diagnosis. The application underwent a preliminary scanty evaluation aimed at assessing its perceived usability. The results sustained the informal hints that mDKA's accuracy in deciding the treatment path was acceptable in terms of general variability of medical decision in DKA and brought evidence of positive attitude towards the application itself.
authors.affiliation: Department of Functional Sciences /Medical Informatics and Biostatistics, University of Medicine and Pharmacy Timisoara, Romania.
authors.forename: Mirela
authors.initials: M
authors.lastname: Frandes
authors.affiliation: Department of Functional Sciences /Medical Informatics and Biostatistics, University of Medicine and Pharmacy Timisoara, Romania.
authors.forename: Bogdan
authors.initials: B
authors.lastname: Timar
authors.affiliation: Faculty of Computer Science, Polytechnic University of Timisoara, Romania.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Tole
authors.affiliation: Faculty of Computer Science, Polytechnic University of Timisoara, Romania.
authors.forename: Stefan
authors.initials: S
authors.lastname: Holban
authors.affiliation: Department of Functional Sciences /Medical Informatics and Biostatistics, University of Medicine and Pharmacy Timisoara, Romania.
authors.forename: Diana
authors.initials: D
authors.lastname: Lungeanu
mesh_terms: D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D016883:Diabetic Ketoacidosis / Q000175:diagnosis* / Q000628:therapy*; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods*; D006801:Humans; D063731:Mobile Applications; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D017216:Telemedicine / Q000379:methods*; D013813:Therapy, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome