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- Title
Computational time series analysis of patient referrals to a primary percutaneous coronary intervention service.
- Authors
Iftikhar, Aleeha; Bond, Raymond R; McGilligan, Victoria; Leslie, Stephen J; McShane, Anne; Knoery, Charles; Rjoob, Khaled; Peace, Aaron
- Abstract
This article retrospectively analyses a primary percutaneous coronary intervention dataset comprising patient referrals that were accepted for percutaneous coronary intervention and those who were turned down between January 2015 and December 2018 at Altnagelvin Hospital (United Kingdom). Time series analysis of these referrals was undertaken for analysing the referral rates per year, month, day and per hour. The overall referrals have 70 per cent (n = 1466, p < 0.001) males. Of total referrals, 65 per cent (p < 0.001) of referrals were 'out of hours'. Seasonality decomposition shows a peak in referrals on average every 3 months (standard deviation = 0.83). No significant correlation (R = 0.03, p = 0.86; R = −0.11, p = 0.62) was found between the referral numbers and turndown rate. Being female increased the probability of being out of hour in all the groups. The 30-day mortality was higher in the turndown group. The time series of all the referrals depict variation over the months or days which is not the same each year. The average age of the patients in the turndown group is higher. The number of referrals does not impact on the turndown rate and clinical decision making. Most patients are being referred out of hours, especially females. This analysis leads to the emphasis on the importance of working 24/7 CathLab service.
- Subjects
IRELAND; CHI-squared test; CONFIDENCE intervals; STATISTICAL correlation; DEATH; HOSPITALS; MEDICAL care; MEDICAL referrals; MYOCARDIAL infarction; PRIMARY health care; PROBABILITY theory; RESEARCH funding; T-test (Statistics); TIME series analysis; DECISION making in clinical medicine; MULTIPLE regression analysis; RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio; MANN Whitney U Test; PERCUTANEOUS coronary intervention
- Publication
Health Informatics Journal, 2020, Vol 26, Issue 3, p2222
- ISSN
1460-4582
- Publication type
Article
- DOI
10.1177/1460458219899762