Browse > Article

A study on analysis of factors on in-hospital mortality for community-acquired pneumonia  

Kim, Yoo-Mi (Dept. of Health Policy & Management, Sangji University)
Publication Information
Journal of the Korean Data and Information Science Society / v.22, no.3, 2011 , pp. 389-400 More about this Journal
Abstract
This study was carried out to analysis factors related to in-hospital mortality of community-acquired peumonia using administrative database. The subjects were 5,353 community-acquired pneumonia inpatients of the Korean National Hospital Discharge Injury Survey 2004-2006 data. The data were analyzed using chi-squared test and decision tree model in the data mining technique. Among the decision tree model, C4.5 had the best performance. The critical factors on in-hospital mortality of communityacquired pneumonia are admission route, respiratory failure, congenital heart failure including age, comorbidity, and bed size. This study was carried out using the administrative database including patients' characteristics and comorbidity. However further study should be extensively including hospital characteristics, regional medical resources, and patient management practice behavior.
Keywords
Administrative database; community-acquired pneumonia; data mining; decision tree; in-hospital mortality;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Rosenthal, G. E., Baker, D. W., Norris, D. G., Way, L. E., Harper, D. L. and Snow, R. J. (2000). Relationships between in-hospital and 30-day standardized hospital mortality: Implications for profiling hospitals. Health Services Research, 34, 1449-1468.
2 Shahian, D. M. and Normand, S. L. (2008). Comparison of "risk-adjusted" hospital outcomes. Circulation, 117, 1955-1963.   DOI   ScienceOn
3 Song, J. H. and Jung, K. S. (2010). Treatment guidelines for community-acquired pneumonia in korea: An evidence-based approach to appropriate antimicrobial therapy. Journal of Korean Medical Association, 53, 20-42.   DOI
4 Won, C. W. (2010). Community acquired pneumonia. Korean Journal of Family Medicine, 31, 503-511.   DOI
5 Moon, S., Lee, J. S., Kim, Y., You, S. J., Choi, Y. K., Suh, S. K. and Kim, Y. I. (2009). Quality and affecting factor of care for patients hospitalized with pneumonia. Tuberculosis and Respiratory Diseases, 66, 300-308.   DOI   ScienceOn
6 Niederman, M. S., Bass, J. B.,Jr, Campbell, G. D., Fein, A. M., Grossman, R. F., Mandell, L. A., Marrie, T. J., Sarosi, G. A., Torres, A. and Yu, V. L. (1993). Guidelines for the initial management of adults with community-acquired pneumonia: Diagnosis, assessment of severity, and initial antimicrobial therapy. The American Review of Respiratory Disease, 148, 1418-1426.   DOI   ScienceOn
7 Niederman, M. S. and Peters, S. P. (1998). Update in pulmonary medicine. Annals of Internal Medicine, 128, 208-215.   DOI   ScienceOn
8 Oh, H. K., Seo, J. Y., Kim, D. K., Choi, J. E., Mo, E. K., Park, M. J., Lee,M.G., Hyun, I. G. and Jung, K. S. (1997). Clinical characteristics and prognostic factors of severe community-acquired pneumonia. Tuberculosis and Respiratory Diseases, 44, 1072-1082.   DOI
9 Omoigui, N. A., Miller, D. P., Brown, K. J., Annan, K., Cosgrove, D.,3rd, Lytle, B., Loop, F. and Topol, E. J. (1996). Outmigration for coronary bypass surgery in an era of public dissemination of clinical outcomes. Circulation, 93, 27-33.   DOI   ScienceOn
10 Ortqvist, A., Sterner, G. and Nilsson, J. A. (1985). Severe community-acquired pneumonia: Factors influencing need of intensive care treatment and prognosis. Scandinavian Journal of Infectious Diseases, 17, 377-386.
