TABLE A2.
Types of EHR Data | Feature | Observation Windowa |
---|---|---|
Demographics | Continuous: age | NA |
Binary: male, White, Hispanic, married | ||
Diagnosis codesb | Number of all diagnosis records, number of unique diagnosis codes | All historical data leading to surgical case request time |
Number of all diagnosis records for respiratory problems, number of unique diagnosis codes for respiratory problems | ||
Cancer treatment | Number of days on radiation treatment | 1 year leading to surgical case request time |
Number of chemotherapy and immunotherapy medication orders | ||
Previous inpatient admissions and outpatient visits | Total hospital length of stay, number of inpatient admissions, number of outpatient visits | 1 year leading to current hospital admission time |
Medication administration records | Number of all medication orders | 30 days leading to surgical case request time |
Number of medication orders for each therapeutic class: anti-infective agents, antineoplastic agents, endocrine and metabolic drugs, cardiovascular agents, respiratory agents, GI agents, genitourinary products, CNS drugs, analgesics and anesthetics, neuromuscular drugs, nutritional products, hematologic agents, topical products, miscellaneous products, unknown classc | ||
Oxygenation support | Highest oxygenation support leveld | 30 days leading to surgical case request time |
Number of days on oxygenation support, number of oxygenation support records | 1 year leading to surgical case request time | |
Most recent values: FiO2, flow rate, PEEP, PIP, tidal volume | Most recent values | |
Vital signs | Most recent values: systolic blood pressure, diastolic blood pressure, heart rate, respiratory rate, SpO2, temperature, weight | Most recent values |
Laboratory tests | Most recent values: albumin, alkaline phosphatase, calcium, creatinine (blood), glucose, hematocrit, hemoglobin, lactate, lymphocytes percent, platelet, prothrombin time, RBC, RDW, segmented neutrophils percent, sodium, total bilirubin, WBC | Most recent values |
Number of laboratory test results, number of normal laboratory test results, number of abnormal laboratory test results, percentage of abnormal laboratory test results | 90 days leading to surgical case request time |
Abbreviations: BiPAP, bilevel positive airway pressure; CPAP, continuous positive airway pressure; EHR, electronic health record; FiO2, the fraction of inspired oxygen; NA, not available; PEEP, positive end-expiratory pressure; PIP, peak inspiratory pressure; RDW, red blood cell distribution width; SpO2, oxygen saturation by pulse oximetry.
Features were created within the observation window and aggregated at the operation level.
Diagnosis codes related to respiratory problems (eg, acute respiratory failure, pleural effusion, pneumonia, etc) were identified by clinical experts.
Orders that did not have therapeutic class assigned in the EHR were grouped to unknown class.
The oxygenation support level was coded as no oxygenation support/room air = 0, face mask = 1, nasal cannula = 2, CPAP/BiPAP = 3, others = 4, ventilator = 5.