Development of a national core dataset for the Iranian ICU patients outcome prediction: a comprehensive approach. Issue 2 (1st April 2018)

• Record Type: Journal Article
• Authors: Atashi, Alireza; Ahmadian, Leila; Rahmatinezhad, Zahra; Miri, Mirmohammad; Nazeri, Najmeh; Eslami, Saeid
• Is Part Of: BMJ health & care informatics. Volume 25:Issue 2(2018)
• Page Start: 71
• Page End: 76
• Publication Date: 2018-04-01
• Subjects: data sets -- prognosis -- risk assessment -- intensive care units -- Iran; Medical informatics -- Great Britain -- Periodicals; Information storage and retrieval systems -- Medical care -- Periodicals; Primary care (Medicine) -- Great Britain -- Data processing -- Periodicals; 362.10285
• DOI: 10.14236/jhi.v25i2.953
• Languages: English
• ISSNs: 2632-1009

Abstract

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.