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Tesi sul tema "Mortality and Length of stay Prediction"

Autore: Grafiati

Pubblicato: 2 novembre 2024

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1

Shin, Jung-Ho. "New outcome-specific comorbidity scores excelled in predicting in-hospital mortality and healthcare charges in administrative databases." Doctoral thesis, Kyoto University, 2021. http://hdl.handle.net/2433/263579.

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Cissoko, Mamadou Ben Hamidou. "Adaptive time-aware LSTM for predicting and interpreting ICU patient trajectories from irregular data." Electronic Thesis or Diss., Strasbourg, 2024. http://www.theses.fr/2024STRAD012.

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En médecine prédictive personnalisée, modéliser avec précision la maladie et les processus de soins d'un patient est crucial en raison des dépendances temporelles à long terme inhérentes. Cependant, les dossiers de santé électroniques (DSE) se composent souvent de données épisodiques et irrégulières, issues des admissions hospitalières sporadiques, créant des schémas uniques pour chaque séjour hospitalier.Par conséquent, la construction d'un modèle prédictif personnalisé nécessite une considération attentive de ces facteurs pour capturer avec précision le parcours de santé du patient et aider

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3

Lipovich, Carol Jean. "Analysis of Ventilator Associated Pneumonia Patients' Hospital and Intensive Care Charges, Length of Stay and Mortality." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1366228755.

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4

Sundareshan, Padma. "Clostridium difficile Infection (CDI) Incidence Rate and CDI-Associated Length of Stay, Total Hospital Charges and Mortality." The University of Arizona, 2009. http://hdl.handle.net/10150/623982.

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Class of 2009 Abstract<br>OBJECTIVES: The purpose of the study was to determine the rate of Clostridium difficile infections (CDI) in hospitalized patients and the various factors that were associated with the risk of developing CDI by examining patient discharge data for hospitals in 37 states in the United States using Healthcare Cost and Utilization Project (HCUP). METHODS: Patient discharge information for all patients obtained using HCUP census for the years 2002-2005, either for primary or secondary (all-listed) occurrences of CDI using the ICD-9-CM code (008.45) specific for intestinal

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5

Spencer, Patricia L. "The influence of specialized cancer hospitals in Florida on mortality, length of stay, and charges of care." [Tampa, Fla] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002725.

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6

Fletcher, Emily A., and Robert S. Lawson. "Characteristics of Hospital Inpatient Charges, Length of Stay, and Inpatient Mortality in Patients with Ovarian Cancer from 2002-2005." The University of Arizona, 2009. http://hdl.handle.net/10150/623991.

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Class of 2009<br>OBJECTIVES: To determine and characterize the relative impact of patient demographics on hospital inpatient charges, length of stay, and inpatient mortality in patients with ovarian cancer from 2002-2005. METHODS: A retrospective database analysis of AHRQ’s Health Care Cost and Utilization Project (HCUP) Nationwide Inpatient Sample databases was conducted spanning from January 1, 2002, to December 31, 2005.Data were collected regarding age, race, payer status, median household income, location of hospital (urban/rural), comorbidities, procedures, total charges, length of stay

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7

Pattakos, Gregory. "Predicting Length of Stay and Non-Home Discharge: A Novel Approach to Reduce Wasted Resources after Cardiac Surgery." Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1291145768.

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8

Leitch, David B. "Predictive patterns of institutional misconduct, pro-social behavior, and length of stay of incarcerated youth in a secure, long-term, juvenile rehabilitation facility." Kent State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1529614192152508.

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9

Straathof, Bas Theodoor. "A Deep Learning Approach to Predicting the Length of Stay of Newborns in the Neonatal Intensive Care Unit." Thesis, KTH, Skolan för elektroteknik och datavetenskap (EECS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-282873.

