Matching Patients: An Approach for Decision Support in Liver Transplantation

  • Conference paper
AIME 87

Part of the book series: Lecture Notes in Medical Informatics ((LNMED,volume 33))

Abstract

Clinical research often is based on matching of identical patterns in patient courses. The LTX system is designed to support clinical research and decisions for the post-operative care of liver transplant patients by identifying “similar” patient courses. The basic idea is a frame representation of each day in a patient’s course including historical information. On top of this we constructed a time oriented language to represent clinical concepts like “high bilirubin level over 4 days”.

The system is implemented on a PC, where an integration into the hospital information system is essential (identification via MHH-identification number, connection to the lab computer to get the patients’ lab data, etc.).

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References

  1. Blum, R.L.: Discovery, Confirmation, and Incorporation of Causal Relationships from a Large Time-Oriented Clinical Database: The RX-Project. Comput. Biomed. Res. 15 (1982) 164–187.

    Article  PubMed  CAS  Google Scholar 

  2. Bonschek, L.I.: Are Randomized Trials Appropriate for Evaluating New Operations ? N. Engl. J. Med. 301 (1979) 44–45.

    Article  Google Scholar 

  3. Byar, D.P.: Why Data Bases Should Not Replace Randomized Clinical Trials. Biometrics 36 (1980) 337–342.

    Article  PubMed  CAS  Google Scholar 

  4. Dambrosia, J.M., Ellenberg, J.H.: Statistical Considerations for a Medical Database. Biometrics 36 (1980) 323–332.

    Article  PubMed  CAS  Google Scholar 

  5. Fagan, L.M., Kunz, J.C., Feigenbaum, E.A., Osborn, J.J.: Extensions to the Rule-based Formalism for a Monitoring Task. In: Buchanan, B. G., Shortliffe,E.A. (Eds.): Rule-Based Expert Systems. The MYCIN Experiments of the Stanford Heuristic Programming Project. (Addison-Wesley, Reading: 1984 ) 397–423.

    Google Scholar 

  6. Hoaglin, D.C., Mosteller, F.,Tukey, J.W. (Eds.): Understanding Robust and Exploratory Data Analysis. ( John Wiley, New York: 1983 )

    Google Scholar 

  7. Kahn, M.G., Fagan, L.M., Shortliffe,E.H.: Context-Specific Interpretation of Patients Records for a Therapy Advice System. In: Salamon, R., Blum, B., Jorgensen, M. (Eds): Medinfo 86. Proceedings of the Fifth Conference on Medical Informatics, Washington, October 26–30, 1986. ( North- Holland Publ. Co., Amsterdam: 1986 ) 32–36.

    Google Scholar 

  8. Reichertz, P.L.: Hospital Information Systems - Past, Present, Future —. Key-note address during Medical Informatics Europe 84, 5th Congress of the European Federation for Medical Informatics, Brussels, Sept. 10–13, 1984.

    Google Scholar 

  9. Shortliffe, E.H., Carlisle Scott, A.,Bischoff, M.B., Campbell, A.B., Van Melle, W., Jacobs,C.D.2 ONCOCIN: An Expert System for Oncology Protocol Management. Ins Proc. Seventh International Joint Conference on Artificial Intelligence. IJCAI 81. ( University of British Columbia, Vancouver: 1981 ) 876–1015.

    Google Scholar 

  10. Van der Linden W, Pitfalls in Randomized Surgical Trials. Surgery 87 (1980) 258–262.

    PubMed  Google Scholar 

  11. Walker, M.G., Blum, R.L.: Towards Automated Discovery from Clinical Databases: The RADIX Project. In: Salamon,R., Blum,B., Jorgensen,M. (Eds): Medinfo 86. Proceedings of the Fifth Conference on Medical Informatics, Washington, October 26–30, 1986. ( North-Holland Publ. Co., Amsterdam: 1986 ) 32–36.

    Google Scholar 

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© 1987 Springer-Verlag Berlin Heidelberg

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Tusch, G.M., Bernauer, J., Reichertz, P.L. (1987). Matching Patients: An Approach for Decision Support in Liver Transplantation. In: Fox, J., Fieschi, M., Engelbrecht, R. (eds) AIME 87. Lecture Notes in Medical Informatics, vol 33. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95549-5_4

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  • DOI: https://doi.org/10.1007/978-3-642-95549-5_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-18402-7

  • Online ISBN: 978-3-642-95549-5

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