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EDWIN and NEDOCS Indices to Study Patient Flow in Emergency Department

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Biomedical and Computational Biology (BECB 2022)

Part of the book series: Lecture Notes in Computer Science ((LNBI,volume 13637))

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Abstract

Overcrowded Emergency Department (ED) is a common as well as widespread public health problem around the world. In order to implement strategies to counter the most critical situations, however, it is first necessary to expand knowledge on the subject. Among the strategies proposed in the literature, scoring systems are widely used to detect the problem. In this study, the National ED Overcrowding Scale (NEDOCS) and ED Work Index (EDWIN) indices are used to study the ED situation in the Evangelical Hospital “Betania” in Naples (Italy) in a typical week in the year 2019. The results show that among the indices the most accurate is NEDOCS, which is able to highlight an overcrowding situation in 11% of the cases.

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References

  1. Yarmohammadian, M.H., Rezaei, F., Haghshenas, A., Tavakoli, N.: Overcrowding in emergency departments: a review of strategies to decrease future challenges. J. Res. Med. Sci. 22, 23 (2017)

    Article  PubMed  PubMed Central  Google Scholar 

  2. Australasian College for Emergency Medicine. Statement on emergency department overcrowding. Melbourne: Australasian College for Emergency Medicine, p. 57 (2011)

    Google Scholar 

  3. Ashour, O.M., Kremer, G.E.O.: A simulation analysis of the impact of FAHP–MAUT triage algorithm on the Emergency Department performance measures. Expert Syst. Appl. 40(1), 177–187 (2013)

    Article  Google Scholar 

  4. Hurwitz, J.E., et al.: A flexible simulation platform to quantify and manage emergency department crowding. BMC Med. Inform. Decis. Mak. 14(1), pp. 1–11 (2014)

    Google Scholar 

  5. Esposito, C., Moscato, V., Sperlí, G.: Trustworthiness assessment of users in social reviewing systems. IEEE Trans. Syst. Man Cybern. Syst. 52(1), 151–165 (2022). https://doi.org/10.1109/TSMC.2020.3049082

    Article  Google Scholar 

  6. Sperlí, G.: A deep learning based chatbot for cultural heritage. In: Proceedings of the 35th Annual ACM Symposium on Applied Computing, pp. 935–937 (2020). https://doi.org/10.1145/3341105.3374129

  7. Ianni, M., Masciari, E., Sperlí, G.: A survey of big data dimensions vs social networks analysis. J. Intell. Inf. Syst. 57(1), 73–100 (2020). https://doi.org/10.1007/s10844-020-00629-2

    Article  PubMed  PubMed Central  Google Scholar 

  8. Sperlí, G.: A cultural heritage framework using a deep learning based chatbot for supporting tourist journey. Expert Syst. Appl. 183, 115277 (2021). https://doi.org/10.1016/j.eswa.2021.115277

    Article  Google Scholar 

  9. Mercorio, F., Mezzanzanica, M., Moscato, V., Picariello, A., Sperlí, G.: DICO: a graph-DB framework for community detection on big scholarly data. IEEE Trans. Emerg. Top. Comput. 9(4), 1987–2003 (2021). https://doi.org/10.1109/TETC.2019.2952765

  10. La Gatta, V., Moscato, V., Pennone, M., Postiglione, M., Sperlí, G.: Music recommendation via hypergraph embedding. IEEE Trans. Neural Netw. Learn. Syst. (2022). https://doi.org/10.1109/TNNLS.2022.3146968

  11. De Santo, A., Galli, A., Gravina, M., Moscato, V., Sperlì, G.: Deep learning for HDD health assessment: an application based on LSTM. IEEE Trans. Comput. 71(1), 69–80 (2020). https://doi.org/10.1109/TC.2020.3042053

    Article  Google Scholar 

  12. Amato, F., et al.: Multimedia story creation on social networks. Futur. Gener. Comput. Syst. 86, 412–420 (2018). https://doi.org/10.1016/j.future.2018.04.006

    Article  Google Scholar 

  13. Amato, F., Moscato, V., Picariello, A., Piccialli, F., Sperlí, G.: Centrality in heterogeneous social networks for lurkers detection: an approach based on hypergraphs. Concurr. Comput. Pract. Exp. 30(3), e4188 (2018). https://doi.org/10.1002/cpe.4188