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Recent advancements in machine learning and the widespread adoption of electronic healthrecords have enabled breakthroughs for several predictive modelling tasks in health care. One such task that has seen considerable improvements brought by deep neural networks is length of stay (LOS) prediction, in which research has mainly focused on adult patients in the intensive care unit. This thesis uses multivariate time series extracted from the publicly available Medical Information Mart for Intensive Care III database to explore the potential of deep learning for classifying the remaining LOS of n

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10

Oliveira, Ana Rita Castelo Branco. "Pneumonias adquiridas durante o internamento hospitalar : impacte na saúde e implicação nos custos." Master's thesis, Universidade Nova de Lisboa. Escola Nacional de Saúde Pública, 2012. http://hdl.handle.net/10362/9702.

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RESUMO - Introdução: O presente estudo pretende analisar o impacte na saúde e a implicação nos custos da Pneumonia adquirida durante o internamento hospitalar. Está comprovado que as infeções hospitalares constituem um problema de Saúde pública dos hospitais em todo o mundo. Metodologia: A população em estudo abrange 97 033 episódios de internamento, ocorridos em 10 hospitais, no ano de 2010. O trabalho compreende três fases: i) caracterização da população em estudo; ii) identificação das variáveis que influenciam os resultados em saúde; iii) estimação dos custos do internamento com Pneumonia

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11

Baeza, Fernanda Lucia Capitanio. "Desfechos negativos entre pacientes internados em unidade psiquiátrica de hospital geral : um estudo longitudinal." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/172516.

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Introdução: Nas últimas décadas, vários fatores determinaram importantes modificações no modo de prover assistência psiquiátrica. Entre estes, destacam-se as mudanças no modo como entendemos os transtornos mentais, os avanços e melhora na disponibilidade de tratamentos psiquiátricos, o aumento do interesse político em saúde mental, além da ênfase nos custos da assistência médica. Com isto, a internação psiquiátrica passou a representar uma parcela menor entre os recursos utilizados na assistência em saúde mental. A Psiquiatria hospitalar atual cumpre a função de realizar diagnóstico e tratar s

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12

Inocencio, Timothy. "The Economic Burden of Opioid Poisoning in the United States and Determinants of Increased Costs in Opioid Poisoning." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2930.

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Introduction: Opioid poisoning has been rapidly increasing in the past decade, and has been driven in large part due to increases in opioid prescribing. This has been accompanied by intervention efforts aimed at preventing and reversing opioid poisoning through naloxone prescription programs. Current literature have not quantified the economic burden of opioid poisoning. Understanding this information can help inform these efforts and bring light to this growing problem. In addition understanding various determinants of increased costs can help to identify the types of populations more lik

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13

Baffoe, Seth Kojo Ananse. "Comparing Outcomes of Laparoscopic Adjustable Banding and Laparoscopic Sleeve Gastrectomy Bariatric Surgery." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4996.

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Bariatric surgery is an effective procedure type for morbidly obese patients when all else fails. Because obesity is a chronic disease, prolonged assessment and understanding of the credibility of procedure types and their effects on bariatric surgery outcomes are essential, yet current evidence shows decreasing utilization of one of the dominant procedure types. To better compare outcomes of procedure type, this research was designed to control for volume, hospital size, age, gender, season, month, year, and ethnicity. The goal of the study was to compare the outcomes of laparoscopic adjustab

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14

Arbuckle, Lon Michel Luk. "Short-Term Occupancy Prediction at the Ottawa Hospital Using Time-Series Data for Admissions and Longitudinal Patient Data for Discharge." Thesis, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/20545.

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The Ottawa Hospital cancels hundreds of elective surgeries every year due to a lack of beds, and has an average weekday occupancy rate above 100%. Our approach to addressing these issues, by way of informing administrators of resource needs, was to model the flow of patients coming and going from the hospital. We used administrative data from the Ottawa Hospital to build a time-series model of emergency department admissions, and studied models that would predict next-day discharge of patients currently taking up hospital beds. In the latter, we considered population-averaged models for groups

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15

Phromjuang, Kornwika. "The Relationship between Personal Demographic Components, Health Status, Discharge Status, and Mortality among Asian Pacific Islander Elders." Case Western Reserve University School of Graduate Studies / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=case1207269544.

