| چکیده انگلیسی مقاله |
Discovering factors affecting death with hospital acquired infections in trauma patients Roxana Sharifian1, Mahdi Nasiri*2, Mehrdad Karajizadeh3, Fatemeh Khademian4, Mahnaz Yadollahi5 1- Associate Professor, Department of Health Information Management, School of Management and Medical Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran 2- Assistant Professor of medical informatics, Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. Corresponding author 3- PhD student at health information management, Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.Second affiliation Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.a 4-PhD student at health information management, Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.Second affiliation Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.a 5- Assistant Professor of Community Medicine, Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Abstract Background, Objectives: Trauma patients are potentially at high risk to acquire infections in hospitals, which is the main cause of in hospital mortality. The goal of this study was to discover factors contributing to death with hospital acquired infections in trauma patients by data mining. Methods: This study was a cohort study. A total of 549 trauma patient with nosocomial infections who were admitted to Shiraz trauma hospital between March 2016 and March 2017 were studied. Sex, age, mechanism of injury, body region injured, injury severity score, length of stay, type of intervention, infection day after admission, microorganism cause of infections, and the outcomes were collected. Association rule mining techniques was applied to extract knowledge from data set. Results: Trauma patients who were older than 65, infection diagnosis was surgical site infection skin, Bloodstream Infection, and upper respiratory infection, mechanism injury of car accident, and falling down, invasive intervention of trachea intubation, and mechanical ventilator, microorganism of enterobactor, Escherichia coli, and pseudomonas aeruginosa, injury severity score higher than 16, and multiple injuries with higher than 71 percent confidences were associated with in-hospital mortality. Conclusions: association rule mining might be the best approach for identifying factors affecting death with hospital acquired infections in trauma patients. Keywords: mortality, hospital acquired infections, trauma, association rule mining, data mining. Corresponding contact: Mahdi Nasiri PhD , Assistant Professor of medical informatics Health Human Resources Research Center, School of Management & Information Sciences, Almas Building, Alley 29, Qasrodasht Ave, Shiraz, Iran. P.O. code: 71336-54361 Tel: + 98 713 3234 0774 Email: mn.nasiri@gmail.com |
