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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00009888naa a2200769 4500
001oai:DiVA.org:oru-107484
003SwePub
008230809s2023 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-1074842 URI
0247 a https://doi.org/10.3390/jcm121447502 DOI
040 a (SwePub)oru
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Wu, Lijuanu Institute of Sciences in Emergency Medicine, Department of Emergency Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China; Medical Research Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China4 aut
2451 0a The Association between Emergency Department Length of Stay and In-Hospital Mortality in Older Patients Using Machine Learning :b An Observational Cohort Study
264 1b MDPI,c 2023
338 a print2 rdacarrier
500 a This research was supported by the Youth Science Fund of the National Natural Science Foundation of China (Grant No. 61802149).
520 a The association between emergency department (ED) length of stay (EDLOS) with in-hospital mortality (IHM) in older patients remains unclear. This retrospective study aims to delineate the relationship between EDLOS and IHM in elderly patients. From the ED patients (n = 383,586) who visited an urban academic tertiary care medical center from January 2010 to December 2016, 78,478 older patients (age ≥60 years) were identified and stratified into three age subgroups: 60-74 (early elderly), 75-89 (late elderly), and ≥90 years (longevous elderly). We applied multiple machine learning approaches to identify the risk correlation trends between EDLOS and IHM, as well as boarding time (BT) and IHM. The incidence of IHM increased with age: 60-74 (2.7%), 75-89 (4.5%), and ≥90 years (6.3%). The best area under the receiver operating characteristic curve was obtained by Light Gradient Boosting Machine model for age groups 60-74, 75-89, and ≥90 years, which were 0.892 (95% CI, 0.870-0.916), 0.886 (95% CI, 0.861-0.911), and 0.838 (95% CI, 0.782-0.887), respectively. Our study showed that EDLOS and BT were statistically correlated with IHM (p < 0.001), and a significantly higher risk of IHM was found in low EDLOS and high BT. The flagged rate of quality assurance issues was higher in lower EDLOS ≤1 h (9.96%) vs. higher EDLOS 7 h
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
653 a Boarding time
653 a emergency department
653 a in-hospital mortality
653 a length of stay
653 a machine learning
653 a older adults
7001 a Chen, Xuanhuiu Medical Big Data Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China4 aut
7001 a Khalemsky, Annau Management Department, Hadassah Academic College, Jerusalem 91010, Israel4 aut
7001 a Li, Deyangu Institute of Sciences in Emergency Medicine, Department of Emergency Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China4 aut
7001 a Zoubeidi, Taoufiku Department of Statistics, College of Business and Economics, UAE University, Al Ain 1555, United Arab Emirates4 aut
7001 a Lauque, Dominiqueu Department of Emergency of Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Boston, MA 02115, USA; Department of Emergency Medicine, Purpan Hospital and Toulouse III University, 31300 Toulouse, France4 aut
7001 a Alsabri, Mohammedu Department of Emergency of Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Boston, MA 02115, USA; Department of Pediatrics, Brookdale University Hospital and Medical Center, 1 Brookdale Plaza, Brooklyn, NY 11212, USA4 aut
7001 a Boudi, Zoubiru Department of Emergency Medicine, Dr Sulaiman Alhabib Hospital, Dubai 2542, United Arab Emirates; Global Network on Emergency Medicine, Brookline, MA 02446, USA4 aut
7001 a Kumar, Vijaya Arunu Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA4 aut
7001 a Paxton, Jamesu Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA4 aut
7001 a Tsilimingras, Dionyssiosu Department of Family Medicine & Public Health Sciences, Wayne State University School of Medicine, Detroit, MI 48201, USA4 aut
7001 a Kurland, Lisa,d 1960-u Örebro universitet,Institutionen för medicinska vetenskaper,Department of Medical Sciences, Örebro University, Örebro, Sweden4 aut0 (Swepub:oru)lkd
7001 a Schwartz, Davidu Information Systems Department, Graduate School of Business Administration, Bar-Ilan University, Ramat-Gan 529002, Israel4 aut
7001 a Hachimi-Idrissi, Saidu Global Network on Emergency Medicine, Brookline, MA 02446, USA; Department of Emergency Medicine, Ghent University Hospital, 9000 Ghent, Belgium4 aut
7001 a Camargo, Carlos A.u Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA4 aut
7001 a Liu, Shan W.u Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA4 aut
7001 a Savioli, Gabrieleu Emergency Department, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy4 aut
7001 a Intas, Gerogeu Department of Critical Care, General Hospital of Nikaia Agios Panteleimon, 18454 Athens, Greece4 aut
7001 a Soni, Kapil Devu Jai Prakash Narayan Apex Trauma Center, Ring Road, New Delhi 110029, India4 aut
7001 a Junhasavasdikul, Detajinu Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand4 aut
7001 a Cabello, Jose Javier Trujillanou Intensive Care Unit, Hospital Universitari Arnau de Vilanova, 25198 Lleida, Spain4 aut
7001 a Rathlev, Niels K.u Department of Emergency Medicine, University of Massachusetts Medical School, Baystate, Springfield, MA 01199, USA4 aut
7001 a Tazarourte, Karimu Department of Health Quality, University Hospital, Hospices Civils, 69002 Lyon, France; Department of Emergency Medicine, University Hospital, Hospices Civils, 69002 Lyon, France4 aut
7001 a Slagman, Annau Division of Emergency and Acute Medicine, Campus Virchow Klinikum and Charité Campus Mitte, Charité Universitätsmedizin, 10117 Berlin, Germany4 aut
7001 a Christ, Michaelu Department of Emergency Medicine, 6000 Lucerne, Switzerland4 aut
7001 a Singer, Adam J.u Department of Emergency Medicine, Renaissance Scholl of Medicine at Stony Brook University, Stony Brook, NY 11794, USA4 aut
7001 a Lang, Eddyu Department of Emergency Medicine, Emergency Medicine Cumming School of Medicine, University of Calgary, Alberta Health Services, Calgary, AB T2N 1N4, Canada4 aut
7001 a Ricevuti, Giovanniu Emergency Medicine, School of Pharmacy, University of Pavia, 27100 Pavia, Italy4 aut
7001 a Li, Xinu Department of Emergency Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China4 aut
7001 a Liang, Huiyingu Medical Big Data Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China4 aut
7001 a Grossman, Shamai A.u Department of Emergency of Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Boston, MA 02115, USA4 aut
7001 a Bellou, Abdelouahabu Institute of Sciences in Emergency Medicine, Department of Emergency Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China; Department of Emergency of Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Boston, MA 02115, USA; Global Network on Emergency Medicine, Brookline, MA 02446, USA; Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA; Department of Emergency Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China4 aut
7102 a Institute of Sciences in Emergency Medicine, Department of Emergency Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China; Medical Research Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, Chinab Medical Big Data Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China4 org
7730 t Journal of Clinical Medicined : MDPIg 12:14q 12:14x 2077-0383
8564 u https://doi.org/10.3390/jcm12144750y Fulltext
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-107484
8564 8u https://doi.org/10.3390/jcm12144750

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