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16

Shiramizo, Sandra Christina Pereira Lima. "O fluxo de paciente séptico dentro da instituição como fator prognóstico independente de letalidade." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-08122014-151547/.

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Sepse é causa comum de óbito, e vários fatores prognósticos têm sido identificados. Entretanto, é possível que a rota do paciente séptico no hospital também tenha efeito sobre o prognóstico. Nosso objetivo foi verificar se a rota do paciente séptico antes da admissão na UTI tem efeito sobre a letalidade hospitalar. Métodos Foi realizado um estudo de coorte retrospectiva com 489 pacientes com sepse grave ou choque séptico (idade >=18 anos), internados na Unidade de Terapia Intensiva. Analisamos se a rota está associada a mortalidade hospitalar usando modelo de regressão de Cox com variância rob

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17

Eriksson, Thomas. "Närståendes besök hos patienter som vårdas på intensivvårdsavdelning." Doctoral thesis, Göteborgs universitet, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-3631.

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Aim: The overall objective of the present thesis was to describe and assess the importance and impact of visits by the patients’ families in an ICU, from patient and family perspectives, and to develop, from a hermeneutic perspective, a research method to study the interplay between patient and family during the visit. Method: The comprehensive methodology of the thesis was hermeneutic. Qualitative as well as quantitative methods were applied to elucidate the issues at stake. In paper I, 198 patients were consecutively included, and data were statistically analysed to establish patient mortali

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Barbosa, Mariana Raslan Paes. "Desempenho de testes de rastreamento e avaliação nutricional como preditores de desfechos clínicos negativos em pacientes hospitalizados." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5154/tde-08062010-161230/.

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INTRODUÇÃO: O diagnóstico do estado nutricional por rastreamento e avaliação nutricional permite detectar desnutrição e se associa com desfechos clínicos negativos em pacientes adultos hospitalizados. OBJETIVO: Identificar o teste mais adequado para avaliação de risco e estado nutricional em relação a desfechos clínicos negativos em pacientes adultos hospitalizados; e investigar a complementaridade existente entre os testes de rastreamento (NRS 2002) e avaliação nutricional (SGA). MÉTODOS: Estudo prospectivo, sequencial, não intervencionista, realizado em 705 pacientes adultos de ambos os sexo

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Franzosi, Oellen Stuani. "Comparação das estratégias de terapia nutricional enteral hipocalóricas versus normocalóricas em pacientes críticos com insuficiência respiratória aguda : revisão sistemática e metanálise de ensaios clínicos randomizados." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/115074.

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Base teórica: Existem controvérsias quanto à quantidade ideal de calorias que pacientes críticos com insuficiência respiratória aguda devem receber, bem como aos efeitos das estratégias de terapia nutricional hipocalórica versus normocalórica nos desfechos clínicos e de tolerância gastrointestinal. Objetivo: Comparar o efeito de duas estratégias de terapia nutricional enteral (nutrição hipocalórica versus normocalórica) nos desfechos clínicos e na tolerância gastrointestinal de pacientes criticamente doentes em insuficiência respiratória aguda. Bases de dados pesquisadas: MEDLINE, EMBASE, SCOP

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Zambiazi, Reisi Weber. "Complicações respiratórias no pós-operatório de cirurgia abdominal : fatores de risco e implicações." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2018. http://hdl.handle.net/10183/179818.

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Introdução: Complicações respiratórias são comuns no pós-operatório de cirurgias abdominais. Identificar os fatores de risco para tal possibilita à equipe de saúde adotar medidas protetivas, a fim de reduzir a chance de complicações e suas implicações. Objetivo: Identificar fatores de risco para complicações respiratórias no pós-operatório de cirurgias abdominais. Metodologia: Estudo de coorte retrospectivo realizado por busca em prontuário eletrônico de indivíduos adultos submetidos à cirurgia abdominal no período de Janeiro a Julho de 2016. Os dados foram analisados através do software estat

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Rosa, Regis Goulart. "Desfechos clínicos em neutropenia febril." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2015. http://hdl.handle.net/10183/119418.

