ETDs @PUC-Rio
| Título: | ASSESSING OUTCOMES OF CRITICALLY ILL PATIENTS WITH SEPSIS USING PROCESS MINING | ||||||||||||
| Autor: |
RAYANE SILVA COSTA |
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| Colaborador(es): |
FERNANDA ARAUJO BAIAO AMORIM - Orientador IGOR TONA PERES - Coorientador |
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| Catalogação: | 19/DEZ/2024 | Língua(s): | ENGLISH - UNITED STATES |
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| Tipo: | TEXT | Subtipo: | THESIS | ||||||||||
| Notas: |
[pt] Todos os dados constantes dos documentos são de inteira responsabilidade de seus autores. Os dados utilizados nas descrições dos documentos estão em conformidade com os sistemas da administração da PUC-Rio. [en] All data contained in the documents are the sole responsibility of the authors. The data used in the descriptions of the documents are in conformity with the systems of the administration of PUC-Rio. |
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| Referência(s): |
[pt] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=68875&idi=1 [en] https://www.maxwell.vrac.puc-rio.br/projetosEspeciais/ETDs/consultas/conteudo.php?strSecao=resultado&nrSeq=68875&idi=2 |
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| DOI: | https://doi.org/10.17771/PUCRio.acad.68875 | ||||||||||||
| Resumo: | |||||||||||||
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Sepsis is the leading cause of death in intensive care units (ICUs) worldwide.
In Brazil, the mortality rate in ICUs reaches 65 percent. This study evaluated the behavior
of the care pathways for patients with sepsis and in a critical status of the Beth Israel
Deaconess Medical Center, Boston-USA intensive care units, from the MIMIC-IV
database. This available database contains data from more than 200,000 patients
registered between 2008 and 2019. After applying the selection criteria, 7,790 cases
were studied. Using process mining techniques, the conformance of treatment executions with therapeutic recommendations was analyzed, followed by a comparative
analysis of outcomes concerning the adherence to the sepsis protocol. The results
showed an overall average compliance of 92 percent. The observed LOS was less than the
expected LOS, and the mortality rate was higher than the expected mortality rate.
An analysis of SMR and SRU indicators confirmed the variation from expected values, suggesting that the sepsis treatment process in this unit requires some adjustments and that compliance analysis may not be the best way to evaluate this type of
process.
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