    Article  Google Scholar 

  14. Amato, F., Moscato, V., Picariello, A., Sperlí, G.: Diffusion algorithms in multimedia social networks: a preliminary model. In: Proceedings of the 2017 IEEE/ACM International Conference on Advances in Social Networks Analysis and Mining 2017, pp. 844–851 (2017). https://doi.org/10.1145/3110025.3116207

  15. Cesarelli, M., et al.: An application of symbolic dynamics for FHRV assessment. MIE (2012)

    Google Scholar 

  16. Rosa, D., Balato, G., Ciaramella, G., Soscia, E., Improta, G., Triassi, M.: Long-term clinical results and MRI changes after autologous chondrocyte implantation in the knee of young and active middle aged patients. J. Orthop. Traumatol. 17(1), 55–62 (2015). https://doi.org/10.1007/s10195-015-0383-6

    Article  PubMed  PubMed Central  Google Scholar 

  17. Improta, G., et al.: Fuzzy logic–based clinical decision support system for the evaluation of renal function in post-transplant patients. J. Eval. Clin. Pract. 26(4), 1224–1234 (2020). https://doi.org/10.1111/jep.13302

    Article  PubMed  Google Scholar 

  18. Cesarelli, M., et al.: Prognostic decision support using symbolic dynamics in CTG monitoring. EFMI-STC 186, 140–144 (2013)

    Google Scholar 

  19. Ponsiglione, A.M., Cosentino, C., Cesarelli, G., Amato, F., Romano, M.: A comprehensive review of techniques for processing and analyzing fetal heart rate signals. Sensors 21, 6136 (2021). https://doi.org/10.3390/s21186136

    Article  PubMed  PubMed Central  Google Scholar 

  20. Ponsiglione, A.M., Amato, F., Romano, M.: Multiparametric investigation of dynamics in fetal heart rate signals. Bioengineering 9, 8 (2022). https://doi.org/10.3390/bioengineering9010008

    Article  Google Scholar 

  21. Improta, G., et al.: Analytic hierarchy process (AHP) in dynamic configuration as a tool for health technology assessment (HTA): the case of biosensing optoelectronics in oncology. Int. J. Inf. Technol. Decis. Mak. 18(05), 1533–1550 (2019)

    Article  Google Scholar 

  22. Ponsiglione, A.M., et al.: A hybrid analytic hierarchy process and Likert scale approach for the quality assessment of medical education programs. Mathematics 10(9), 1426 (2022)

    Article  Google Scholar 

  23. Improta, G., Scala, A., Trunfio, T.A., Guizzi, G.: Application of supply chain management at drugs flow in an Italian hospital district. In: Journal of Physics Conference Series, vol. 1828, no. 1 (2021). https://doi.org/10.1088/1742-6596/1828/1/012081

  24. Di Laura, D., D’Angiolella, L., Mantovani, L., et al.: Efficiency measures of emergency departments: an Italian systematic literature review. BMJ Open Qual. 10, e001058 (2021). https://doi.org/10.1136/bmjoq-2020-001058

    Article  PubMed  PubMed Central  Google Scholar 

  25. Trunfio, T.A., et al.: Multiple regression model to analyze the total LOS for patients undergoing laparoscopic appendectomy. BMC Med. Inform. Decis. Mak. 22(1), 1–8 (2022)

    Google Scholar 

  26. Trunfio, T.A., Borrelli, A., Improta, G.: Is it possible to predict the length of stay of patients undergoing hip-replacement surgery? Int. J. Environ. Res. Public Health 19(10), 6219 (2022)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Montella, E., et al.: Predictive analysis of healthcare-associated blood stream infections in the neonatal intensive care unit using artificial intelligence: a single center study. Int. J. Environ. Res. Public Health 19(5), 2498 (2022)

    Article  PubMed  PubMed Central  Google Scholar 

  28. Ponsiglione, A.M., Romano, M., Amato, F.: A finite-state machine approach to study patients dropout from medical examinations. In: 2021 IEEE 6th International Forum on Research and Technology for Society and Industry (RTSI), pp. 289–294 (2021). https://doi.org/10.1109/RTSI50628.2021.9597264

  29. Converso, G., et al.: A simulation approach for agile production logic implementation in a hospital emergency unit. In: Fujita, H., Guizzi, G. (eds.) SoMeT 2015. CCIS, vol. 532, pp. 623–634. Springer, Cham (2015). https://doi.org/10.1007/978-3-319-22689-7_48