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Neutropenia febril (NF) constitui complicação frequente do tratamento quimioterápico do câncer e está associada a altas taxas de morbimortalidade. O reconhecimento dos principais fatores associados ao desenvolvimento de desfechos clínicos desfavoráveis na NF é fundamental, uma vez que estes podem ser utilizados como marcadores prognósticos ou alvos terapêuticos. Este estudo objetiva determinar os principais fatores associados com mortalidade, tempo de hospitalização, incidência de bacteremia por patógenos multirresistentes e incidência de choque séptico no início da febre em pacientes hospital

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22

Kinnunen, T. (Tuija). "Keuhkoahtaumataudin sairaalahoito Suomessa: hoitoajan pituus ja sen yhteys ennusteeseen." Doctoral thesis, University of Oulu, 2007. http://urn.fi/urn:isbn:9789514283864.

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Abstract The purpose of this work was to determine on the basis of the national hospital discharge register and cause-of-death statistics the extent of the hospital treatment required for chronic obstructive pulmonary disease (COPD) in Finland over the period 1972–2001, i.e. the use made of hospital services, factors affecting the length of stay in hospital and the correlation of length of stay with the prognosis. Different intervals within this period were taken for study according to the themes of the individual papers. The results suggest that the length of stay in hospital varies both geog

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Pepler, Pieter Theo. "The identification and application of common principal components." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/96101.

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Thesis (PhD)--Stellenbosch University, 2014.<br>ENGLISH ABSTRACT: When estimating the covariance matrices of two or more populations, the covariance matrices are often assumed to be either equal or completely unrelated. The common principal components (CPC) model provides an alternative which is situated between these two extreme assumptions: The assumption is made that the population covariance matrices share the same set of eigenvectors, but have di erent sets of eigenvalues. An important question in the application of the CPC model is to determine whether it is appropriate for the da

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Campos, Edvaldo Vieira de. "Uso de banco de dados para caracterização de pacientes queimados internados em unidade de terapia intensiva de um hospital acadêmico terciário." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/5/5165/tde-11052017-162206/.

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Introdução: Pacientes com grande superfície corpórea queimada (SCQ) são graves e precisam de suporte em unidade de terapia intensiva (UTI). Estudos que caracterizem esses pacientes queimados durante sua internação em UTI são escassos na literatura. Objetivo: Caracterizar do ponto de vista epidemiológico e de desfechos clínicos os pacientes que foram admitidos em uma UTI de queimados, definindo os fatores associados à mortalidade e morbidade. Métodos: A partir de um banco de dados colhido prospectivamente, foram coletadas as informações de pacientes maiores de 16 anos com história de internação

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25

Uroš, Batranović. "Prognostički značaj venoarterijskog gradijenta ugljen-dioksida u teškoj sepsi." Phd thesis, Univerzitet u Novom Sadu, Medicinski fakultet u Novom Sadu, 2017. http://www.cris.uns.ac.rs/record.jsf?recordId=104158&source=NDLTD&language=en.

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Veno-arterijski gradijent ugljen-dioksida (Pv-aCO2) se smatra pokazateljem adekvatnosti microcirculatornog venskog protoka. U stanjima usporenog protoka dolazi do povećavanja Pv-aCO2 zbog fenomena zadržavanja CO2. Vrednost Pv-aCO2 predložena je kao dodatni cilj rane usmerene terapije kod pacijenata sa septičnim &scaron;okom. Cilj rada bilo je utvrditi postojanje korelacije promene Pv-aCO2 s promenom SOFA (“Sequential Organ Failure Assessment”) skora (delta SOFA) nakon primene rane ciljane terapije, kao i korelacije vrednosti različitih pokazatelja krvnog protoka unutar prvih 12 sat

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Nicolau, José Eduardo. ""O transplante de medula óssea alogênico de curto período de internação"." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5136/tde-08082005-114337/.

