Shah Lab

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====== Clinical Informatics Consult at Stanford ======

The **Clinical Informatics Consult** is an IRB approved project to study the use of routinely collected data on millions of individuals for providing better care. Given a specific clinical question, we provide a report with a descriptive summary of similar patients in Stanford’s clinical data warehouse, treatment choices made, and observed outcomes.

We have access to demographics, diagnoses, procedures, medications, laboratory values, clinical notes, mortality, and length of stay information for millions of patients. If you are in an uncertain clinical situation and wonder, "What happened to other patients like mine?", we would love to help. To request a consult, please e-mail **[[greenbutton@stanford.edu|]]** from your Stanford email account.

===== Learn More =====

[[https://stanmed.stanford.edu/2019summer/millions-ehr-harnessed-ultimate-consult-each-patient.html|Read our story]], [[:service_details | learn how we got started]], watch videos below, or check out our [[https://stanfordhealthcare.org/stanford-health-now/ceo-report/biomedical-insights-putting-data-science-to-work-for-patients.html | CEO's annual report]] and {{ ::shc_data_science_for_patients.pdf | brochure}}.

{{youtube>fuyVriaq5Vk?small | One minute video on the Informatics Consult Service}}

One minute video on the Informatics Consult Service.

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{{youtube>6oEFK24s8yU?small | Two minute video on the search engine that powers service}}

Two minute video on the search engine that powers the service.

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{{youtube>2ERCBBQOMlg?t=460&small | 45 minute grand rounds talk launching the service in 2017}}

45 minute grand rounds talk launching the service in 2017.

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===== Example Questions =====

  - How frequently was a positive procalcitonin (defined as a result ≥ 0.5 or ≥ 2.0) associated with a positive blood culture in adults between 2013 and 2017? [[https://drive.google.com/file/d/1Za2raSDIwDaDQj_tVTN0fKqeLyhwQZz9/view?usp=sharing|See report]].
  - Of patients administered opioids as inpatients or prescribed opioids as an outpatient and discharged with adequate, inadequate, or no bowel regimen, how many suffer constipation, bowel perforation, or colitis within the 30-day post-discharge period? [[https://drive.google.com/file/d/1--fXMkiW2_cmp3jZCIcKMcg0dLkTjjXe/view?usp=sharing|See report]].
  - In female patients at least 18 years old and diagnosed with a urinary tract infection, and prescribed a sulfonamide antibiotic, is there any difference in peak blood glucose after treatment compared to patients prescribed a cephalosporin antibiotic or penicillin derivative antibiotic? [[https://drive.google.com/file/d/1jg0jwH9MivsIneOQ1SKWa65WEBzgONh1/view?usp=sharing|See report]].
  - What is the population of admitted children (age 1 year - 17 years inclusive) who have acute kidney injury (AKI; defined as > 1.5x their baseline creatinine value) within the first 7 days of admission? [[https://drive.google.com/file/d/1_3_CugtlEpwMKxzJkYjanZ6VUV-NOOZq/view?usp=sharing|See report]].
  - How many patients aged 0 to 17 years received a new diagnosis of fever of unknown origin (FUO), Kawasaki disease, apparent life-threatening event or brief resolved unexplained event (ALTE/BRUE), or seizure (febrile, simple partial, complex partial, generalized idiopathic epilepsy) in the year 2016? [[https://drive.google.com/file/d/1ttu3CKyZKa2VS8u2jvUFJxLapoTuQ5YS/view?usp=sharing|See report]].

===== Consult Team =====

  * [[https://med.stanford.edu/profiles/166781|Saurabh Gombar MD, PhD]]
  * [[https://med.stanford.edu/profiles/alison-callahan|Alison Callahan, PhD]]
  * Vladimir Polony
  * Ken Jung, PhD
  * [[https://med.stanford.edu/profiles/nigam-shah|Nigam Shah MBBS, PhD]] (Principal Investigator)
  * [[https://profiles.stanford.edu/robert-harrington|Robert Harrington, MD]] (Executive Sponsor)

===== Data Science Collaborators =====

  * [[https://profiles.stanford.edu/robert-tibshirani|Robert Tibshirani, PhD]]
  * [[https://profiles.stanford.edu/trevor-hastie|Trevor Hastie, PhD]]
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