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[The MEDAN database: patients with abdominal septic shock]
1Fachbereich Biologie und Informatik, AG Adaptive Systemarchitektur and Klinikum der J.W.Goethe-Universität, Klinik für Allgemein- und Gefässchirurgie, J. W. Goethe-Universität Frankfurt am Main.
Zentralblatt Fur Chirurgie
|April 18, 2003
Summary
This study created a large septic shock patient database to reduce mortality. Analysis revealed specific diagnoses and operations were more common in deceased patients, informing future research.
Area of Science:
- Critical Care Medicine
- Epidemiology
- Health Informatics
Context:
- Septic shock presents a significant challenge with high mortality rates.
- Existing patient data is often fragmented, hindering large-scale analysis.
- A comprehensive database is needed for effective septic shock research.
Purpose:
- To establish a unique, large-scale database of septic shock patient records.
- To conduct initial epidemiological overviews and statistical evaluations.
- To identify risk factors associated with septic shock mortality.
Summary:
- A retrospective database was compiled from 282 handwritten patient records (1997-2001) across 62 hospitals.
- Initial analysis indicates a higher prevalence of certain diagnoses and operations in non-survivors compared to survivors.
- The database provides a foundation for understanding septic shock epidemiology.
Impact:
- Highlights the potential of large, curated datasets in critical care research.
- Identifies specific clinical factors that may correlate with increased septic shock mortality.
- Lays the groundwork for future predictive modeling and improved patient outcomes.