FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4381279778> ?p ?o ?g. }

• W4381279778 abstract "Abstract Background : In Israel, internal medicine admissions are currently reimbursed without accounting for patient complexity. This is at odds with most other developed countries and has the potential to lead to market distortions such as avoiding sicker patients. Our objective was to apply a well-known, freely available risk adjustment model, the Elixhauser model, to predict relevant outcomes among patients hospitalized on the internal medicine service of a large, Israeli tertiary-care hospital. Methods : We used data from the Shaare Zedek Medical Center (SZMC), a large tertiary referral hospital in Jerusalem. The study included 55,946 hospitalizations between 01.01.2016 – 31.12.2019. We modeled four patient outcomes: in-hospital mortality, escalation of care (intensive care unit (ICU) transfer, mechanical ventilation, daytime bi-level positive pressure ventilation, or vasopressors), 30-day readmission, and length of stay (LOS). We log-transformed LOS to address right skew. As is usual with the Elixhauser model, we identified 29 comorbid conditions using international classification of diseases, clinical modification, version 9 (ICD-9 codes). We derived and validated the coefficients for these 29 variables using split-sample derivation and validation. We checked model fit using c-statistics and R 2 , and model calibration using a Hosmer-Lemeshow test. Results: The Elixhauser model achieved acceptable prediction of the three binary outcomes, with c-statistics of 0.712, 0.681, and 0.605 to predict in-hospital mortality, escalation of care, and 30-day readmission respectively. The c-statistic did not decrease in the validation set (0.707, 0.687, and 0.603, respectively), suggesting that the models are not overfitted. The model to predict log length of stay achieved an R 2 of 0.102 in the derivation set and 0.101 in the validation set. The Hosmer-Lemeshow test did not suggest issues with model calibration. Conclusion : We demonstrated that a freely-available risk adjustment model can achieve acceptable prediction of important clinical outcomes in a dataset of patients admitted to a large, Israeli tertiary-care hospital. This model could potentially be used as a basis for differential payment by patient complexity." @default.
• W4381279778 created "2023-06-21" @default.
• W4381279778 creator A5004513670 @default.
• W4381279778 creator A5024835485 @default.
• W4381279778 creator A5038378188 @default.
• W4381279778 creator A5040445908 @default.
• W4381279778 creator A5092208785 @default.
• W4381279778 creator A5040109434 @default.
• W4381279778 date "2023-05-30" @default.
• W4381279778 modified "2023-09-27" @default.
• W4381279778 title "Using the Elixhauser Risk Adjustment Model to Predict Outcomes Among Patients Hospitalized in Internal Medicine at a Large, Tertiary-Care Hospital in Israel" @default.
• W4381279778 cites W1974173658 @default.
• W4381279778 cites W2000445173 @default.
• W4381279778 cites W2015287758 @default.
• W4381279778 cites W2015637274 @default.
• W4381279778 cites W2031687681 @default.
• W4381279778 cites W2032582936 @default.
• W4381279778 cites W2045030413 @default.
• W4381279778 cites W2057780602 @default.
• W4381279778 cites W2080295278 @default.
• W4381279778 cites W2086923543 @default.
• W4381279778 cites W2121656227 @default.
• W4381279778 cites W2129168200 @default.
• W4381279778 cites W2130501785 @default.
• W4381279778 cites W2515503394 @default.
• W4381279778 cites W2602171072 @default.
• W4381279778 cites W2612251907 @default.
• W4381279778 cites W2970976623 @default.
• W4381279778 cites W2983331452 @default.
• W4381279778 cites W3015425135 @default.
• W4381279778 doi "https://doi.org/10.21203/rs.3.rs-2975860/v1" @default.
• W4381279778 hasPublicationYear "2023" @default.
• W4381279778 type Work @default.
• W4381279778 citedByCount "0" @default.
• W4381279778 crossrefType "posted-content" @default.