11 Pachon, J., Prados, M. D., Capote, F., Cuello, J. A., Garnacho, J. and Verano, A. (1990). Severe community-acquired pneumonia. etiology, prognosis, and treatment. The American Review of Respiratory Disease, 142, 369-373.   DOI   ScienceOn
12 Park C. and Song G. M. (2002). Analysis of students leaving their majors using decision tree. Journal of the Korean Data & Information Science Society, 13, 157-165.
13 Park, H. P., Seo, Y. W., Lee, J. E., Kim, Y. H., Jang, Y. Y., Park, S. H., Seo, C. K., Jeon, Y. J., Lee, M. Y. and Choi, W. I. (2005). Factors associated with early death in patients with community-acquired pneumonia. Tuberculosis and Respiratory Diseases, 58, 607-613.   DOI
14 Korea National Statistical Office. (2010). An nual report on the cause of death statistics 2009: Nationalwide, National Statistical Office, Daejeon.
15 Park, H. C. and Cho, K. H. (2004). Modeling of environmental survey by decision trees. Journal of the Korean Data & Information Science Society, 15, 759-771.
16 Jasti, H., Mortensen, E. M., Obrosky, D. S., Kapoor, W. N. and Fine, M. J. (2008). Causes and risk factors for rehospitalization of patients hospitalized with community-acquired pneumonia. Clinical Infectious Diseases, 46, 550-556.
17 Jin, Y., Marrie, T. J., Carriere, K. C., Predy, G., Houston, C., Ness, K. and Johnson, D. H. (2003). Variation in management of community-acquired pneumonia requiring admission to Alberta, Canada hospitals. Epidemiology and Infection, 130, 41-51.   DOI   ScienceOn
18 Krakauer, H., Bailey, R. C., Skellan, K. J., Stewart, J. D., Hartz, A. J., Kuhn, E. M. and Rimm, A. A. (1992). Evaluation of the HCFA model for the analysis of mortality following hospitalization. Health Services Research, 27, 317-335.
19 Lave, J. R., Fine, M. J., Sankey, S. S., Hanusa, B. H., Weissfeld, L. A. and Kapoor, W. N. (1996). Hospitalized pneumonia. outcomes, treatment patterns, and costs in urban and rural areas. Journal of General Internal Medicine, 11, 415-421.   DOI   ScienceOn
20 Lee, J. Y. and Lee, Y. W. (2004). Receiver operating characteristic(ROC) curves using neural network in classification. Journal of the Korean Data & Information Science Society, 15, 911-920.
21 Lee, Y. W., Jung, J. W., Song, J. H., Jeon, E. J., Choi, J. C., Shin, J. W., Kim, J. Y., Park, I. W. and Choi, B. W. (2006). Risk factors for mortality in community-acquired pneumonia patients admitted to a referral hospital. Tuberculosis and Respiratory Diseases, 61, 347-355.   DOI
22 Marrie, T. J., Carriere, K. C., Jin, Y. and Johnson, D. H. (2003). Mortality during hospitalisation for pneumonia in alberta, canada, is associated with physician volume. The European Respiratory Journal, 22, 148-155.   DOI   ScienceOn
23 Marrie, T. J. and Wu, L. (2005). Factors influencing in-hospital mortality in community-acquired pneumonia: A prospective study of patients not initially admitted to the ICU. Chest, 127, 1260-1270.   DOI   ScienceOn
24 Canadian Institute for Health Information (CIHI). (2007). HSMR: A new approach for measuring hospital mortality trends in Canada, CIHI, Ottawa.
25 Metlay, J. P., Schulz, R., Li, Y. H., Singer, D. E., Marrie, T. J., Coley, C. M., Coley, C. M., Hough, L. J., Obrosky, D. S., Kapoor, W. N. and Fine, M. J. (1997). Influence of age on symptoms at presentation in patients with community-acquired pneumonia. Archives of Internal Medicine, 157, 1453-1459.   DOI   ScienceOn
26 Ben-Tovim, D., Woodman, R., Harrison, J., Pointer, S., Hakendorf, P. and Henley, G. (2009). Measuring and reporting mortality in hospital patients, Australian Institute of Health and Welfare, Canberra.
