Publications by authors named "O Billuart"
[Artificial intelligence for medical information departments : construction and evaluation of a decision-making tool to identify and prioritize stays of which the PMSI coding could be optimized, and to ensure the revenues generated by activity-based pricing].
Rev Epidemiol Sante Publique
February 2022
Background: Medical Information Departments help to optimize the hospital revenues generated by activity-based pricing. A review of medical files, selected after the targeting of coding summaries, is organized. The aim is to make any corrections to the diagnoses or coded procedures with a potential impact on the pricing of the stay.
View Article and Find Full Text PDFIntroduction: Vitamin K antagonist (VKA) related adverse events are the first cause for iatrogenic events in France, particularly due to the narrow therapeutic margin. The risk of bleeding increases significantly when the INR level is ≥5. The main objective of this study was to assess the prevalence of VKA overdose in a hospital setting (at D2 of hospital entry) and to evaluate physicians' adherence to clinical practice guidelines for the management of VKA overdose according to French National Authority for Health recommendations.
View Article and Find Full Text PDFArticle Synopsis
- The study aimed to investigate the link between blood pressure levels and antihypertensive medications at hospital admission and their effect on 1-year mortality in patients with critical limb ischemia undergoing revascularization.
- 315 patients were analyzed retrospectively, with a mean age of 77.9 years; 25.4% of these patients died within a year.
- Results indicated that higher systolic blood pressure (SBP), mean blood pressure (MBP), and pulse pressure (PP) were associated with lower mortality rates, suggesting that managing blood pressure could improve outcomes for these patients.*
Objective: To improve patient safety and clinical outcomes by reducing the risk of prescribing errors, we tested the accuracy of a hybrid clinical decision support system in prioritizing prescription checks.
Materials And Methods: Data from electronic health records were collated over a period of 18 months. Inferred scores at a patient level (probability of a patient's set of active orders to require a pharmacist review) were calculated using a hybrid approach (machine learning and a rule-based expert system).
Objective: In patients with critical limb ischemia (CLI), blood pressure (BP) impact on mortality is unknown. We analyzed the predictive value of SBP, DBP and pulse pressure (PP) at hospital admission on 3-month mortality in patients with CLI undergoing revascularization procedure.
Methods: From November 2013 to December 2018, 297 consecutive patients were retrospectively included.