    Chapter  Google Scholar 

  30. Giglio, C., et al.: Investigation of factors increasing waiting times in the Emergency Departments of “San Giovanni di Dio e Ruggi d’Aragona” Hospital through machine learning. In: 2021 International Symposium on Biomedical Engineering and Computational Biology (2021)

    Google Scholar 

  31. Majolo, M., et al.: Studying length of stay in the Emergency Department of AORN “Antonio Cardarelli” of Naples. In: 2021 10th International Conference on Bioinformatics and Biomedical Science (2021)

    Google Scholar 

  32. Improta, G., et al.: Use of machine learning to predict abandonment rates in an emergency department. In: 2021 10th International Conference on Bioinformatics and Biomedical Science (2021)

    Google Scholar 

  33. Maria Ponsiglione, A., et al.: Analysis of voluntary departures from the Emergency Department of the hospital AORN “A. Cardarelli”. In: 2021 International Symposium on Biomedical Engineering and Computational Biology (2021)

    Google Scholar 

  34. Kim, J., et al.: Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. Crit. Care 24(1), 1–8 (2020)

    Google Scholar 

  35. Doan, Q., et al.: The impact of pediatric emergency department crowding on patient and health care system outcomes: a multicentre cohort study. Cmaj 191(23), E627–E635 (2019)

    Article  PubMed  PubMed Central  Google Scholar 

  36. Badr, S., et al.: Measures of emergency department crowding, a systematic review. How to make sense of a long list. Open Access Emerg. Med. OAEM 14, 5 (2022)

    Google Scholar 

  37. Ilhan, B., et al.: NEDOCS: is it really useful for detecting emergency department overcrowding today? Medicine 99(28) (2020)

    Google Scholar 

  38. Weiss, S.J., Derlet, R., Arndahl, J., et al.: Estimating the degree of emergency department overcrowding in academic medical centers: results of the National ED Overcrowding Study (NEDOCS). Acad. Emerg. Med. 11, 38–50 (2004)

    Google Scholar 

  39. Improta, G., Colella, Y., Vecchia, A.D., Borrelli, A., Russo, G., Triassi, M., et al.: Overcrowding in emergency department: a comparison between indexes. In: 2021 International Symposium on Biomedical Engineering and Computational Biology (BECB 2021), Article no. 35, pp. 1–4. Association for Computing Machinery, New York (2021). https://doi.org/10.1145/3502060.3503643

  40. Guarino, F., Improta, G., Triassi, M., Castiglione, S., Cicatelli, A.: Air quality biomonitoring through Olea Europaea L.: the study case of “Land of pyres.” Chemosphere 282, 131052 (2021). https://doi.org/10.1016/j.chemosphere.2021.131052

  41. Guarino, F., Improta, G., Triassi, M., Cicatelli, A., Castiglione, S.: Effects of zinc pollution and compost amendment on the root microbiome of a metal tolerant poplar clone. Front. Microbiol. 11, 1677 (2020). https://doi.org/10.3389/fmicb.2020.01677

    Article  PubMed  PubMed Central  Google Scholar 

  42. Guarino, F., et al.: Genetic characterization, micropropagation, and potential use for arsenic phytoremediation of Dittrichia viscosa (L.) Greuter. Ecotoxicol. Environ. Saf. 148, 675–683 (2018). https://doi.org/10.1016/j.ecoenv.2017.11.010

  43. Guarino, F., Cicatelli, A., Brundu, G., Improta, G., Triassi, M., Castiglione, S.: The use of MSAP reveals epigenetic diversity of the invasive clonal populations of Arundo donax L. PLoS One 14 (2019). https://doi.org/10.1371/journal.pone.0215096

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Improta, G., Bottino, V., Baiano, E., Russo, M.A., Stingone, M.A., Triassi, M. (2023). EDWIN and NEDOCS Indices to Study Patient Flow in Emergency Department. In: Wen, S., Yang, C. (eds) Biomedical and Computational Biology. BECB 2022. Lecture Notes in Computer Science(), vol 13637. Springer, Cham. https://doi.org/10.1007/978-3-031-25191-7_29

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  • DOI: https://doi.org/10.1007/978-3-031-25191-7_29

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