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Identify cardiac arrest event and occurrence time #1629

Open hidoyebi opened 10 months ago

hidoyebi commented 10 months ago

Prerequisites

Description

Hello, I have a quick question. I try to identify cardiac arrest event and occurrence time in MIMIC-IV.

Cardiac arrest event, start time and end time were found in procedureevents by item ID 225466 (cardiac arrest).

Is it possible to know the all cardiac event and time of occurrence of cardiac arrest with the information in procedureevents?

Is there anything else I should consider to find out the Cardiac Arrest and the time it occurred?

Thank you in advance to those who will respond.

alistairewj commented 9 months ago

I have a strong suspicion the procedureevents itemid would miss a lot of events. At a minimum, it would miss in-hospital cardiac arrest which did not occur in an ICU.

You might consider a billing code based approach, but the sensitivity will be low as well: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625314/

It seems like the ICD procedure code for cardiopulmonary resuscitation NOS (not otherwise specified) had reasonable sensitivity for in-patient cardiac arrest (83% in the linked paper). Since the date of the procedure is available in procedures_icd, that might be a good path forward. You'll need to get both the ICD-9 and ICD-10 code though.