Buzynovskyi А. Informational basis for decision support at stages of surgical treatment delivery to patients with chronic pelvic pain syndrome

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0419U001272

Applicant for

Specialization

  • 14.03.11 - Медична та біологічна інформатика і кібернетика

15-05-2019

Specialized Academic Board

Д 26.171.03

Essay

The work is devoted to the informatisation of the process of diagnostics and treatment of women with pain syndrome of pelvic origin. The complex of criteria have been worked out along with the scheme of algorithms of the module of the system of decision making support of surgeons (DMSS) in the course of delivering medical care to women with pelvic pain have been built. The informational support for the process of decision making, which included the calculation of perioperational risks combined with the worked criteria on the severity of pathological process have been worked out. Such informational support permit to forecast the patient's state during all steps of delivering surgical treatment. The module on the support of decision making of surgeons was realized on the basis of informational system of Odessa Region Clinical Hospital. The implementation of worked out module of DMSS permitted to rise the sensitivity and specificity of laparoscopic diagnostics of small pelvis and bottom part of abdominal cavity diseases in women up to 92,7% and 96,1% correspondently. Besides, the period of staying at hospital during postoperative period was shortened by 25,0% (P<0,05) while period of restoration of professional work was shortened by 27,6% (P<0,05) after intervention on small pelvis organs. Key words: module of decision making support of surgeons, methods of decision making by surgeons, laparoscopic surgery, pelvic pain, preoperative risks, criteria on patients state severity, the model of treatment and diagnostics.

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