Electronic algorithmic prediction of central vascular catheter use

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Bala HotaCenters for Disease Control and Prevention Epicenters

Abstract

To develop prediction algorithms for the presence of a central vascular catheter in hospitalized patients with use of data present in an electronic health record. Such algorithms could be used for measurement of device utilization rates and for clinical decision support rules. Criterion standard. John H. Stroger, Jr, Hospital of Cook County, a 464-bed public hospital in Chicago, Illinois. Patients admitted to the medical intensive care unit from May 31, 2005 through June 26, 2006 (derivation data set, May 31, 2005-September 28, 2005; validation data set, September 29, 2005-June 28, 2006). Covariates were collected from the electronic medical record for each patient; the outcome variable was presence of a central vascular device. Multivariate models were developed using the derivation set and the generalized estimating equation. Three models, each with increasing database requirements, were validated using the validation set. Device utilization ratios and performance characteristics were calculated. Although Charlson score and duration of intensive care unit stay were significant predictors in all models, factors that indicated use or presence of a central line were also important. Device utilization rates derived from the algor...Continue Reading

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Citations

Mar 28, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Maaike S M van MourikMarc J M Bonten
Jul 23, 2013·Applied Clinical Informatics·M KashiourisV Herasevich
Jun 9, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·John M BoyceJonathan M Siner
Feb 8, 2013·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Nicola D ThompsonShelley S Magill
Jun 15, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·William E Trick, Matthew Samore
Aug 7, 2013·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Sheri Chernetsky TejedorJames P Steinberg
Jul 5, 2016·The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien Des Maladies Infectieuses Et De La Microbiologie Médicale·Jenine R LealKevin B Laupland
Jan 1, 2012·The Neurohospitalist·Heather SandAlpesh Amin

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