DOI QR코드

DOI QR Code

Length of stay in PACU among surgical patients using data mining technique

데이터 마이닝을 활용한 외과수술환자의 회복실 체류시간 분석

  • Received : 2013.05.14
  • Accepted : 2013.07.11
  • Published : 2013.07.31

Abstract

The data mining is a new approach to extract useful information through effective analysis of huge data in numerous fields. This study was analyzed by decision making tree model using Clementine C&RT(Classification & Regression Tree, CART) as data mining technique. We utilized this data mining technique to analyze medical record of 1,500 people. Whole data were assorted by length of stay in PACU and divided into 3 groups. The result extracted by C5.0 decision tree method showed that important related factors for lengh of stay in PACU are type of operation, preoperative EKG abnormality, anesthetics, operative duration, age.

본 연구의 목적은 회복실 환자의 평균 체류시간을 알아보고, 체류시간에 미치는 요인들을 파악하여 회복실 체류 시간 예측을 위한 분석을 하기 위함이다. 본 연구의 대상자는 상급 종합병원에 입원한 전신 마취 하에 일반외과 수술을 받은 18세 이상 성인 남녀 환자 중 회복실로 입실한 환자를 1,500명을 대상으로 하였고 이중 1,293건을 분석하였다. 회복실 체류시간에 영향을 미치는 요인으로 32항목을 측정하였다. 평균 회복실 체류시간은 72.02분이었다. 수술주기별 관련요인과 회복실 체류시간의 관계를 살펴본 결과 나이, 수술종류, 수술시간, 진통제사용회수가 유의미한 관계를 나타내었다 회복실 체류시간에 가장 영향을 많이 주는 변수는 수술종류이며 그 다음 EKG 이상여부, 나이, 마취제, 수술시간으로 나타났다. 범주 I(30분~60분)은 2개의 경우, 범주 II(61분~90분)도 2개의 경우, 범주 III(91분~120분)은 4개의 경우로 분석되었다.

Keywords

References

  1. Kim, S., So, HY., Lee, MH., Park, MY., Kwon, MJ. "Factors influencing length of stay at the recovery room among elderly patients undergone general anesthesia", Korean Journal of Adult Nursing, 23(1), pp. 87-99. 2011.
  2. Min, BS, Kim, ST, Kang, H, Lim, SW. "Emergence from anesthesia is dependent on age and physical status, but not on operation site and operation time", Korean Journal of Anesthesiology, 36(3), pp. 444-448. 1999. https://doi.org/10.4097/kjae.1999.36.3.444
  3. Lee, MG, "Development of nursing diagnoses, nursing outcomes, nursing interventions linking protocol for patients in the post-anesthetic care unit", Unpublished master's thesis, Ewha Womans University, Seoul, 2000.
  4. Kim E.K., Chae, S.O., Kwon, K.S., Kim, Y.J., Hong, M.H., Kim, M.H., Kim, N.S., Lee, K. E., "A study on nursing needs of patients in the recovery room", The Journal of Korean academy of fundamentals of nursing, 9(1). pp. 86-100. 2002.
  5. Kim, WO, Kil, HK, Koo, BN, Kim, JI. "Analysis and prediction of length of stay in the post anesthesia care unit", Korean Journal of Anesthesiology, 40(5). pp. 613-618. 2001. https://doi.org/10.4097/kjae.2001.40.5.613
  6. Kim, S.H. Factor analysis affecting retention time at recovery room. Unpublished master's thesis. Korea University, Seoul, 2006.
  7. Lee, K.O., Son, Y.J. "Factors influencing length of stay among patients with general anesthesia at the recovery room", Clinical Nursing Research, 12(2), pp. 133-143. 2006.
  8. Kim, S., So, H., Lee, MH., Park MY., Kwon, MJ. "Factors influencing length of stay at the recovery room among elderly patients undergone general anesthesia", Korean Journal of Adult nursing, 23(1), pp. 87-99, 2011.
  9. Park, S.A, "An analysis of nursing needs for hospitalized cancer patients:using data mining techniques", Asian oncology nursing, 5(1), pp. 3-10, 2005
  10. Kim, K.S., Kim, K.H, A prediction model for internet game addiction in adolescents; using a decision tree analysis, Journal of academy of nursing, 40(3), pp. 378-388, 2010. DOI: http://dx.doi.org/10.4040/jkan.2010.40.3.378
  11. Oh, J., Yoon, C.M., & Kim, B, Journal of Korean academy child health nursing, 16(1), pp. 84-92, 2010. https://doi.org/10.4094/jkachn.2010.16.1.84
  12. Choi, JH., Han, ST., Kang, H.C., Kim, E.S., Kim, M.G., Lee, S.G. Prediction and utilization of Datamining using AnswerTree 3.0. Seoul: Datasolution co.
  13. Kim, Y.M., Chang, D.M., Kim, S.S., Park, I.S., Kang, S.H, "A study on factors of management of diabetes mellitus using data mining", Journal of the Korea academia-industrial cooperation society, 10(5), pp. 1100-1108, 2009 https://doi.org/10.5762/KAIS.2009.10.5.1100
  14. Kim, Y.M., Choi, Y.K., Kang, S,H., & Kang, W. J, "A study on analysis of severity-adjustment length of stay in hospital for community-acquried pneumonia", Journal of the Korea academia- industrial cooperation society, 12(3), pp. 1234-1243, 2011 https://doi.org/10.5762/KAIS.2011.12.3.1234
  15. Waddle J., Alex E., Piccirillo J. "Postanesthesia care unit length of stay: Quantifying and assessing dependent factors", Anesthesia and analgesia, 87(3), pp. 628-633, 1998. DOI: http://dx.doi.org/10.1213/00000539-199809000-00026
  16. Morgan, G.E., & Mikhall, J.M.S. Alexander's care of the patient in surgery(10th ed). Saint Louis: Mosby year book Inc. 1996.
  17. Kim, CM, Lee, JH, Eom, WS, Do, SH, Kim, KW. "A study on correlations between post anesthetic recovery score and post anesthetic recovery room stay time", Korean Journal of Anesthesiology. 33(3), pp. 497-501 1997. https://doi.org/10.4097/kjae.1997.33.3.497
  18. Kim, WO, Kil, HK, Kang, J.W, Park, H.R. "Prediction on lengths of stay in the post anesthesia care unit following general anesthesia: preliminary study of the neural network and logistic regression modelling", Journal of Korean Medicine science, 15, pp. 25-30, 2000. https://doi.org/10.3346/jkms.2000.15.1.25
  19. Panagiotis, K., Maria, P., Argiri, P., Panagiotis, S. Is post anesthesia care unit length of stay increased in hypothermic patients?", AORN journal, 81(2), pp. 379-392. 2005. DOI: http://dx.doi.org/10.1016/S0001-2092(06)60420-1
  20. Cohen, S., Hamilton, C.,Riley E., Macario, A., Halpern J. "Obstetric post anesthesia unit stays reevaluation of discharge criteria after regional anesthesia", American Society of Anesthesiologists. 89, pp. 1559-1565, 1998. DOI: http://dx.doi.org/10.1097/00000542-199812000-00036

Cited by

  1. Effects of Family Presence Intervention on Anxiety, Delirium, Pain and Length of Time in Recovery Room of Post-operative Elderly Patients in Post-anesthesia Care Units vol.22, pp.2, 2015, https://doi.org/10.7739/jkafn.2015.22.2.149