Prediction models for in-hospital deaths of patients with COVID-19 using electronic healthcare data

Current Medical Research and Opinion, Год журнала: 2023, Номер 39(11), С. 1463 - 1471

Опубликована: Окт. 13, 2023

Many models for predicting various disease prognoses have achieved high performance without laboratory test results. However, whether results can improve remains unclear. This study aimed to investigate the model coronavirus 2019 (COVID-19).

Язык: Английский

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Development of a model for predicting the severity of chronic obstructive pulmonary disease

Frontiers in Medicine, Год журнала: 2022, Номер 9

Опубликована: Дек. 16, 2022

Several models have been developed to predict the severity and prognosis of chronic obstructive pulmonary disease (COPD). This study aimed identify potential predictors construct a prediction model for COPD using biochemical immunological parameters.A total 6,274 patients with were recruited between July 2010 2018. was classified into mild, moderate, severe, very severe based on Global Initiative Chronic Obstructive Lung Disease guidelines. A multivariate logistic regression constructed severity. The predictive ability assessed by measuring sensitivity, specificity, accuracy, concordance.Of patients, 2,644, 2,600, 1,030 had mild/moderate, disease, respectively. factors that could distinguish mild/moderate cases vascular disorders (OR: 1.44; P < 0.001), high-density lipoprotein (HDL) 1.83; plasma fibrinogen 1.08; = 0.002), fructosamine 1.12; standard bicarbonate concentration 1.09; partial pressure carbon dioxide age 0.97; eosinophil count 0.66; 0.042), lymphocyte ratio apolipoprotein A1 0.56; 0.003). 1.59; HDL 2.54; 1.10; 0.012), 1.18; oxygen 1.00; 0.007), 1.01; 1.13; 1.16; 0.91; sex 0.71; 0.010), allergic diseases 0.51; 0.009), 0.42; 0.014), 0.93; 0.45; 0.005). correctly predicted in 60.17% kappa coefficient 0.35 (95% CI: 0.33-0.37).This parameters, which should be validated additional cohorts.

Язык: Английский

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The Impact of Care Specialty on Survival-Adjusted Medical Costs of COPD Patients After a Hospitalization: a longitudinal analysis

Journal of General Internal Medicine, Год журнала: 2018, Номер 33(9), С. 1528 - 1535

Опубликована: Апрель 2, 2018

Язык: Английский

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Development of a chronic obstructive pulmonary disease severity classification system using a Japanese health insurance claims database

Journal Of Aging Research And Healthcare, Год журнала: 2014, Номер 2(2), С. 1 - 12

Опубликована: Сен. 8, 2014

Background: Healthcare services provided to patients should vary depending on disease severity.However, severity bias, a type of selection is commonly encountered problem in administrative database studies.Herein, we selected chronic obstructive pulmonary (COPD), which affects elderly Japanese citizens, for the development and validation classification system based health insurance claims database.Methods: Patients who received COPD-related diagnostic codes 2011 were from commercially database.COPD randomly divided into two groups develop validate scores.A principal component analysis was used estimate factor loadings weight calculations COPD scores.Score validity evaluated using linear trend test predict treatment costs acute exacerbation events.Results: Using records 880 patients, ten variables created: events, emphysema diagnoses, laboratory oxygen therapy procedures, prescribed anticholinergic, inhaled corticosteroid (ICS), short acting beta-agonist, long bronchodilator (LABA) agents, asthma diagnosis patient birth years.Factor LABA ICS prescriptions had strongest impacts estimated scores (0.50 0.49, respectively).Among 300 group found associate with increasing trends median risks (p < 0.05).Conclusions: Estimated would help medical events.For further clinical implementation, this be re-evaluated lung functions information indicative choices.

Язык: Английский

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Outcomes and Contemporary Trends in Surgical vs Transcatheter Aortic Valve Replacement in Patients with Chronic Obstructive Pulmonary Disease

Structural Heart, Год журнала: 2021, Номер 5(4), С. 401 - 409

Опубликована: Май 19, 2021

Background Chronic obstructive lung disease (COPD) is a common morbidity among patients referred for aortic valve replacement. The objective of the present study to assess trends and outcomes COPD undergoing either transcatheter replacement (TAVR) or surgical (SAVR) severe stenosis.Methods We analyzed National Inpatient Sample database from January 2012 December 2017 using International Classification Diseases, 9th 10th Revision Clinical Modifications identify all with aged ≥50 years who underwent TAVR SAVR stenosis. To account potential bias, 1:1 propensity-matched analysis was performed. Logistic regression used predictors mortality in cohort. Linear trend analysis.Results Of total 95,555 cases, 40,080 whereas 49,985 SAVR. In-hospital cohorts higher cohort compared group (4.6% vs. 2.5%; p < 0.001). Respiratory complications were also (7.5% 3.7%; 0.001) but less likely have permanent pacemaker placement (5.3% 10.8%, Length stay (11.8 days [standard deviation (SD), 8.8] 6.4 [SD, 6.8]) cost ($244,657 $183,333] $229,524 $146,994]) favorable toward as has declined over period 4.8% 1.5%.Conclusion more in-hospital

Язык: Английский

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