Emma Montella
ABSTRACT
The ever-rising health demand coupled with the need of cost-containment and rationalization of the resources, both economical and human, has brought more and more attention on tool for evaluating the performance of healthcare facilities. The aim of this work is to investigate the influence of several variabilities, both intrinsic (i.e. gender, age, comorbidities) and extrinsic (i.e. complications, pre-operative Length of Stay), on the duration of the hospitalization and to validate a predictive model designed in a previous work with Multiple Linear Regression, using data of the University Hospital “San Giovanni di Dio e Ruggi d'Aragona” of Salerno and the AORN “Antonio Cardarelli” of Napoli. In this paper we test it comparing the results with a similar sample from the University Hospital “Federico II” of Naples.
- Girard-Madoux MJH, Gomez de Agüero M, Ganal-Vonarburg SC, Mooser C, Belz GT, Macpherson AJ, Vivier E. The immunological functions of the Appendix: An example of redundancy? Semin Immunol. 2018 Apr;36:31-44. doi: 10.1016/j.smim.2018.02.005. Epub 2018 Mar 2. PMID: 29503124.Google Scholar
Cross Ref
- Snyder MJ, Guthrie M, Cagle S. Acute Appendicitis: Efficient Diagnosis and Management. Am Fam Physician. 2018 Jul 1;98(1):25-33. PMID: 30215950.Google Scholar
- D'Souza, N., & Nugent, K. (2014). Appendicitis. BMJ Clinical Evidence, 2014. PMID: 25486014Google Scholar
- Téoule P, Laffolie J, Rolle U, Reissfelder C. Acute Appendicitis in Childhood and Adulthood. Dtsch Téoule, P., de Laffolie, J., Rolle, U., & Reißfelder, C. (2020). Acute Appendicitis in Childhood and Adulthood: An Everyday Clinical Challenge. Deutsches Ärzteblatt International. https://doi.org/10.3238/arztebl.2020.0764Google ScholarCross Ref
- Latessa, Imma, "Implementing fast track surgery in hip and knee arthroplasty using the lean Six Sigma methodology." The TQM Journal 33.7 (2021): 131-147.Google ScholarCross Ref
- Gonçalves-Bradley, D.C., Lannin, N.A., Clemson, L.M., Cameron, I.D., Shepperd, S.: Discharge planning from hospital. Cochrane Database Syst. Rev. 1, CD000313 (2016). https:// doi.org/10.1002/14651858.CD000313.pub5Google ScholarCross Ref
- Apicella, Andrea, "EEG-based measurement system for monitoring student engagement in learning 4.0." Scientific Reports 12.1 (2022): 5857.Google ScholarCross Ref
- Arpaia, Pasquale, "Soft transducer for patient's vitals telemonitoring with deep learning-based personalized anomaly detection." Sensors 22.2 (2022): 536.Google ScholarCross Ref
- Arpaia, Pasquale, "An Augmented Reality-Based Solution for Monitoring Patients Vitals in Surgical Procedures." Augmented Reality, Virtual Reality, and Computer Graphics: 8th International Conference, AVR 2021, Virtual Event, September 7–10, 2021, Proceedings 8. Springer International Publishing, 2021.Google Scholar
- Solari, Domenico, "Novel concepts and strategies in skull base reconstruction after endoscopic endonasal surgery." Acta Imeko 9.4 (2020): 67-73.Google ScholarCross Ref
- Fucile, Pierpaolo, "Strategies for the design of additively manufactured nanocomposite scaffolds for hard tissue regeneration." Acta IMEKO 9.4 (2020): 53-59.Google ScholarCross Ref
- De Santis, Roberto, "Analyzing the role of magnetic features in additive manufactured scaffolds for enhanced bone tissue regeneration." Macromolecular Symposia. Vol. 396. No. 1. 2021.Google Scholar
- 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/s10195-015-0383-6Google ScholarCross Ref
- Rosa, Angelo, "Lean Six Sigma to reduce the acute myocardial infarction mortality rate: a single center study." The TQM Journal 35.9 (2023): 25-41.Google ScholarCross Ref
- Improta, Giovanni, "Implementation of DMAIC Cycle to Study the Impact of COVID-19 on Emergency Department-LOS." Biomedical and Computational Biology: Second International Symposium, BECB 2022, Virtual Event, August 13–15, 2022, Revised Selected Papers. Cham: Springer International Publishing, 2023.Google Scholar
