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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, as described in the 1-minute video below.
Procalcitonin and Positive Blood Cultures - Between 2013 and 2017, in adult patients, how frequently was a positive procalcitonin (defined as a result ≥ 0.5 or ≥ 2.0) associated with a positive blood culture?
Inadequate bowel regimen and subsequent adverse outcomes - 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?
Urinary Tract Infection Antibiotic selection and hyperglycemia - 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?
Incidence of Pediatric Acute Kidney Injury - 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?
Incidence of Fever of Unknown Origin - 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?
The search engine powering the consult | 45 min talk with details