Diagnosis of complex acid-base disorders: Physician performance versus the microcomputer

Schreck, David M.; Zacharias, Daniel; Grunau, Charles Fv

doi:10.1016/s0196-0644(86)80013-0

Cited by 18 publications

(5 citation statements)

References 26 publications

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“…Respondents performing analyses rarely or very rarely gave fewer correct answers than those who performed them often or very often (Figure 3). The same tendencies from the 1980s [16] were also shown in our survey although the ability to analyze triple disturbances was slightly higher than in the mentioned publication (Figure 4). The questionnaire also contained one case where the ABG data were incorrect-only 41.9% of respondents noticed this.…”

Section: Comparison Of the Interpretations Of The Patients' Results Analyzed By Application And Humansupporting

confidence: 87%

“…However, even necessary activities such as checking the correctness of results were performed by a small proportion of respondents. Similar conclusions can be drawn from Schreck et al [16], so the trend continues despite the passage of more than 30 years. As one can see from our survey, people analyzing ABG often or very often have interpreted most of the results correctly because of their experience.…”

Section: Problematicity Of Assessmentsupporting

confidence: 85%

“…The automation of ABG interpretation is not a new idea. The first programs helping in ABG analysis were created as early as the 1970s [16]. Nonetheless, since then there has been significant technological development: computing power, once only available on personal computers, has become widely available on smartphones, which are found in the majority of societies.…”

Section: Comparison Of Available Applicationsmentioning

confidence: 99%

“…The application can be downloaded free of charge from the Google Play Store website [14], and its source code is available at GitHub [15]. Although programs supporting the analysis of Acid-Base disorders are not a new idea [16,17], in recent years we have witnessed the development of ABG analysis approaches [10][11][12][18][19][20] and technological progress; hence, we propose our ABG Assistant. Our application uses newer compensation formulas, anion gap ranges adapted to modern analyzers, and appropriate AG correction depending on the albumin concentration change.…”

Section: Introductionmentioning

confidence: 99%

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ABG Assistant—Towards an Understanding of Complex Acid-Base Disorders

Gutowski

Gutowska

Brożek

et al. 2021

JCM

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The ability to diagnose acid–base imbalances correctly is essential for physicians and other healthcare workers. Despite its importance, it is often considered too complex and confusing. Although most people dealing with arterial blood gases (ABGs) do not usually have problems with acid–base disorder assessment, such an analysis is also carried out by other healthcare workers for whom this can be a challenging task. Many aspects may be problematic, partly due to multiple data analysis methods and no definitive statement on which one is better. According to our survey, the correctness of arterial blood gas analysis is unsatisfactory, especially in mixed disorders, which do not always manifest an obvious set of symptoms. Therefore, ABG parameters can be used as an established biomarker panel, which is considered to be a powerful tool for personalized medicine. Moreover, using different approaches to analyze acid–base disorders can lead to varying diagnoses in some cases. Because of these problems, we developed a mobile application that can spot diagnostic differences by taking into account physiological and chemical approaches, including their variants, with a corrected anion gap. The proposed application is characterized by a high percentage of correct analyses and can be an essential aid for diagnosing acid–base disturbances.

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Section: Comparison Of the Interpretations Of The Patients' Results Analyzed By Application And Humansupporting

confidence: 87%

Section: Problematicity Of Assessmentsupporting

confidence: 85%

Section: Comparison Of Available Applicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

ABG Assistant—Towards an Understanding of Complex Acid-Base Disorders

Gutowski

Gutowska

Brożek

et al. 2021

JCM

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“…Schreck and colleagues, in their 35-item questionnaire study that they conducted with 21 physicians, found that the rate of correct answers was 86% to simple blood gas questions, and the rate was lower for complex blood gas questions (9). In our study, the rate of correct answers was 76.75% for simple blood gases and 44% for complex blood gases.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Emergency Medicine Residents’ Level of Knowledge of Arterial Blood Gases

Ertok¹,

Çelik²,

Kavakli³

et al. 2014

JAEM

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Objective: Our purpose in this study was to determine the accuracy and reliability of interpretation of basic arterial blood gas (ABG) values and ABG values related to metabolic and respiratory disease by emergency medicine residents (EMRs). We also aimed to determine their deficiencies and create a basis for training during patient care. Material and Methods:This study was carried out through a survey taken by EMRs in training/research and university hospitals located in Ankara. The levels of knowledge of EMRs on ABG evaluation were compared based on the institution, duration of residency, and training. A 14-question test about ABG knowledge was also applied to residents. Results:The study was conducted with 25 EMRs in university hospitals (UH) and 88 EMRs in training/research hospitals (TRH); a total of 113 residents participated to the survey. There was no statistical significant difference between training/research and university hospitals according to the number of correct answers given. Year of residency did not affect the number of correct answers; however, residents who had training on ABG analysis in the residency period had more correct answers. Also, in a small study group (n=17), a significant improvement of the number of correct answers was observed with a short institutional course. Conclusion:According to the results, ABG evaluation improves with personal training in the residency period independently of residency years. Based on this result, training should be given in and out of institutions, and EMRs should be encouraged to personally study ABG evaluation. (JAEM 2014; 13: 100-3)

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Mixed Acid-Base Disorders

Harrington

Madias

1991

Therapy of Renal Diseases and Related Disorders

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Diagnosis of complex acid-base disorders: Physician performance versus the microcomputer

Cited by 18 publications

References 26 publications

ABG Assistant—Towards an Understanding of Complex Acid-Base Disorders

ABG Assistant—Towards an Understanding of Complex Acid-Base Disorders

Evaluation of Emergency Medicine Residents’ Level of Knowledge of Arterial Blood Gases

Mixed Acid-Base Disorders

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