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Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score

Purpose. To validate the use of a computer program for the automatic calculation of the sequential organ failure assessment (SOFA) score, as compared to the gold standard of manual chart review. Materials and Methods. Adult admissions (age > 18 years) to the medical ICU with a length of stay grea...

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Autores principales: Harrison, Andrew M., Yadav, Hemang, Pickering, Brian W., Cartin-Ceba, Rodrigo, Herasevich, Vitaly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722890/
https://www.ncbi.nlm.nih.gov/pubmed/23936639
http://dx.doi.org/10.1155/2013/975672
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author Harrison, Andrew M.
Yadav, Hemang
Pickering, Brian W.
Cartin-Ceba, Rodrigo
Herasevich, Vitaly
author_facet Harrison, Andrew M.
Yadav, Hemang
Pickering, Brian W.
Cartin-Ceba, Rodrigo
Herasevich, Vitaly
author_sort Harrison, Andrew M.
collection PubMed
description Purpose. To validate the use of a computer program for the automatic calculation of the sequential organ failure assessment (SOFA) score, as compared to the gold standard of manual chart review. Materials and Methods. Adult admissions (age > 18 years) to the medical ICU with a length of stay greater than 24 hours were studied in the setting of an academic tertiary referral center. A retrospective cross-sectional analysis was performed using a derivation cohort to compare automatic calculation of the SOFA score to the gold standard of manual chart review. After critical appraisal of sources of disagreement, another analysis was performed using an independent validation cohort. Then, a prospective observational analysis was performed using an implementation of this computer program in AWARE Dashboard, which is an existing real-time patient EMR system for use in the ICU. Results. Good agreement between the manual and automatic SOFA calculations was observed for both the derivation (N=94) and validation (N=268) cohorts: 0.02 ± 2.33 and 0.29 ± 1.75 points, respectively. These results were validated in AWARE (N=60). Conclusion. This EMR-based automatic tool accurately calculates SOFA scores and can facilitate ICU decisions without the need for manual data collection. This tool can also be employed in a real-time electronic environment.
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spelling pubmed-37228902013-08-09 Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score Harrison, Andrew M. Yadav, Hemang Pickering, Brian W. Cartin-Ceba, Rodrigo Herasevich, Vitaly Crit Care Res Pract Research Article Purpose. To validate the use of a computer program for the automatic calculation of the sequential organ failure assessment (SOFA) score, as compared to the gold standard of manual chart review. Materials and Methods. Adult admissions (age > 18 years) to the medical ICU with a length of stay greater than 24 hours were studied in the setting of an academic tertiary referral center. A retrospective cross-sectional analysis was performed using a derivation cohort to compare automatic calculation of the SOFA score to the gold standard of manual chart review. After critical appraisal of sources of disagreement, another analysis was performed using an independent validation cohort. Then, a prospective observational analysis was performed using an implementation of this computer program in AWARE Dashboard, which is an existing real-time patient EMR system for use in the ICU. Results. Good agreement between the manual and automatic SOFA calculations was observed for both the derivation (N=94) and validation (N=268) cohorts: 0.02 ± 2.33 and 0.29 ± 1.75 points, respectively. These results were validated in AWARE (N=60). Conclusion. This EMR-based automatic tool accurately calculates SOFA scores and can facilitate ICU decisions without the need for manual data collection. This tool can also be employed in a real-time electronic environment. Hindawi Publishing Corporation 2013 2013-07-09 /pmc/articles/PMC3722890/ /pubmed/23936639 http://dx.doi.org/10.1155/2013/975672 Text en Copyright © 2013 Andrew M. Harrison et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Harrison, Andrew M.
Yadav, Hemang
Pickering, Brian W.
Cartin-Ceba, Rodrigo
Herasevich, Vitaly
Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score
title Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score
title_full Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score
title_fullStr Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score
title_full_unstemmed Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score
title_short Validation of Computerized Automatic Calculation of the Sequential Organ Failure Assessment Score
title_sort validation of computerized automatic calculation of the sequential organ failure assessment score
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722890/
https://www.ncbi.nlm.nih.gov/pubmed/23936639
http://dx.doi.org/10.1155/2013/975672
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