Palliative/DNR/DNI orders

[SimoneZappa]

Hello,

I am studying the article P. J. Thoral et al., “Explainable Machine Learning on AmsterdamUMCdb for ICU Discharge Decision Support: Uniting Intensivists and Data Scientists” and I would like to know how the authors could have identified "Palliative care patients and patients with do-notresuscitate or do-not-intubate orders" Unfortunately, I'm not a dutch speaker.

Thanks, Simone

[patrickthoral]

While it's currently not possible to completely replicate the exclusion of all patients from the public data set, since not all patients had a discrete DNR/DNI order, these are te terms you are looking for:

itemid	item	value	valueid
10673	Beleid	I	1
10673	Beleid	II	2
10673	Beleid	III	3

The 'Code' (Beleid) orders are I: Full Code II: Do not Resuscitate/Do not Intubate in addition to order 'Do Not' orders III: Palliative Care

[SimoneZappa]

Thank you for your accurate answer! In my first attempt to replicate your analysis I excluded patients who died on the same day or the day after discharge, obtaining higher performance.

This is not the right place to delve into this issue, but I believe that a similar exclusion strategy applied to readmission within 48 hours might not be considered cheating [M.J. Al-Jaghbeer et al.].

Best regards, Simone