I have noticed discussions in the GitHub AmsterdamUMCdb community regarding patient mortality outcomes. Specifically, in a discussion about whether in-hospital mortality rates can be calculated. It is clear that the destination field in the admissions table represents ICU outcomes. Due to the lack of a field for in-hospital mortality outcomes, it cannot be determined in-hospital mortality. It should be noted that 30-day mortality could be calculated instead of in-hospital mortality at the end of this issue.
However, I came across another statement indicating that "the database does not contain information to be completely sure what the follow-up time was for a specific patient" and that "for billing purposes, for a proportion of patients we also have that data while a care path (Dutch: DBC) is active with the hospital. Typically those care paths will be finalized within the year when no chronic care is provided."
Therefore, I would like to clarify:
Can mortality outcomes in AmsterdamUMCdb be calculated based on the dateofdeath field for 28-day, 90-day, 180-day, and 1-year mortality rates?
What is the maximum allowable period for calculating mortality rates?
If the above mortality rates cannot be calculated, why is the 30-day mortality rate deemed calculable?
Does the dateofdeath field include data on deaths occurring outside the hospital?
Thank you for your attention to these questions. I look forward to your reply at your convenience.
I have noticed discussions in the GitHub AmsterdamUMCdb community regarding patient mortality outcomes. Specifically, in a discussion about whether in-hospital mortality rates can be calculated. It is clear that the
destinationfield in theadmissionstable represents ICU outcomes. Due to the lack of a field for in-hospital mortality outcomes, it cannot be determined in-hospital mortality. It should be noted that 30-day mortality could be calculated instead of in-hospital mortality at the end of this issue.However, I came across another statement indicating that "the database does not contain information to be completely sure what the follow-up time was for a specific patient" and that "for billing purposes, for a proportion of patients we also have that data while a care path (Dutch: DBC) is active with the hospital. Typically those care paths will be finalized within the year when no chronic care is provided."
Therefore, I would like to clarify:
dateofdeathfield for 28-day, 90-day, 180-day, and 1-year mortality rates?dateofdeathfield include data on deaths occurring outside the hospital?Thank you for your attention to these questions. I look forward to your reply at your convenience.