Mohamed Abdel-Basset¹, Abduallah Gamal¹, Rehab Mohamed¹, Mohamed Abouhawwash^2,3,*, Abdulwahab Almutairi⁴, Osama M. ELkomy¹

CMC-Computers, Materials & Continua, Vol.70, No.2, pp. 4053-4073, 2022, DOI:10.32604/cmc.2022.020048 - 27 September 2021

Abstract There are several challenges that hospitals are facing according to the emergency department (ED). The main two issues are department capacity and lead time. However, the lack of consensus on performance criteria to evaluate ED increases the complication of this process. Thus, this study aims to evaluate the efficiency of the emergency department in 20 Egyptian hospitals (12 private and 8 general hospitals) based on 13 performance metrics. This research suggests an integrated evaluation model assess ED under a framework of plithogenic theory. The proposed framework addressed uncertainty and ambiguity in information with an efficient… More >

GABOR XANTUS^1,*, BALINT KISS², GYULA MOLNAR², CANDICE MATHESON³, V. ANNA GYARMATHY⁴, PETER L. KANIZSAI⁵

BIOCELL, Vol.45, No.3, pp. 445-449, 2021, DOI:10.32604/biocell.2021.014754 - 03 March 2021

Abstract For about a quarter of a century, monitoring lactate levels and/or lactate clearance has been an unquestionable cornerstone in sepsis management. The elevated lactate level appeared to be an independent predictor of mortality, and the consequent metabolic acidosis was thought to explain a number of pathophysiological changes seen in septic shock. Recent physiological and clinical findings seem to challenge the adverse role of lactic acidosis in sepsis. Evidence suggests that lactate levels are not necessarily directly proportional to either tissue or cellular hypoxia, and conversely, despite high lactate levels, increased peripheral tissue oxygen pressure can… More >

Katherine Awh^1,2, Morgan A. Venuti^1,2, Lacey P. Gleason^1,2, Rachel Rogers³, Srinivas Denduluri¹, Yuli Y. Kim^1,2

Congenital Heart Disease, Vol.14, No.5, pp. 726-734, 2019, DOI:10.1111/chd.12784

Abstract Objective: To determine the prevalence and predictors of nonattendance in an ACHD outpatient clinic, and to examine the relationship between nonattendance and emergency department (ED) visits, hospitalizations, and death.
Methods: Patients ≥ 18 years who had scheduled appointments at an ACHD outpatient clinic between August 1, 2014 and December 31, 2014 were included. The primary outcome of interest was nonattendance of the first scheduled appointment of the study period, defined as “no-show” or “same-day cancellation.” Secondary outcomes of interest were ED visits, hospitalizations, and death until December 2017.
Results: Of 527 scheduled visits, 55 (10.4%) were nonattended. Demographic… More >

Shaun Mohan¹, Brady S. Moffett², Wilson Lam², Caridad de la Uz², Christina Miyake², Santiago O. Valdes², Jeffrey J. Kim²

Congenital Heart Disease, Vol.12, No.4, pp. 507-511, 2017, DOI:10.1111/chd.12478

Abstract Objective: As survivors of congenital heart disease (CHD) continue to age, healthcare utilization by this population has increased. It is unknown how often these patients utilize the emergency department (ED) at children’s hospitals and how arrhythmias play a role in their utilization of care.
Design: Using a retrospective cohort design, the Pediatric Hospital Information System (PHIS) database was investigated and we studied adults (≥18 years) with CHD (ACHD) who presented to pediatric EDs from 2004 to 2014.
Setting: Tertiary care pediatric hospitals.
Results: Of the 6310 encounters to pediatric EDs, 1594 (25%) were for arrhythmias. The median age was… More >

A. Koba yashi¹, K. Suginuma², M. Furui chi¹

CMES-Computer Modeling in Engineering & Sciences, Vol.113, No.2, pp. 117-149, 2017, DOI:10.3970/cmes.2017.113.121

Abstract Triage is a method for determining the priority of patients’ treatment to improve survival rates. Different triage methods are used in hospitals, and they are applied after performing an evaluation based on standard methods such as the Japan Triage Acuity Scale (JTAS) or Emergency Severity Index (ESI). It is important to consider the characteristics of all the hospitals when assigning triage methods and emergency levels to them; the hospital managers make these decisions. We propose a multi-agent simulation method to support the hospital managers in employing the triage protocols according to their environment. We developed More >