27 Bratzler, D. W., Nsa, W. and Houck, P. M. (2007). Performance measures for pneumonia: Are they valuable, and are process measures adequate? Current Opinion in Infectious Diseases, 20, 182-189.   DOI   ScienceOn
28 Ellrodt, G., Cook, D. J., Lee, J., Cho, M., Hunt, D. and Weingarten, S. (1997). Evidence-based disease management. The Journal of the American Medical Association, 278, 1687-1692.   DOI   ScienceOn
29 Fine, M. J., Auble, T. E., Yealy, D. M., Hanusa, B. H., Weissfeld, L. A., Singer, D. E., Coley, C. M., Marrie, T. J. and Kapoor, W. N. (1997). A prediction rule to identify low-risk patients with communityacquired pneumonia. The New England Journal of Medicine, 336, 243-250.   DOI   ScienceOn
30 Fine, M. J., Smith, M. A., Carson, C. A., Mutha, S. S., Sankey, S. S., Weissfeld, L. A. and Kapoor, W. N. (1996). Prognosis and outcomes of patients with community-acquired pneumonia. A meta-analysis. The Journal of the American Medical Association, 275, 134-141.   DOI   ScienceOn
31 Garnick, D. W., DeLong, E. R. and Luft, H. S. (1995). Measuring hospital mortality rates: Are 30-day data enough? Health Services Research, 29, 679-695.
32 Hartz, A. J., Krakauer, H., Kuhn, E. M., Young, M., Jacobsen, S. J., Gay, G., Muenz, L., Katzoff, M., Bailey, R. C. and Rimm, A. A. (1989). Hospital characteristics and mortality rates. The New England Journal of Medicine, 321, 1720-1725.   DOI   ScienceOn
33 Iezzoni, L. I. (1997a). Assessing quality using administrative data. Annals of Internal Medicine, 127, 666-674.   DOI
34 윤영경, 김정연, 박윤선, 박대원, 손장욱, 엄중식, 천병철, 김은주, 김민자 (2008). 한국에서 2004년에 발생한 지역 사회 폐렴의 역학 및 항생제 사용 행태. <대한내과학회지>, 75, 549-550.
35 Iezzoni, L. I. (1997b). The risks of risk adjustment. The Journal of the American Medical Association, 278, 1600-1607.   DOI   ScienceOn
36 Jarman, B., Gault, S., Alves, B., Hider, A., Dolan, S., Cook, A., Hurwitz, B. and Iezzoni, L. I. (1999). Explaining differences in english hospital death rates using routinely collected data. British Medical Journal (Clinical Research Ed.), 318, 1515-1520.   DOI   ScienceOn
37 강성홍 (2009). 퇴원환자의 재원일수 변이 분석: 2004-2006년 퇴원손상심층조사 결과 중심으로. <주간건강과질병>, 2, 857-866.
38 이용구, 허준 (2009). 생명보험사의 개인연금 보험예측 사례를 통해서 본 의사결정나무 분석의 설명변수 축소에 관한 비교 연구. <한국데이터정보과학회지>, 20, 179-190.
39 최종후, 서두성 (1999). 데이터마이닝 의사결정나무의 응용. <통계분석연구>, 4, 61-83.
40 Polanczyk, C. A., Lane, A., Coburn, M., Philbin, E. F., Dec, G. W. and DiSalvo, T. G. (2002). Hospital outcomes in major teaching, minor teaching, and nonteaching hospitals in New York state. The American Journal of Medicine, 112, 255-261.   DOI   ScienceOn
41 Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. and Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. The Journal of the American Medical Association, 288, 1987-1993.   DOI   ScienceOn
42 Aylin, P., Bottle, A. and Majeed, A. (2007). Use of administrative data or clinical databases as predictors of risk of death in hospital: Comparison of models. British Medical Journal (Clinical Research Ed.), 334, 1044.   DOI   ScienceOn