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Foram analisados os resultados retrospectivos do transplante de medula óssea alogênico em 100 pacientes portadores de leucemia mielóide crônica, divididos em dois grupos: Grupo I, de 49 pacientes que recebeu alta hospitalar após a pega medular, e grupo II, de 51 pacientes, que recebeu alta precocemente, antes da pega medular, para acompanhamento ambulatorial. Foram comparados os dias de ocupação de leitos hospitalares, a morbidade e a mortalidade entre os grupos de alta até o dia 100 pós transplante. Verificou-se que, no grupo de alta precoce, houve, significativamente, menos dias de ocupação

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Lim, Yen Peng. "Malnutrition and clinical outcomes in elderly patients from a Singapore acute hospital." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/44143/1/Yen_Peng_Lim_Thesis.pdf.

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Older adults, especially those acutely ill, are vulnerable to developing malnutrition due to a range of risk factors. The high prevalence and extensive consequences of malnutrition in hospitalised older adults have been reported extensively. However, there are few well-designed longitudinal studies that report the independent relationship between malnutrition and clinical outcomes after adjustment for a wide range of covariates. Acutely ill older adults are exceptionally prone to nutritional decline during hospitalisation, but few reports have studied this change and impact on clinical outcome

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Nouri, Golmaei Sara. "Improving the Performance of Clinical Prediction Tasks by using Structured and Unstructured Data combined with a Patient Network." Thesis, 2021. http://dx.doi.org/10.7912/C2/41.

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Indiana University-Purdue University Indianapolis (IUPUI)<br>With the increasing availability of Electronic Health Records (EHRs) and advances in deep learning techniques, developing deep predictive models that use EHR data to solve healthcare problems has gained momentum in recent years. The majority of clinical predictive models benefit from structured data in EHR (e.g., lab measurements and medications). Still, learning clinical outcomes from all possible information sources is one of the main challenges when building predictive models. This work focuses mainly on two sources of information

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Lopes, Cláudia Rodrigues. "Computational Intelligence Models for Length of Stay Prediction." Master's thesis, 2020. http://hdl.handle.net/10316/92126.

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Trabalho de Projeto do Mestrado Integrado em Engenharia Biomédica apresentado à Faculdade de Ciências e Tecnologia<br>A previsão do tempo de internamento dos pacientes é de grande importância para os hospitais, uma vez que pode determinar a utilização de recursos, melhorar o agendamento de futuros internamentos e cirurgias, e auxiliar no planeamento dos cuidados de saúde dos pacientes, desde a admissão até à alta. Consequentemente, uma melhor qualidade dos cuidados de saúde prestados pode ser proporcionada aos pacientes, sendo este o principal objetivo dos hospitais. Neste projecto, quatro abo

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Barbosa, Teresa do Carmo Sousa Magalhães. "Estudo de fatores preditivos das diferenças nos resultados de duração de internamento e de mortalidade em doentes com enfarte agudo do miocárdio." Doctoral thesis, 2016. http://hdl.handle.net/10362/20058.

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RESUMO - Contexto: O uso apropriado dos recursos hospitalares é importante para o controlo da despesa e para a melhoria dos resultados. Compreender os fatores que explicam os resultados na duração de internamento (DI) e mortalidade no enfarte agudo do miocárdio (EAM) observando o desperdício associado, através da variação não justificada e identificar os fatores preditivos na admissão são os objetivos desta investigação. O EAM foi escolhido pela elevada morbilidade e mortalidade, elevada variabilidade (DI/mortalidade) e elevados custos de tratamento a nível global. Metodologia: Desenvol

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Hsu, Yi-Chen, and 徐宜蓁. "Effects of Length of Stay in Emergency Department on Inpatient Utilization and Mortality." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/u8gq74.

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Shiang-ying, Huang, and 黃香螢. "Prediction of patient length of stay: the comparison of three methods." Thesis, 1996. http://ndltd.ncl.edu.tw/handle/90361277684392637210.

