Evaluation of an automated pressure ulcer risk assessment model.

The key to timely interventions and reducing avoidable incidence is the early identification of patients at risk for developing pressure ulcers. To enable the automatic detection of such patients and inform acute care interdisciplinary providers, a filter feature model using heuristic statistical me...

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Publicado en:Home Health Care Management & Practice Vol. 19; no. 4; pp. 272 - 285
Autores principales: Borlawsky T, Hripcsak G
Formato: algorithm research tables/charts Journal Article
Publicado: Sage Publications Inc. Jun2007
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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          Borlawsky T
          Hripcsak G
        affil: Senior Systems Consultant, Ohio State University Medical Center Information Warehouse
      sug:
        subj:
          Decision Trees
          Pressure Ulcer Nursing
          Risk Assessment
          Chi Square Test
          Descriptive Statistics
          Female
          Male
          P-Value
          Predictive Value of Tests
          Pressure Ulcer Classification
          Pressure Ulcer Diagnosis
          Sensitivity and Specificity
          Human
          Female
          Male
      ab: The key to timely interventions and reducing avoidable incidence is the early identification of patients at risk for developing pressure ulcers. To enable the automatic detection of such patients and inform acute care interdisciplinary providers, a filter feature model using heuristic statistical methods was applied to a relational database of retrospective patient data including demographics, medications, and clinical visit details. These attributes served as input for the C4.5 decision tree induction algorithm, which was used to classify patient risk. The validity of the resulting classification model, Electronic Pressure Ulcer Prediction (ePUP), was assessed using a fourfold cross-validation. The current results show a limited application of such a naive classification algorithm for automating pressure ulcer risk assessments. Additional refinements will be necessary before the predictions of ePUP are sufficient for general clinical use and the improvement of patient safety in acute care settings, and during the transition from hospital to home.
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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