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Development of a National Core Dataset for the Iranian Icu Patients Outcome Prediction: A Comprehensive Approach Publisher Pubmed



Atashi A1 ; Ahmadian L2 ; Rahmatinezhad Z1 ; Miri M3 ; Nazeri N4 ; Eslami S5, 6, 7
Authors
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Authors Affiliations
  1. 1. E-health Department, Virtual School, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  3. 3. Anesthesiology and Critical Care Department, Shahid Beheshti Medical University, Emam Hossein Hospital, Tehran, Iran
  4. 4. Breast Cancer Research Center, Medical Informatics Department, Motamed Cancer Institute, ACECR, Iran
  5. 5. Pharmaceutical Research Center, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran
  6. 6. Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  7. 7. Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands

Source: Journal of Innovation in Health Informatics Published:2018


Abstract

Objective To define a core dataset for intensive care unit (ICU) patients outcome prediction in Iran. This core data set will lead us to design ICU outcome prediction models with the most effective parameters. Methods A combination of literature review, national survey and expert consensus meetings were used. First, a literature review was performed by a general search in PubMed to find the most appropriate models for intensive care mortality prediction and their parameters. Second, in a national survey, experts from a couple of medical centres in all parts of Iran were asked to comment on a list of items retrieved from the earlier literature review study. In the next step, a multi-disciplinary committee of experts was installed. In four meetings, each data item was examined separately and included/excluded by committee consensus. Results The combination of the literature review findings and experts' consensus resulted in a draft dataset including 26 data items. Ninety-two percent of data items in the draft dataset were retrieved from the literature study and the others were suggested by the experts. The final dataset of 24 data items covers patient history and physical examination, chemistry, vital signs, oxygenations and some more specific parameters. Conclusions This dataset was designed to develop a nationwide prognostic model for predicting ICU mortality and length of stay. This dataset opens the door for creating standardised approaches in data collection in the Iranian intensive care unit estimation of resource utility. Copyright © 2018 The Author(s).