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碩士<br>國立臺灣大學<br>公共衛生學研究所<br>84<br>To understand the difference among three methods (MD method, DRG method and ICD-9-CM method) in predicting patients'' length of sta y, 707 cases were chosen purposely. These patients'' admission ICD -9-CM codes were classfied as MDC6 or MDC7 and they also admitted in five units of a major medical center during Apr. 1- Jul. 31, 1995. After dealing with inappropriate data, 564 cases were analy zed with Wilcoxon rank sum test.

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Shen, I.-Ching, and 沈怡菁. "Prediction of Ischemic Stroke Length of Stay Using Data Mining Technique." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/74158583648800210645.

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碩士<br>國立陽明大學<br>衛生資訊與決策研究所<br>95<br>The stroke is a cardiovascular disease. The annual incidence of stroke is approximately 700,000 per year in the United States, and Ischemic stroke accounts for 80% of them. In Taiwan 51,000 people suffer from stroke each year, and 15,000 of them resulted in death. From 1993 to 2005 stroke is the second most common cause of mortality, and 71% was due to ischemic stroke in Taiwan. In America, the annual cost on health care of stroke is near 40 billion USD, while in Taiwan the monthly cost is 15-40 thousand NTD. That was to make the nation, the patients an

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Yuan, Chi-Chuan, and 袁繼銓. "Neural Network Approach for Length of Hospital Stay Prediction of Burn Patients." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/21402548517491529233.

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碩士<br>國立中山大學<br>資訊管理學系研究所<br>91<br>A burn injury is a disastrous trauma and can have very wide ranging impacts, including individual, family, and social. Burns patients generally have a long period of hospital stay whose accurate prediction can not only facilitate allocations of scarce medical resources but also help clinicians to counsel patients and relatives at an early stage of care. Besides prediction accuracy, prediction timing of length of hospital stay (LOS) for burn patients is also critical. Early prediction has profound effects on more efficient and effective medical resource alloca

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Hu, Chu-hsuan, and 胡竹瑄. "Locations of fracture, length of stay, mortality and related factors among hospitalized elderly fracture patients." Thesis, 1999. http://ndltd.ncl.edu.tw/handle/31710136010799925638.

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碩士<br>國防醫學院<br>公共衛生學研究所<br>87<br>Abstract The proportion of elderly people in our population is increasing. In addition to the threat of the chronic disease, injury is another major cause of death for elderly people. Elderly people are at high risk of fracture during the occurrence of injuries. Research article indicated that there are differences between the urban and the rural areas on the incidence of fracture. Since Taipei City and Hualien County are good representatives of urban and rural areas in Taiwan, the study was designed to compare between Taipei and Hualien on frac

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Gothen, Margarida de Castro. "Does the hospital length of stay until admission to Intensive Care impact mortality? A observational study." Master's thesis, 2021. https://hdl.handle.net/10216/134262.

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Gothen, Margarida de Castro. "Does the hospital length of stay until admission to Intensive Care impact mortality? A observational study." Dissertação, 2021. https://hdl.handle.net/10216/134262.

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Msibi, Sithembiso Sifiso, and 史飛碩. "Cardiovascular diseases (CVDs) patients’ in-hospital mortality rate and length of hospital stay in Swaziland: 2001-2013." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/59388964739003430236.

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碩士<br>臺北醫學大學<br>醫務管理學研究所<br>103<br>Background: Cardiovascular diseases (CVDs) are one of the leading non-communicable diseases (NCDs). A global analysis reveals that some of the poorest countries in the world have among the highest age-standardized mortality rates of CVDs. They are the leading cause of death globally. An estimated 17.5 million people died from CVDs in 2012, representing 31% of all global deaths [1]. Objectives: 1. Calculate and analyze the trend of in-hospital mortality rate of CVDs patients in public health facilities over a period of 13 years 2. Analyze the trend of length o

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YEN-YU, CHEN, and 陳彥佑. "Application of Back Propagation Neural Network on the Length of Stay Prediction for Cardiovascular Patients." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/bmkwv7.