• W4381279778 hasAuthorship W4381279778A5004513670 @default.
• W4381279778 hasAuthorship W4381279778A5024835485 @default.
• W4381279778 hasAuthorship W4381279778A5038378188 @default.
• W4381279778 hasAuthorship W4381279778A5040109434 @default.
• W4381279778 hasAuthorship W4381279778A5040445908 @default.
• W4381279778 hasAuthorship W4381279778A5092208785 @default.
• W4381279778 hasBestOaLocation W43812797781 @default.
• W4381279778 hasConcept C105795698 @default.
• W4381279778 hasConcept C126322002 @default.
• W4381279778 hasConcept C143095724 @default.
• W4381279778 hasConcept C151956035 @default.
• W4381279778 hasConcept C156957248 @default.
• W4381279778 hasConcept C160735492 @default.
• W4381279778 hasConcept C162324750 @default.
• W4381279778 hasConcept C167135981 @default.
• W4381279778 hasConcept C177713679 @default.
• W4381279778 hasConcept C194828623 @default.
• W4381279778 hasConcept C2775909303 @default.
• W4381279778 hasConcept C2776135927 @default.
• W4381279778 hasConcept C2776376669 @default.
• W4381279778 hasConcept C2777080012 @default.
• W4381279778 hasConcept C2780283434 @default.
• W4381279778 hasConcept C33923547 @default.
• W4381279778 hasConcept C50522688 @default.
• W4381279778 hasConcept C512399662 @default.
• W4381279778 hasConcept C71924100 @default.
• W4381279778 hasConcept C89128539 @default.
• W4381279778 hasConceptScore W4381279778C105795698 @default.
• W4381279778 hasConceptScore W4381279778C126322002 @default.
• W4381279778 hasConceptScore W4381279778C143095724 @default.
• W4381279778 hasConceptScore W4381279778C151956035 @default.
• W4381279778 hasConceptScore W4381279778C156957248 @default.
• W4381279778 hasConceptScore W4381279778C160735492 @default.
• W4381279778 hasConceptScore W4381279778C162324750 @default.
• W4381279778 hasConceptScore W4381279778C167135981 @default.
• W4381279778 hasConceptScore W4381279778C177713679 @default.
• W4381279778 hasConceptScore W4381279778C194828623 @default.
• W4381279778 hasConceptScore W4381279778C2775909303 @default.
• W4381279778 hasConceptScore W4381279778C2776135927 @default.
• W4381279778 hasConceptScore W4381279778C2776376669 @default.
• W4381279778 hasConceptScore W4381279778C2777080012 @default.
• W4381279778 hasConceptScore W4381279778C2780283434 @default.
• W4381279778 hasConceptScore W4381279778C33923547 @default.
• W4381279778 hasConceptScore W4381279778C50522688 @default.
• W4381279778 hasConceptScore W4381279778C512399662 @default.
• W4381279778 hasConceptScore W4381279778C71924100 @default.
• W4381279778 hasConceptScore W4381279778C89128539 @default.
• W4381279778 hasLocation W43812797781 @default.
• W4381279778 hasOpenAccess W4381279778 @default.
• W4381279778 hasPrimaryLocation W43812797781 @default.
• W4381279778 hasRelatedWork W2015191509 @default.
• W4381279778 hasRelatedWork W2026208670 @default.
• W4381279778 hasRelatedWork W2037611947 @default.
• W4381279778 hasRelatedWork W2042489430 @default.
• W4381279778 hasRelatedWork W2080836235 @default.
• W4381279778 hasRelatedWork W2164301666 @default.
• W4381279778 hasRelatedWork W2576673842 @default.
• W4381279778 hasRelatedWork W2744695068 @default.
• W4381279778 hasRelatedWork W92486268 @default.
• W4381279778 hasRelatedWork W4210444951 @default.
• W4381279778 isParatext "false" @default.
• W4381279778 isRetracted "false" @default.
• W4381279778 workType "article" @default.