Patient Management Assisted by a Neural Network Reduces Mortality in an Intermediate Care Unit

Heili-Frades, Sarah; Mínguez, Pablo; Mahíllo‐Fernández, Ignacio; Hiscock, Luis Jiménez; Santos, Arnoldo; Frades, Daniel Heili; Miguel, María del Pilar Carballosa de; Ormaechea, Itziar Fernández; Suárez, Laura Álvarez; Prieto, Alba Naya; Mangado, Nicolás González; Romero, Germán Peces-Barba

doi:10.1016/j.arbres.2019.11.019

Cited by 1 publication

(2 citation statements)

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“…The object of this study is to analyze mortality using direct statistical analysis based on logistic regression and predictive NN analysis. This article also illustrates patients' flow between the ICU and our highly specialized IRCU with more than 20 years of experience [6][7][8].…”

Section: Injury (Vili)mentioning

confidence: 99%

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The Role of Intermediate Respiratory Care Units in Preventing ICU Collapse during the COVID Pandemic

Heili¹,

Miguel²,

Prieto³

et al. 2020

Int J Respir Pulm Med

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Introduction: There is limited information describing features and outcomes of patients requiring Intermediate Respiratory Care Unit (IRCU) hospitalization for COVID19 disease and as of yet, no mechanical or medical treatments have clearly demonstrated efficacy in IRCU.Methods: Demographics and clinical variables on admission, as well as medical and mechanical therapeutic interventions, were extracted from Electronic Clinical Records in 274 SARS-CoV-2 infected patients attending a third level hospital IRCU. Using multivariate logistic regression analysis, variables that best discriminated mortality were obtained. Principal components analysis and a Neural Network (NN) algorithm were applied. Results:In relation to respiratory support, high-flow oxygen therapy and weaning procedures were associated with survival as were CPAP and non-invasive ventilation with low levels of support among the most severely affected. The IRCU achieved a survival rate of 87.6%, avoided 178 ICU admissions, successfully referred 35% to the ICU, and of these, 94% later survived the weaning phase. Higher mortality incidence was associated with cardiac and respiratory diseases and fever, heart rhythm and blood pressure disturbances. Following analysis of specific therapeutic options Corticoids and Anticoagulants were associated with better outcomes. Conclusions:The IRCU prevented the collapse of the ICU, allowed for recovered ICU patients to be quickly released from their unit, thus freeing up critical care beds and permitting them to function more effectively and in terms of

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Section: Injury (Vili)mentioning

confidence: 99%

“…During the pandemic, mortality in the IRCU has doubled its usual annual rate of around 6% while at tending approximately 250 patients per year [8]. During this current crisis, the IRCU treated nearly 300 patients during a month and a half period.…”

Section: Respiratory Support Therapiesmentioning

confidence: 99%