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Kawasaki H, Fudamoto K, Yamamoto M, Iwaanakuchi T, Yoshida T, Hashiguchi T, Uto Y. Verification of the relationship between the sequential organ failure assessment score and the length of intensive care unit and hospital stay in terms of medical resources input. Medicine (Baltimore) 2023; 102:e34632. [PMID: 37657061 PMCID: PMC10476806 DOI: 10.1097/md.0000000000034632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Accepted: 07/17/2023] [Indexed: 09/03/2023] Open
Abstract
This study aimed to clarify the relationship between the sequential organ failure assessment (SOFA) score and the length of intensive care unit (ICU) and hospital stays and verify whether the SOFA score can indicate the optimal length of ICU stay. Medical resource input was evaluated as the medical treatment score, converted by volume, within 2 days after ICU admission. After classifying emergency patients into surgical and nonsurgical categories, the relationship between medical resources, SOFA score, and ICU and hospital stay lengths was analyzed. Medical resource input was high when the SOFA score was high after ICU admission. A positive correlation was confirmed between the SOFA score and length of ICU stay in surgical and nonsurgical patients. Nonsurgical patients are more likely to be discharged within the diagnosis procedure combination hospital stages I and II if medical resources are high in the initial stages of ICU admission. The SOFA score affects medical resource input and the length of ICU stay. The early input of medical resources after ICU admission reduces the length of hospital stay in the diagnosis procedure combination, suggesting that the SOFA score is a valuable indicator of the optimal length of ICU stay.
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Affiliation(s)
- Hirofumi Kawasaki
- Department of Medical Information Sciences, Graduate School of Medical and Dental Sciences, Kagoshima University, Sakuragaoka, Kagoshima-city, Kagoshima, Japan
- Department of Nursing, Kagoshima City Hospital, Uearata-cho, Kagoshima-city, Kagoshima, Japan
| | - Kazue Fudamoto
- Department of Nursing, Kagoshima City Hospital, Uearata-cho, Kagoshima-city, Kagoshima, Japan
| | - Mutsumi Yamamoto
- Department of Nursing, Kagoshima City Hospital, Uearata-cho, Kagoshima-city, Kagoshima, Japan
| | - Takashi Iwaanakuchi
- Department of Medical Information Sciences, Graduate School of Medical and Dental Sciences, Kagoshima University, Sakuragaoka, Kagoshima-city, Kagoshima, Japan
- Department of Medical Informatics, Kagoshima University Hospital, Sakuragaoka, Kagoshima-city, Kagoshima, Japan
| | - Takuma Yoshida
- Mathematics and Computer Science, Graduate School of Science and Engineering, Kagoshima University, Korimoto, Kagoshima-city, Kagoshima, Japan
| | - Teruto Hashiguchi
- Department of Laboratory and Vascular Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Sakuragaoka, Kagoshima-city, Kagoshima, Japan
| | - Yumiko Uto
- Department of Medical Informatics, Kagoshima University Hospital, Sakuragaoka, Kagoshima-city, Kagoshima, Japan
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Lee JY, Park H, Kim MK, Kim IK. Evaluating the effect of age on postoperative and clinical outcomes in patients admitted to the intensive care unit after gastrointestinal cancer surgery. Surgery 2022; 172:1270-1277. [DOI: 10.1016/j.surg.2022.04.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 03/24/2022] [Accepted: 04/29/2022] [Indexed: 11/25/2022]
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Rissanen M. Translational health technology and system schemes: enhancing the dynamics of health informatics. Health Inf Sci Syst 2020; 8:39. [PMID: 33194173 PMCID: PMC7652954 DOI: 10.1007/s13755-020-00133-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Accepted: 10/31/2020] [Indexed: 11/17/2022] Open
Abstract
Translational health technology and design schemes reflect certain themes in systems approach and its dynamics. This paper discusses these aligned ideas in view of their value to translational design processes. The ideas embedded in these two approaches are considered in the light of critical questions associated with the development of health informatics. Health care processes for patients might be very fragmented. Synergy thinking is required in all areas of design: it is crucial to understand the theoretical frames and issues associated with focus environments, administration, and cost policy. By internalizing common nuances in these approaches, designers can ease the interaction and communication between experts from different backgrounds. Synergistic thinking aids designers in health informatics to produce more sophisticated products. Maturing in recognizing the whole aids to take into account “the very essentials” more easily. These skills are very vital in prioritizing development substances in health informatics area.
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