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碩士<br>國立臺北科技大學<br>工業工程與管理系碩士班<br>103<br>The major concern for most hospitalists in Taiwan is to serve the aging population with the limited healthcare budget provided by the National Health Insurance Administration. As hospital beds are scarce, high occupancy rates are often preferred. To develop efficient admission policy and optimize bed management, it would be beneficial to investigate the critical factors which might determine the length of stay (LOS) in the early stage of admission. This research is to use artificial neural network (ANN) models to predict the LOS for patients in cardiolog

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Lin, Chien-Lin, and 林千琳. "The related factors and prediction models of length of stay in rehabilitation ward for stroke patients." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/16185160620543423304.

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碩士<br>臺中健康暨管理學院<br>健康管理研究所<br>93<br>Abstract A good prediction model of length of stay for stroke patients in rehabilitation ward can be used as the basis of reimbursement for stroke rehabilitation in global budget and case payment system . 645 patient’s data from a rehabilitation ward in a Medical Center of mid-Taiwan were used retrospectively to create a prediction model , based on Cox’s proportional hazard model . The model requires information about patient’s demographic variables and functional independence ability which was evaluated by Functional Independence Measure and Modified B

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Lee, Hsuei-Chen, and 李雪楨. "Prediction of Inpatient Length of Stay and Costs for Acute Stroke in Taiwan: Clinical and Policy Implications for Stroke Care." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/90468932205512219984.

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博士<br>國立陽明大學<br>公共衛生研究所<br>95<br>Background and Objectives: As a major cause of mortality, prolonged hospitalization, and chronic disability, stroke imposed considerable physical and socioeconomic burden. The direct cost of stroke was largely dependent on the length of initial hospital stay. It is important to understand the determinants of inpatient length of stay (LOS) and costs for acute stroke, and how they may be modified by specific treatments, care arrangement or payment schemes. This study aimed to analyze inpatient length of stay, costs and their predictive factors systematically f

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Lin, Yi-Ching, and 林怡卿. "Prediction on Hospital Length of Stay in Case Payment by Using Data Mining Technique- A Case Study of Total Joint Replacement." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/87458643472316126910.

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碩士<br>國立陽明大學<br>衛生資訊與決策研究所<br>94<br>Since 1995, The National Health Insurance Program (NHI) that is one of the most significant public policies in recent decades has implemented in Taiwan; this program not only changed the medical environment, but also improved health quality and patients’ right. However, this program is also facing the cost-increasing problem as all other countries. One of the strategies to control cost is to change the payment method. Taiwan government has tried to carry out the "Case Payment System" which is a prospective payment system resemblance to the Diagnosis-Relat

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CHEN, PO-CHIA, and 陳柏嘉. "A Study for the Healthcare Management System and Length of Stay Prediction – from Case Hospital to the National-level Database in Taiwan." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/fpayz9.

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博士<br>國立臺北科技大學<br>管理學院管理博士班<br>107<br>Most developed countries face the continuous pressure to keep offering the best and affordable health care services to every citizen, especially for counties with universal health care coverage. One of the most challenging issue in the definition of service quality and the cost structure in the healthcare industry lies in the lack of transparency or even common ground when comparing among clinics and hospitals. For acute-care inpatient facilities, the length of stay (LOS) is considered as a general measure associated with the complexity of treatment needed

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Benson, Cedric. "Effect of time to the operating room on hospital length of stay, postoperative complications, & in-hospital mortality in patients who require emergency general surgery." Thesis, 2016. https://hdl.handle.net/2144/16779.

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PURPOSE: The aim of this study is to better characterize the effect of the interval in time to the operating room on hospital length of stay and other post-surgical outcomes in adult patients with common emergency general surgery conditions who are admitted to the acute care surgical service at Boston Medical Center. METHODS: This is retrospective cohort study examining a total of 321 subjects taken from an emergency general surgery registry at Boston Medical Center from May 2014 thru May 2015. Variables analyzed included: demographic factors, Charlson Comorbidity Index scores, times to the

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Funenga, Inês Sofia Azinhal. "Efeito fim-de-semana e noite : impacto do momento de admissão sobre a mortalidade e a demora média no internamento." Master's thesis, 2014. http://hdl.handle.net/10362/14644.