- Ylenia, Colella, "A Clinical Decision Support System based on fuzzy rules and classification algorithms for monitoring the physiological parameters of type-2 diabetic patients." Mathematical Biosciences and Engineering 18.3 (2021): 2654-2674.Google ScholarCross Ref
- Santini, S., : Using fuzzy logic for improving clinical daily-care of β-thalassemia patients. In: Fuzzy Systems (FUZZ-IEEE), 2017 IEEE International Conference, pp. 1–6. IEEE (2017).Google Scholar
- Scala, Arianna, Anna Borrelli, and Giovanni Improta. "Predictive analysis of lower limb fractures in the orthopedic complex operative unit using artificial intelligence: the case study of AOU Ruggi." Scientific Reports 12.1 (2022): 22153.Google ScholarCross Ref
- Trunfio, Teresa Angela, Anna Borrelli, and Giovanni Improta. "Implementation of Predictive Algorithms for the Study of the Endarterectomy LOS." Bioengineering 9.10 (2022): 546.Google ScholarCross Ref
- Scala, Arianna, "Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study." International Journal of Environmental Research and Public Health 19.16 (2022): 10021Google ScholarCross Ref
- Ponsiglione, A.M., Rosa, A., Trunfio, T.A., Raiola, E., Longo, G., Triassi, M. and Amato, F., 2023, February. Sustaining Continuous Improvement of a Higher Health Education Service Through Analytical Methodologies for Determining Customer Satisfaction. In Lean, Green and Sustainability: 8th IFIP WG 5.7 European Lean Educator Conference, ELEC 2022, Galway, Ireland, November 22–24, 2022, Proceedings (pp. 246-257). Cham: Springer International Publishing.Google Scholar
- Improta, Giovanni, "Discrete Event Simulation to Improve Clinical Consultations in a Rehabilitation Cardiology Unit." 2022 E-Health and Bioengineering Conference (EHB). IEEE, 2022.Google Scholar
- Improta, Giovanni, "A case study to investigate the impact of overcrowding indices in emergency departments." BMC Emergency Medicine 22.1 (2022): 143.Google ScholarCross Ref
- Guarino, Francesco, "Air quality biomonitoring through Olea europaea L.: The study case of “Land of pyres”." Chemosphere 282 (2021): 131052.Google ScholarCross Ref
- Loperto, Ilaria, "Use of regression models to predict glomerular filtration rate in kidney transplanted patients." 2021 International Symposium on Biomedical Engineering and Computational Biology. 2021. https://doi.org/10.1145/3472813.3472826.Google ScholarDigital Library
- Maria Ponsiglione, A., Profeta, M., Giglio, C., Lombardi, A., Borrelli, A., & Scala, A. (2021). Modeling the variation in length of stay for appendectomy and cholecystectomy interventions in the emergency general surgery. 2021 International Symposium on Biomedical Engineering and Computational Biology, 1–4. https://doi.org/10.1145/3502060.3503651Google ScholarDigital Library
- Teresa Angela Trunfio, Arianna Scala, Cristiana Giglio, Giovanni Rossi, Anna Borrelli, Paolo Gargiulo, and Maria Romano. 2022. Modelling the hospital length of stay for patients undergoing laparoscopic appendectomy through a Multiple Regression Model. In 2021 International Symposium on Biomedical Engineering and Computational Biology (BECB 2021). Association for Computing Machinery, New York, NY, USA, Article 36, 1–5. https://doi.org/10.1145/3502060.3503644Google ScholarDigital Library
- Montella, E., Marino, M. R., Frangiosa, A., Mazia, G., Majolo, M., Raiola, E., Russo, G., Longo, G., Rossi, G., Borrelli, A., & Triassi, M. (2023). Multiple Regression Model to Analyze the Length of Stay for Patients Undergoing Laparoscopic Appendectomy: A Bicentric Study (pp. 410–419). https://doi.org/10.1007/978-3-031-25191-7_37Google ScholarDigital Library
- Improta, G., Natale, P., Santillo, L. C., Triassi, M.: Health worker monitoring: Kalman-based software design for fault isolation in human breathing. In: EMSS 2014 ProceedingsGoogle Scholar
- Cortesi, P. A., Castaman, G., Trifirò, G., Creazzola, S. S., Improta, G., Mazzaglia, G., ... & Mantovani, L. G. (2020). Cost-effectiveness and budget impact of emicizumab prophylaxis in haemophilia A patients with inhibitors. Thrombosis and Haemostasis, 120(02), 216-228.Google Scholar
