Data definition for factor candidates for the Overstay2 project

This page documents the data definitions used in the Overstay2 scoring models, as defined during re-analysis and generation of Overstay2 model and implemented in Overstay2 module. See Overstay2 Overview for additional context.

Definitions

Hospitalization

(PHIN and Visit Admit DtTm)

Discharge Ready DtTm

• The first Transfer Ready DtTm tmp entry associated to a Medicine record fro this #Hospitalization

Overstay

• Final Dispo DtTm of the #Hospitalization, no matter if a medicine or critical care record
  • If there is no #Discharge Ready DtTm this will be considered as no Overstay ie it will lead to a Overstay of 0

Coefficients / factors

Factors

factors in italics may not currently be used by any Overstay2 scoring models

See Template:S:\MED\CCMED contains the code that defines these for the model.

• Age: age on date of first medicine unit admission
• Homeless: Pre acute living situation field = "Homeless"
• PCH: Pre acute living situation field in ("Personal Care Home", "Chronic Health Facility")
• WPG: construct based on Postal Code field#Grouping by Area
• OutsideWPG: (Previous Location corresponding s_dispo.geog in ('out-of-WPG','out-of-MB','out-of-CAN') );
• MB: Province = 'MB' or maybe Postal Code
• Procedures
  • InterImplantDevice: has CCI component2 CCI2 code 53 - Implantation of Internal Device
• ICD10 Diagnoses (Admit Diagnosis or Comorbid Diagnosis)
  • Opioids: Opioid/narcotic, overdose/toxicity (T40.6)
  • Dementia: Dx in

• Alzheimer's disease/dementia (G30)
• Dementia, NOS (F03)
• Multi-infarct dementia (F01.1)

• Palliative: Palliative care (Z51.5)
• Trach: Tracheostomy, has one (Z93.0)
• PEG: Gastrostomy, has one (Z93.1)
• ProstheticImplantGraft: Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS (T85.6)
• SuprapubicCatheter: Suprapubic catheter, indwelling, has one (Z93.5)
• ArtificialOpening: Artificial opening NOS, has one (Z93.8)
• IleostomyColostomy: (Z9.34)
• InternalDevice

• Tracheostomy, has one (Z93.0)
• Gastrostomy, has one (Z93.1)
• Ileostomy or colostomy, has one (Z93.4)
• Suprapubic catheter, indwelling, has one (Z93.5)
• Artificial opening NOS, has one (Z93.8)
• Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS (T85.6)

• Charlson Diagnoses
  • CHF: has ICD10 Dx classified as Charlson Component "Congestive heart failure"
  • Plegia: has ICD10 Dx classified as Charlson Component "Hemiplegia or paraplegia"
  • Diabetes: has ICD10 Dx classified as Charlson Component "Diabetes with chronic complications"

prepdata actually doesn't list if it was its "Diabetes" or "SevereDiabetes" that ended up being included, or both

• SMW

• Cargo

• Categories

• • Renal: has ICD10 Dx classified as Charlson Component "Renal disease"
  • Charlson Comorbidity Index
• Glasgow Coma Scale
  • Motor: points associated with the AP_Motor field of the Glasgow Coma Scale
  • Verb: points associated with the AP_Verbal field of the Glasgow Coma Scale
• ADL Collection General Information
  • ADL_bath: 0-3-6 of ADL Bathing
  • ADL_toilet: 0-3-6 of ADL Toiletting
  • ADL_continence: 0-3-6 of ADL Continence
  • ADL_Adlmean_age: (ADL Score - 12) * (age as above)

Changes over time

See Overstay2 timeline