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RESUMO - Contexto: Admite-se a existência de variações no número e nível de experiência dos profissionais de saúde disponíveis nos hospitais durante a noite e o fim-de-semana. As consequências desta situação na qualidade dos cuidados de saúde prestados expõem a importância deste estudo realizado com o objetivo de avaliar o impacto do momento de admissão sobre a mortalidade e a demora média no internamento. Metodologia: Foram estudados 201 369 episódios urgentes, admitidos com um de 36 diagnósticos principais, de acordo com as informações na base de dados dos resumos de alta, para o ano de 201

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YU, JU YI, and 游茹貽. "A Study of Using Grey Prediction GM(1, 1) in Forecasting Tourists, Length of Stay, Tourism Receipts and Maximum Capacity: A Case of New Southbound Policy′s Countries." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/8e257t.

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碩士<br>大葉大學<br>休閒事業管理學系碩士班<br>107<br>The GM(1, 1) of grey system theory has been adopted in a variety of ranges, and it features forecasting through small amounts of data. This research predicts the New Southbound Policy's countries of tourists, length of stay, and tourism receipts by using GM(1, 1) and other four kinds modified GM(1, 1), which are modified 1-years-period GM(1, 1) model, modified 2-years-period GM(1, 1) model, modified 3-years-period GM(1, 1) and modified 4-years-period GM(1, 1) model. Meanwhile, forecasting the maximum capacity of three major regions tourists and tourism recei

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Mohammed, Mohammed A., J. J. Deeks, A. J. Girling, et al. "Evidence of methodological bias in hospital standardised mortality ratios: retrospective database study of English hospitals." 2009. http://hdl.handle.net/10454/6101.

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OBJECTIVE: To assess the validity of case mix adjustment methods used to derive standardised mortality ratios for hospitals, by examining the consistency of relations between risk factors and mortality across hospitals. DESIGN: Retrospective analysis of routinely collected hospital data comparing observed deaths with deaths predicted by the Dr Foster Unit case mix method. SETTING: Four acute National Health Service hospitals in the West Midlands (England) with case mix adjusted standardised mortality ratios ranging from 88 to 140. PARTICIPANTS: 96 948 (April 2005 to March 2006), 126 695 (April

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Lavinha, Pedro Henrique Pires. "A importância do pré-hospitalar em Portugal : via verde do acidente vascular cerebral." Master's thesis, 2019. http://hdl.handle.net/10362/82176.

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RESUMO - Introdução: O Acidente Vascular Cerebral (AVC) é a causa mais importante de morbilidade e incapacidade a longo prazo um pouco por todo o mundo, com forte impacto nos sistemas de saúde e nas vidas familiar e profissional. Por esta razão, o papel da emergência pré-hospitalar afigura-se determinante na resposta compreensiva para a gestão do AVC agudo. O objetivo deste trabalho é caracterizar a gestão pré-hospitalar, no contexto do registo retrospetivo dos episódios do INEM (2015-2016), em Portugal Continental. Metodologia: Foi realizado um estudo transversal e retrospetivo, através de u

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Silvester, K. M., Mohammed A. Mohammed, P. Harriman, A. Girolami, and T. W. Downes. "Timely care for frail older people referred to hospital improves efficiency and reduces mortality without the need for extra resources." 2014. http://hdl.handle.net/10454/9937.

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No<br>Hospitals are under pressure to reduce waiting times and costs. One strategy that may be effective focuses on optimising the flow of emergency patients. We undertook a patient flow analysis of older emergency patients to identify and address delays in ensuring timely care, without additional resources. Prospective systems redesign study over 2 years. The Geriatric Medicine Directorate in an acute hospital (Sheffield Teaching Hospitals NHS Foundation Trust) with 1920 beds. Older patients admitted as emergencies. Diagnostic patient flow analysis followed by a series of Plan Do Study Act cy

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