ICU staffing feature phenotypes and their relationship with patients' outcomes: an unsupervised machine learning analysis.

Journal: Intensive care medicine
Published Date:

Abstract

PURPOSE: To study whether ICU staffing features are associated with improved hospital mortality, ICU length of stay (LOS) and duration of mechanical ventilation (MV) using cluster analysis directed by machine learning.

Authors

  • Fernando G Zampieri
    Research Institute, HCor-Hospital do Coração, São Paulo, Brazil; Research Division, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil. Electronic address: fgzampieri@gmail.com.
  • Jorge I F Salluh
    Graduate Program in Translational Medicine, Department of Critical Care, D'Or Institute for Research and Education, Rua Diniz Cordeiro, 30. Botafogo, Rio De Janeiro, 22281-100, Brazil.
  • Luciano C P Azevedo
    ICU, Hospital Sírio Libanês, São Paulo, Brazil.
  • Jeremy M Kahn
    Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
  • Lucas P Damiani
    Research Institute, HCor-Hospital do Coração, São Paulo, Brazil.
  • Lunna P Borges
    Department of Research and Development, Epimed Solutions, Rio De Janeiro, Brazil.
  • William N Viana
    ICU, Hospital Copa D'Or, Rio De Janeiro, Brazil.
  • Roberto Costa
    ICU, Hospital Quinta D'Or, Rio De Janeiro, Brazil.
  • Thiago D Corrêa
    Adult ICU, Hospital Israelita Albert Einstein, São Paulo, Brazil.
  • Dieter E S Araya
    ICU, Hospital Santa Paula, São Paulo, Brazil.
  • Marcelo O Maia
    ICU, Hospital Santa Luzia Rede D'Or São Luiz DF, Brasília, Brazil.
  • Marcus A Ferez
    ICU, Hospital São Francisco, Ribeirão Preto, Brazil.
  • Alexandre G R Carvalho
    ICU, UDI Hospital, São Luís, Brazil.
  • Marcos F Knibel
    ICU, Hospital São Lucas, Rio De Janeiro, Brazil.
  • Ulisses O Melo
    ICU, Hospital Estadual Alberto Torres, São Gonçalo, Brazil.
  • Marcelo S Santino
    ICU, Hospital Barra D'Or, Rio De Janeiro, Brazil.
  • Thiago Lisboa
    ICU, Hospital Santa Rita, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil.
  • Eliana B Caser
    ICU, Hospital Unimed Vitoria, Vitoria, Brazil.
  • Bruno A M P Besen
    ICU, Hospital da Luz, Vila Mariana, São Paulo, Brazil.
  • Fernando A Bozza
    Graduate Program in Translational Medicine, Department of Critical Care, D'Or Institute for Research and Education, Rua Diniz Cordeiro, 30. Botafogo, Rio De Janeiro, 22281-100, Brazil.
  • Derek C Angus
    Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
  • Marcio Soares
    Graduate Program in Translational Medicine, Department of Critical Care, D'Or Institute for Research and Education, Rua Diniz Cordeiro, 30. Botafogo, Rio De Janeiro, 22281-100, Brazil. marciosoaresms@gmail.com.