PREDICTION OF TIME TO HEMODYNAMIC STABILIZATION OF UNSTABLE INJURED PATIENT ENCOUNTERS USING ELECTRONIC MEDICAL RECORD DATA.

ABSTRACT:

Abstract

Background : This study sought to predict time to patient hemodynamic stabilization during trauma resuscitations of hypotensive patient encounters using electronic medical record (EMR) data. Methods: This observational cohort study leveraged EMR data from a nine-hospital academic system composed of Level I, Level II, and nontrauma centers. Injured, hemodynamically unstable (initial systolic blood pressure, <90 mm Hg) emergency encounters from 2015 to 2020 were identified. Stabilization was defined as documented subsequent systolic blood pressure of >90 mm Hg. We predicted time to stabilization testing random forests, gradient boosting, and ensembles using patient, injury, treatment, EPIC Trauma Narrator, and hospital features from the first 4 hours of care. Results: Of 177

SUBMITTER: Carroll A 

PROVIDER: S-EPMC12076157 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature