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“P”:一种用于新冠疫情后外科服务重启的适应性建模工具。

"P": an adaptive modeling tool for post-COVID-19 restart of surgical services.

作者信息

Joshi Divya, Jalali Ali, Whipple Todd, Rehman Mohamed, Ahumada Luis M

机构信息

All Children's Specialty Physicians, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.

Core of Predictive Analytics, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.

出版信息

JAMIA Open. 2021 Apr 28;4(2):ooab016. doi: 10.1093/jamiaopen/ooab016. eCollection 2021 Apr.

DOI:10.1093/jamiaopen/ooab016
PMID:33948535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8081059/
Abstract

OBJECTIVE

To develop a predictive analytics tool that would help evaluate different scenarios and multiple variables for clearance of surgical patient backlog during the COVID-19 pandemic.

MATERIALS AND METHODS

Using data from 27 866 cases (May 1 2018-May 1 2020) stored in the Johns Hopkins All Children's data warehouse and inputs from 30 operations-based variables, we built mathematical models for (1) time to clear the case backlog (2), utilization of personal protective equipment (PPE), and (3) assessment of overtime needs.

RESULTS

The tool enabled us to predict desired variables, including number of days to clear the patient backlog, PPE needed, staff/overtime needed, and cost for different backlog reduction scenarios.

CONCLUSIONS

Predictive analytics, machine learning, and multiple variable inputs coupled with nimble scenario-creation and a user-friendly visualization helped us to determine the most effective deployment of operating room personnel. Operating rooms worldwide can use this tool to overcome patient backlog safely.

摘要

目的

开发一种预测分析工具,以帮助评估在2019冠状病毒病大流行期间外科患者积压病例清除的不同情况和多个变量。

材料与方法

利用存储在约翰·霍普金斯全儿童医院数据仓库中的27866例病例(2018年5月1日至2020年5月1日)的数据以及30个基于手术的变量的输入,我们建立了以下数学模型:(1)清除病例积压的时间;(2)个人防护装备(PPE)的使用情况;(3)加班需求评估。

结果

该工具使我们能够预测所需变量,包括清除患者积压病例所需的天数、所需的个人防护装备、所需的工作人员/加班时间以及不同积压病例减少方案的成本。

结论

预测分析、机器学习以及多个变量输入,再加上灵活的情景创建和用户友好的可视化,帮助我们确定手术室人员的最有效部署。全球的手术室都可以使用此工具来安全地克服患者积压问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9db6/8081059/c33d294bcf20/ooab016f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9db6/8081059/71c0ee2ee91f/ooab016f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9db6/8081059/3675d4001b19/ooab016f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9db6/8081059/c33d294bcf20/ooab016f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9db6/8081059/71c0ee2ee91f/ooab016f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9db6/8081059/3675d4001b19/ooab016f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9db6/8081059/c33d294bcf20/ooab016f3.jpg

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本文引用的文献

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SARS-CoV-2 Impact on Elective Orthopaedic Surgery: Implications for Post-Pandemic Recovery.SARS-CoV-2 对择期骨科手术的影响:对大流行后恢复期的影响。
J Bone Joint Surg Am. 2020 Jul 1;102(13):e68. doi: 10.2106/JBJS.20.00602.
2
Adjusting to the new reality: Evaluation of early practice pattern adaptations to the COVID-19 pandemic.适应新现实:评估早期实践模式对 COVID-19 大流行的适应。
Gynecol Oncol. 2020 Aug;158(2):256-261. doi: 10.1016/j.ygyno.2020.05.028. Epub 2020 May 23.
3
Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans.
由于 COVID-19 大流行而取消的择期手术:用于为手术恢复计划提供信息的全球预测模型。
Br J Surg. 2020 Oct;107(11):1440-1449. doi: 10.1002/bjs.11746. Epub 2020 Jun 13.
4
The Surge After the Surge: Cardiac Surgery Post-COVID-19.《疫情后的高峰:新冠疫情后的心脏外科手术》
Ann Thorac Surg. 2020 Dec;110(6):2020-2025. doi: 10.1016/j.athoracsur.2020.04.018. Epub 2020 May 4.
5
Global guidance for surgical care during the COVID-19 pandemic.全球 COVID-19 大流行期间外科护理指南。
Br J Surg. 2020 Aug;107(9):1097-1103. doi: 10.1002/bjs.11646. Epub 2020 Apr 15.