Re-analysis and generation of Overstay2 model: Difference between revisions

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== Analysis and model generation ==
== Analysis and model generation ==
=== Parameter candidates ===
=== Parameter candidates ===
See [[Data definition for contributing factors for the Overstay2 project]] for the parameters currently in use/eventually chosen.
See [[Data definition for contributing factors for the Overstay2 project]] for the definitions.
# Age  
* {{OSDD|Age}}
# Pre-living situation – from non-PCH/Chronic  
* {{OSDD|PCH/Chronic Care}}
# ADL components and   
* {{OSDD|ADL components and   
#* (ADLSCore-12) *NH  among those who came from PCH/CHF  
** {{OSDD|ADL_Adlmean_NH }} - among those who came from PCH/CHF  
#* (ADLSCore-12) *Age - interaction with Age   
** {{OSDD|ADL_Adlmean_age}} - interaction with Age   
# GCS components  
* GCS components  
# Postal Code  
* Postal Code (also see [[#Location Grouping for [[Postal Code]] = N/A]])
#* Winnipeg - R2* an R3*
** see [[Postal Code field#Grouping by Area]]
#* Northern
* Charlson Comorbids (Categories and Total Score)  
#* Northwestern Ontario
** MI, CHF, PVD, CVA , Pulmonary, Connective, Ulcer, Renal
#* P0X (Kenora Region) 
*** score of the component is used   
#* P0Y (Whiteshell Park Region)
** Charlson Score * NH among those who came from PCH/CHF  
#* Urban P9N (Kenora)
* Other Diagnoses (admit and comorb) :   
#* Urban P8T (Sioux Lookout)
* Diagnoses  that might prevent/delay meeting PCH/Home Care criteria  
#* Urban P8N (Dryden)
** having a trach: "Tracheostomy, has one" ICD10 Z93.0  
#* P0W (Rainy River Region) 
** having a PEG (Percutaneous Feeding Tube): (has gastrostomy code, ICD10 Z93.1)  
#* P9A(Fort Frances)
** possibly "Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS" - it implies that an internal device is there, PCHs would disallow some of these. ICD10 T85.6  
#* Rest MB 
** possibly: CCI "Implantation of Internal Device" - PEGs are included in this, and some others might also disqualify; if the device stays the pt might not be accepted by PCH but we would not necessarily code removal CCI component2 53  
#* Rest 
** "Suprapubic catheter, indwelling, has one" ICD10 Z93.5  
#** Analysis notes: JM found postal code N/A =2759, JM used the R_Province, Pre_inpt_Location, Previous Location instead  to define the 5 categories above. Also encountered no match in the Postal_Code_Master List but was able to categorized based on the first 3 characters (N=273) - list given to Pagasa to add. (DR agreed in the meeting with JM Feb10)
** "Artificial opening NOS, has one" - these include Ileal conduit (urostomy), PD catheter, Nephrostomy tube, Mitrofanoff procedure ICD10 Z93.8  
# Charlson Comorbids (Categories and Total Score)  
**"Ileostomy or colostomy, has one", "Gastrostomy, has one” ICD10 Z93.4, ICD10 Z93.1  
#* MI, CHF, PVD, CVA , Pulmonary, Connective, Ulcer, Renal
**  addiction opioids and stimulants   
#** score of the component is used   
*** stimulants:   
#* Charlson Score * NH among those who came from PCH/CHF  
*** "Stimulants incl methamphetamine, * "  
# Other Diagnoses (admit and comorb) :   
*** "Cocaine, *" ICD10 F15.0,F15.2,F15.3, T40.5, F14.0, F14.2, F14.3  
# Diagnoses  that might prevent/delay meeting PCH/Home Care criteria  
*** opioids: "Opioid/narcotic, *" ICD10 T40.6  
#* having a trach: "Tracheostomy, has one" ICD10 Z93.0  
** Dementia ICD10 F01.1, F03, G30  
#* having a PEG (Percutaneous Feeding Tube): (has gastrostomy code, ICD10 Z93.1)  
* Pre-admit inpatient location: homeless
#* possibly "Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS" - it implies that an internal device is there, PCHs would disallow some of these. ICD10 T85.6  
 
#* possibly: CCI "Implantation of Internal Device" - PEGs are included in this, and some others might also disqualify; if the device stays the pt might not be accepted by PCH but we would not necessarily code removal CCI component2 53  
=== Location Grouping for [[Postal Code]] = N/A ===
#* "Suprapubic catheter, indwelling, has one" ICD10 Z93.5  
Analysis notes: JM found postal code N/A =2759, JM used the R_Province, Pre_inpt_Location, Previous Location instead to define the 5 categories above. Also encountered no match in the Postal_Code_Master List but was able to categorized based on the first 3 characters (N=273) - list given to Pagasa to add. (DR agreed in the meeting with JM Feb10)
#* "Artificial opening NOS, has one" - these include Ileal conduit (urostomy), PD catheter, Nephrostomy tube, Mitrofanoff procedure ICD10 Z93.8  
#*"Ileostomy or colostomy, has one", "Gastrostomy, has one” ICD10 Z93.4, ICD10 Z93.1  
#*  addiction opioids and stimulants   
#** stimulants:   
#** "Stimulants incl methamphetamine, * "  
#** "Cocaine, *" ICD10 F15.0,F15.2,F15.3, T40.5, F14.0, F14.2, F14.3  
#** opioids: "Opioid/narcotic, *" ICD10 T40.6  
#* Dementia ICD10 F01.1, F03, G30  
# Pre-admit inpatient location: homeless


=== Dataset split into training and validation data ===
=== Dataset split into training and validation data ===