About: Segmented regression analysis of emergency departments patient visits from Septicemia in Taiwan

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About: Segmented regression analysis of emergency departments patient visits from Septicemia in Taiwan Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Segmented regression analysis of emergency departments patient visits from Septicemia in Taiwan
Creator	Chen, Jih-Chang Chaou, Chung-Hsien Chen, Jau-Yuan Chien, Cheng-Yu Chien, Kuo-Liong Tu, Yu-Kang Tzeng, I-Shiang Yiang, Giou-Teng Ng, Chau
Source	Elsevier; Medline; PMC
abstract	BACKGROUND: The protocol for early goal-directed therapy (EGDT) is effective for improving both the costs and outcomes of septicemia treatment, including a significant reduction in case fatality. However, this complicated protocol may have a downside. Furthermore, the Joint Taiwan Critical Care Medicine Committee has launched a nationwide educational program after the publication of the Surviving Sepsis Campaign (SSC) to improve the overall survival rate from septicemia in the emergency care system of Taiwan. OBJECTIVES: To assess the impact of the EGDT protocol and SSC education programs on island-wide septicemia-related emergency department (ED) visits. METHODS: Segmented regression techniques were utilized to assess the differences in annual rates and changes in septicemia-related ED visits between 1998 and 2012. We considered annual incidence of two medical comorbidities as potential confounders: metastatic malignant neoplasms and malignant neoplasms of the lymphatic and hematopoietic tissues. RESULTS: The EGDT protocol was associated with decreased septicemia-related ED visits in 2002 (level change; p < 0.001), while the SSC education program led to a slight increase in septicemia-related ED visits in 2007 (slope change; p < 0.001). For the EGDT protocol, the number of patient visits decreased by 32.9% after the protocol was implemented in 2002 compared with the expected number without the intervention. For the SSC education program, the number of patient visits increased by 20.2% (compared with the predicted number) in 2007 after the education program was implemented. CONCLUSIONS: The EGDT protocol and SSC education program were associated with significant immediate changes and lagged intervention effects on island-wide septicemia-related ED visits.
has issue date	2018-01-31(xsd:dateTime)
bibo:doi	10.1016/j.hlpt.2018.01.010
bibo:pmid	32289003
has license	no-cc
sha1sum (hex)	36a8d9aff8433686752025c8699d5a5ffc6e9ceb
schema:url	https://doi.org/10.1016/j.hlpt.2018.01.010
resource representing a document's title	Segmented regression analysis of emergency departments patient visits from Septicemia in Taiwan
has PubMed Central identifier	PMC7104157
has PubMed identifier	32289003
schema:publication	Health Policy Technol
resource representing a document's body	covid:36a8d9aff8433686752025c8699d5a5ffc6e9ceb#body_text
is schema:about of	named entity 'protocol' named entity 'patient' named entity 'CARE SYSTEM' named entity 'SIGNIFICANT' named entity 'MAY HAVE' named entity 'EDUCATIONAL PROGRAM' named entity 'CASE' named entity 'COSTS' named entity 'COMPLICATED' named entity 'REDUCTION' named entity 'BACKGROUND' named entity 'CAMPAIGN' named entity 'CRITICAL CARE MEDICINE' named entity 'SEGMENTED ' named entity 'VISITS' named entity 'PATIENT' named entity 'EMERGENCY CARE' covid:arg/36a8d9aff8433686752025c8699d5a5ffc6e9ceb named entity 'OUTCOMES' named entity 'OVERALL SURVIVAL RATE' named entity 'INCLUDING' named entity 'IMPROVING' named entity 'PUBLICATION' named entity 'TAIWAN' named entity 'JOINT' named entity 'EMERGENCY' named entity 'SEPTICEMIA' named entity 'EARLY GOAL-DIRECTED THERAPY' named entity 'TREATMENT' named entity 'EFFECTIVE' named entity 'COMMITTEE' named entity 'TAIWAN' named entity 'REGRESSION ANALYSIS' named entity 'PROTOCOL' named entity 'SEPTICEMIA' named entity 'SEPSIS' named entity 'case' named entity 'system' named entity 'Committee' named entity 'SSC' named entity 'emergency departments' named entity 'Taiwan' named entity 'septicemia' named entity 'septicemia' named entity 'case fatality' named entity 'mortality rate' named entity 'metastatic' named entity 'case fatality' named entity 'Windows' named entity 'ICD-9-CM' named entity 'SSC' named entity 'septicemia' named entity 'Poisson regression' named entity 'Health Insurance' named entity 'severe sepsis' named entity 'septicemia' named entity 'septicemia' named entity 'older patients' named entity 'public health' named entity 'risk factors' named entity 'Middle East respiratory syndrome' named entity 'septicemia' named entity 'septicemia' named entity 'septicemia' named entity 'general population' named entity 'survival rates' named entity 'absolute difference' named entity '95% CI' named entity 'Asia' named entity 'hematopoietic' named entity 'septicemia' named entity 'Taiwan' named entity 'SSC'

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