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The Association between Emergency Department Length of Stay and In-Hospital Mortality in Older Patients Using Machine Learning : An Observational Cohort Study
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- Wu, Lijuan (författare)
- 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, China
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- Chen, Xuanhui (författare)
- Medical Big Data Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China
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- Khalemsky, Anna (författare)
- Management Department, Hadassah Academic College, Jerusalem 91010, Israel
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- Li, Deyang (författare)
- 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
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- Zoubeidi, Taoufik (författare)
- Department of Statistics, College of Business and Economics, UAE University, Al Ain 1555, United Arab Emirates
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- Lauque, Dominique (författare)
- 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, France
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- Alsabri, Mohammed (författare)
- 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, USA
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- Boudi, Zoubir (författare)
- Department of Emergency Medicine, Dr Sulaiman Alhabib Hospital, Dubai 2542, United Arab Emirates; Global Network on Emergency Medicine, Brookline, MA 02446, USA
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- Kumar, Vijaya Arun (författare)
- Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA
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- Paxton, James (författare)
- Department of Emergency Medicine, Wayne State University School of Medicine, Detroit, MI 48201, USA
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- Tsilimingras, Dionyssios (författare)
- Department of Family Medicine & Public Health Sciences, Wayne State University School of Medicine, Detroit, MI 48201, USA
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- Kurland, Lisa, 1960- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Medical Sciences, Örebro University, Örebro, Sweden
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- Schwartz, David (författare)
- Information Systems Department, Graduate School of Business Administration, Bar-Ilan University, Ramat-Gan 529002, Israel
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- Hachimi-Idrissi, Said (författare)
- Global Network on Emergency Medicine, Brookline, MA 02446, USA; Department of Emergency Medicine, Ghent University Hospital, 9000 Ghent, Belgium
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- Camargo, Carlos A. (författare)
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
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- Liu, Shan W. (författare)
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
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- Savioli, Gabriele (författare)
- Emergency Department, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy
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- Intas, Geroge (författare)
- Department of Critical Care, General Hospital of Nikaia Agios Panteleimon, 18454 Athens, Greece
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- Soni, Kapil Dev (författare)
- Jai Prakash Narayan Apex Trauma Center, Ring Road, New Delhi 110029, India
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- Junhasavasdikul, Detajin (författare)
- Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand
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- Cabello, Jose Javier Trujillano (författare)
- Intensive Care Unit, Hospital Universitari Arnau de Vilanova, 25198 Lleida, Spain
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- Rathlev, Niels K. (författare)
- Department of Emergency Medicine, University of Massachusetts Medical School, Baystate, Springfield, MA 01199, USA
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- Tazarourte, Karim (författare)
- Department of Health Quality, University Hospital, Hospices Civils, 69002 Lyon, France; Department of Emergency Medicine, University Hospital, Hospices Civils, 69002 Lyon, France
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- Slagman, Anna (författare)
- Division of Emergency and Acute Medicine, Campus Virchow Klinikum and Charité Campus Mitte, Charité Universitätsmedizin, 10117 Berlin, Germany
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- Christ, Michael (författare)
- Department of Emergency Medicine, 6000 Lucerne, Switzerland
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- Singer, Adam J. (författare)
- Department of Emergency Medicine, Renaissance Scholl of Medicine at Stony Brook University, Stony Brook, NY 11794, USA
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- Lang, Eddy (författare)
- Department of Emergency Medicine, Emergency Medicine Cumming School of Medicine, University of Calgary, Alberta Health Services, Calgary, AB T2N 1N4, Canada
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- Ricevuti, Giovanni (författare)
- Emergency Medicine, School of Pharmacy, University of Pavia, 27100 Pavia, Italy
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- Li, Xin (författare)
- Department of Emergency Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China
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- Liang, Huiying (författare)
- Medical Big Data Center, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China
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- Grossman, Shamai A. (författare)
- Department of Emergency of Medicine, Beth Israel Deaconess Medical Center, Teaching Hospital of Harvard Medical School, Boston, MA 02115, USA
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- Bellou, Abdelouahab (författare)
- 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, China
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(creator_code:org_t)
- MDPI, 2023
- 2023
- Engelska.
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Ingår i: Journal of Clinical Medicine. - : MDPI. - 2077-0383. ; 12:14
- Relaterad länk:
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https://doi.org/10.3...
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https://urn.kb.se/re...
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https://doi.org/10.3...
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Abstract
Ämnesord
Stäng
- 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
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Nyckelord
- Boarding time
- emergency department
- in-hospital mortality
- length of stay
- machine learning
- older adults
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Till lärosätets databas
- Av författaren/redakt...
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Wu, Lijuan
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Chen, Xuanhui
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Khalemsky, Anna
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Li, Deyang
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Zoubeidi, Taoufi ...
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Lauque, Dominiqu ...
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visa fler...
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Alsabri, Mohamme ...
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Boudi, Zoubir
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Kumar, Vijaya Ar ...
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Paxton, James
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Tsilimingras, Di ...
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Kurland, Lisa, 1 ...
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Schwartz, David
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Hachimi-Idrissi, ...
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Camargo, Carlos ...
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Liu, Shan W.
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Savioli, Gabriel ...
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Intas, Geroge
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Soni, Kapil Dev
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Junhasavasdikul, ...
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Cabello, Jose Ja ...
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Rathlev, Niels K ...
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Tazarourte, Kari ...
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Slagman, Anna
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Christ, Michael
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Singer, Adam J.
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Lang, Eddy
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Ricevuti, Giovan ...
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Li, Xin
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Liang, Huiying
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Grossman, Shamai ...
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Bellou, Abdeloua ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Omvårdnad
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Anestesi och int ...
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Örebro universitet