Children's Headache, Electronic Questioning Increase Diagnostic Accuracy...Effective treatment
Jan 15, 2025
A research team led by Professor Kim Heon-min of the Department of Pediatrics and Adolescents at Seoul National University Bundang Hospital (Professor Cho Jae-so, Department of Pediatrics and Adolescents, Director Lee Ho-young and Professor Yoo Soo-young of Digital Healthcare Research Project) verified the effectiveness of the electronic questionnaire system for accurate diagnosis and customized treatment of pediatric headache patients. The research team established and evaluated a questionnaire dedicated to childhood headaches in the BEST-Survey (Bundang Hospital Electronic System for Total Care-Survey), an electronic questionnaire system developed and operated by hospitals.
BEST-Survey is a system in which when a pediatric headache patient writes an electronic questionnaire of 35 items through a tablet PC before treatment, this information can be automatically entered into the hospital's electronic medical record and used immediately for treatment. Patients fill out a questionnaire while waiting for outpatient treatment, and doctors refer to it to provide more precise treatment. It is evaluated that medical history information can be collected more precisely than the existing method, improving the efficiency of treatment.
Pediatric headaches are a common neurological symptom with a high prevalence of about 54-58%, requiring detailed diagnosis, but it was difficult to make a precise diagnosis with the existing medical history listening method due to time constraints and missing information. In response, Professor Kim Hun-min's research team developed an automated electronic questionnaire system to obtain more detailed and accurate medical history information, and compared and analyzed patient data before and after its introduction to verify the effectiveness of the system.
A comparative analysis of data from 365 children and adolescents under the age of 18 who visited the outpatient clinic at Seoul National University Bundang Hospital due to headaches and 452 patients who visited after the introduction of the system in 2015 confirmed that the completeness of patient information and the collection rate of key clinical information have improved significantly.
Prior to the introduction of the electronic questionnaire, information completeness was only 54.5% on average, but after the introduction, it rose significantly to 99.3%. It was reported that the acquisition rate of major clinical information such as the timing, location, and duration of headaches also improved from 53.7% to 98.7%.
It also laid the foundation for providing optimized treatment to individual patients through detailed classification of headaches. The most common headache in children was pain in the temporal region (37.1%), and the most common pattern was pulse pain (21.8%). In addition, more than half of the patients (51.3%) reported that headaches lasted less than 2 hours.
The first author of the study, Professor Cho Jae-so of Pediatrics and Adolescents, said, `Although we cannot completely replace doctors' interviews, we have made efficient treatment possible by collecting detailed and accurate information on headaches before treatment.' `It is difficult to clearly express symptoms, especially in children, but we have been able to obtain more accurate information by answering the questionnaire calmly with parents", he explained.
Professor Kim Heon-min of the Department of Pediatrics and Adolescents, the head of the study, said "This study demonstrated that the electronic questionnaire system can dramatically increase the efficiency of diagnosis and treatment of childhood headaches."In the future, we plan to combine artificial intelligence and big data analysis technology to develop into a more sophisticated diagnosis and personalized treatment support system."
Meanwhile, the results of this study were published in the latest issue of the prestigious international academic journal `JMIR Medical Informatics" in the field of medical informatics.
BEST-Survey is a system in which when a pediatric headache patient writes an electronic questionnaire of 35 items through a tablet PC before treatment, this information can be automatically entered into the hospital's electronic medical record and used immediately for treatment. Patients fill out a questionnaire while waiting for outpatient treatment, and doctors refer to it to provide more precise treatment. It is evaluated that medical history information can be collected more precisely than the existing method, improving the efficiency of treatment.
Pediatric headaches are a common neurological symptom with a high prevalence of about 54-58%, requiring detailed diagnosis, but it was difficult to make a precise diagnosis with the existing medical history listening method due to time constraints and missing information. In response, Professor Kim Hun-min's research team developed an automated electronic questionnaire system to obtain more detailed and accurate medical history information, and compared and analyzed patient data before and after its introduction to verify the effectiveness of the system.
A comparative analysis of data from 365 children and adolescents under the age of 18 who visited the outpatient clinic at Seoul National University Bundang Hospital due to headaches and 452 patients who visited after the introduction of the system in 2015 confirmed that the completeness of patient information and the collection rate of key clinical information have improved significantly.
Prior to the introduction of the electronic questionnaire, information completeness was only 54.5% on average, but after the introduction, it rose significantly to 99.3%. It was reported that the acquisition rate of major clinical information such as the timing, location, and duration of headaches also improved from 53.7% to 98.7%.
It also laid the foundation for providing optimized treatment to individual patients through detailed classification of headaches. The most common headache in children was pain in the temporal region (37.1%), and the most common pattern was pulse pain (21.8%). In addition, more than half of the patients (51.3%) reported that headaches lasted less than 2 hours.
The first author of the study, Professor Cho Jae-so of Pediatrics and Adolescents, said, `Although we cannot completely replace doctors' interviews, we have made efficient treatment possible by collecting detailed and accurate information on headaches before treatment.' `It is difficult to clearly express symptoms, especially in children, but we have been able to obtain more accurate information by answering the questionnaire calmly with parents", he explained.
Professor Kim Heon-min of the Department of Pediatrics and Adolescents, the head of the study, said "This study demonstrated that the electronic questionnaire system can dramatically increase the efficiency of diagnosis and treatment of childhood headaches."In the future, we plan to combine artificial intelligence and big data analysis technology to develop into a more sophisticated diagnosis and personalized treatment support system."
Meanwhile, the results of this study were published in the latest issue of the prestigious international academic journal `JMIR Medical Informatics" in the field of medical informatics.
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This article was translated by Naver AI translator.