- Maniscalco, G. T., "Early neutropenia with thrombocytopenia following alemtuzumab treatment for multiple sclerosis: Case report and review of literature." Clinical Neurology and Neurosurgery 175 (2018): 134-136.Google ScholarCross Ref
- Bonavolontà, Paola, "Postoperative complications after removal of pleomorphic adenoma from the parotid gland: A long-term follow up of 297 patients from 2002 to 2016 and a review of publications." British Journal of Oral and Maxillofacial Surgery 57.10 (2019): 998-1002.Google ScholarCross Ref
- Bonavolontà, Paola, "Evaluation of sarcopenia and sarcopenic obesity in patients affected by oral squamous cell carcinoma: A retrospective single-center study." Journal of Cranio-Maxillofacial Surgery (2023).Google ScholarCross Ref
- Scala, A., Trunfio, T. A., De Coppi, L., Rossi, G., Borrelli, A., Triassi, M., & Improta, G. (2022). Regression models to study the total LOS related to valvuloplasty. International journal of environmental research and public health, 19(5), 3117.Google ScholarCross Ref
- Ponsiglione, A. M., Trunfio, T. A., Amato, F., & Improta, G. (2023). Predictive Analy-sis of Hospital Stay after Caesarean Section: A Single-Center Study. Bioengineering, 10(4), 440Google Scholar
- Trunfio, Teresa Angela, "Multiple regression model to analyze the total LOS for patients undergoing laparoscopic appendectomy." BMC Medical Informatics and Decision Making 22.1 (2022): 1-8.Google ScholarCross Ref
- Improta, Giovanni, "Management of the diabetic patient in the diagnostic care pathway." 8th European Medical and Biological Engineering Conference: Proceedings of the EMBEC 2020, November 29–December 3, 2020 Portorož, Slovenia. Springer International Publishing, 2021.Google Scholar
- Improta, Giovanni, "Application of supply chain management at drugs flow in an Italian hospital district." Journal of Physics: Conference Series. Vol. 1828. No. 1. IOP Publishing, 2021.Google Scholar
- Ferraro, Anna, "Implementation of lean practices to reduce healthcare associated infections." International Journal of Healthcare Technology and Management 18.1-2 (2020): 51-72.Google Scholar
- Improta, G., : An innovative contribution to health technology assessment. In: Modern Advances in Intelligent Systems and Tools, pp. 127–131 (2012). https://doi.org/10.1007/978- 3-642-30732-4_16Google ScholarCross Ref
- Improta, G., Perrone, A., Russo, M.A., Triassi, M.: Health technology assessment (HTA) of optoelectronic biosensors for oncology by analytic hierarchy process (AHP) and Likert scale. BMC Med. Res. Methodol. 19(1), 140 (2019)Google ScholarCross Ref
Index Terms
- Implementation of a regression model to study the hospital stay of patients undergoing Laparoscopic Appendectomy: a multicenter study
Recommendations
Modelling the hospital length of stay for patients undergoing laparoscopic cholecystectomy through a multiple regression model
ICMHI '21: Proceedings of the 5th International Conference on Medical and Health InformaticsThe need for containing and rationalizing the health expenditure has influenced the management of various healthcare processes. As far as cholecystectomy interventions, the laparoscopic surgery is considered as the gold standard, since its effectiveness ...
Multiple Regression Model to Analyze the Length of Stay for Patients Undergoing Laparoscopic Appendectomy: A Bicentric Study
Biomedical and Computational BiologyAbstractCost-containment and efficiency are aspects that have more and more weight in the evaluation of the performance of healthcare facilities. This trend, coupled with the ever-rising complexity of the services and quality standards, has called for a ...
Modelling the hospital length of stay for patients undergoing laparoscopic appendectomy through a Multiple Regression Model
BECB 2021: 2021 International Symposium on Biomedical Engineering and Computational BiologyHealthcare facilities are under constant pressure to contain costs. This goal is becoming increasingly difficult to achieve due to the rapid growth of the complexity of the services and stringent quality requirements. Therefore, several strategies are ...
Comments