Chronic Health APACHE: Difference between revisions
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''This article is about Chronic Health in the context of the APACHE score, see '''[[Comorbid Diagnosis]]''' for info on the comorbidities we collect, and '''[[Charlson Comorbidity Index]]''' for the Charlson comorbidities that are also used for the '''[[Alert]]''' score.'' | ''This article is about Chronic Health in the context of the APACHE score, see '''[[Comorbid Diagnosis]]''' for info on the comorbidities we collect, and '''[[Charlson Comorbidity Index]]''' for the Charlson comorbidities that are also used for the '''[[Alert]]''' score.'' | ||
This value is now derived from ICD10 diagnoses, see [[Change for Apache Chronic to ICD10 from separate variable]] for details. | |||
{{Data_element | {{Data_element | ||
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| created_raw = Raw | | created_raw = Raw | ||
| data_element_sort_index = 56 | | data_element_sort_index = 56 | ||
| data_element_start_date = | |||
| data_element_end_date = 2022-02-17 | |||
}} | }} | ||
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== Implementation == | == Implementation == | ||
* Chronic Health is stored as a single-choice dropdown in [[CCMDB.accdb]] and [[ | * Chronic Health is stored as a single-choice dropdown in [[CCMDB.accdb]] and [[Centralized_data.accdb]] | ||
* There is an additional option "0HasChronic"; this can not be selected in [[CCMDB.accdb]] but is used in [[ | * There is an additional option "0HasChronic"; this can not be selected in [[CCMDB.accdb]] but is used in [[Centralized_data.accdb]] for old records that were imported from [[TMSX and MedTMS]] where the detailed data was not collected | ||
== ICD10 == | == ICD10 == | ||
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=== Change log === | === Change log === | ||
--- | * 2022-02-17 - decided to stop collecting this and apply [[Change for Apache Chronic to ICD10 from separate variable]] | ||
* 2022-02-09 - Julie, Tina and Allan discussed Julie's most recent analysis of this; there are still many differences in dx vs chronic, with higher and lower counts for different components. Allan quotes a paper that acknowledges this difference in count, but that the Apache ''score'' ends up similar. Question raised: is the saving of time in no longer collecting this as a field worth the loss of accuracy. | * 2022-02-09 - Julie, Tina and Allan discussed Julie's most recent analysis of this; there are still many differences in dx vs chronic, with higher and lower counts for different components. Allan quotes a paper that acknowledges this difference in count, but that the Apache ''score'' ends up similar. Question raised: is the saving of time in no longer collecting this as a field worth the loss of accuracy. | ||
* 2021-04-22 - preliminary analysis of how deriving this from ICD10 would compare with previous manual collection; many differences; Tina emailed Allan and Julie, more to come | * 2021-04-22 - preliminary analysis of how deriving this from ICD10 would compare with previous manual collection; many differences; Tina emailed Allan and Julie, more to come | ||
* 2021-04-19 - Added | * 2021-04-19 - Added ''Drug-induced immunosuppression'' since that component of this code was not previously collected comprehensively | ||
* 2021-03-11 - The list of drugs is at [[Template:List of immunosuppressive drugs]]. | * 2021-03-11 - The list of drugs is at [[Template:List of immunosuppressive drugs]]. | ||
* 2021-02-22 - AG sent email to Julie and Tina to get back to this change. | * 2021-02-22 - AG sent email to Julie and Tina to get back to this change. | ||
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== Legacy == | == Legacy == | ||
* when sent for import into [[TMSX and MedTMS]] the chronic health score was translated into ''yes'' or ''no''; when we moved to [[ | * when sent for import into [[TMSX and MedTMS]] the chronic health score was translated into ''yes'' or ''no''; when we moved to [[Centralized_data.accdb]] these were imported as "0HasChronic" | ||
* the fields were made into a pick list of 9 items that belong to one of the five APACHE II Chronic Health categories because Medicine wanted to use both [[APACHE II]] and [[SAPS II]] on Medicine patients. [[SAPS II]] and [[APACHE II]] scored these same chronic health items differently. SAPS is no longer collected. | * the fields were made into a pick list of 9 items that belong to one of the five APACHE II Chronic Health categories because Medicine wanted to use both [[APACHE II]] and [[SAPS II]] on Medicine patients. [[SAPS II]] and [[APACHE II]] scored these same chronic health items differently. SAPS is no longer collected. | ||
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{{Related Articles}} | {{Related Articles}} | ||
[[Category: APACHE II]] | [[Category:APACHE II]] | ||