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CHF, ESRD and Sepsis about amsterdamumcdb HOT 1 OPEN

Gh-pishgahi avatar Gh-pishgahi commented on May 27, 2024
CHF, ESRD and Sepsis

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patrickthoral avatar patrickthoral commented on May 27, 2024

The current database only contains the primary (and sometimes secondary) admission diagnoses (https://github.com/AmsterdamUMC/AmsterdamUMCdb/blob/master/concepts/diagnosis/reason_for_admission.ipynb).

Since ESRD (end stage renal disease) is never an ICU admission diagnosis you cannot directly select these patients. However, most patients will have data before the ICU admission (e.g. eGFR/Creatinine), so you might conclude this indirectly. In addition, patients with a shunt are bound to have ESRD (but as you can see, not many patients [142] have them):

index itemid item item_en abbreviation categoryid category category_en ordercategoryid ordercategory islabresult valueid value unitid unit low_normal_value high_normal_value table count count_validated
7622 18736 Shunt NaN Shunt 422 PROC. Lijnen/Catheter/Drains NaN NaN NaN NaN NaN NaN NaN NaN NaN NaN processitems 142 Na

Sepsis AND congestive hart failure are admission diagnoses, but since you can only have ONE primary diagnosis, you may need to decide whether you want to start with a cohort a patients with CHF as admission diagnosis, and then select those which fulfill the criteria for sepsis.

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