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The aim of this retrospective study is to ascertain total direct costs, rehabilitation length of stay (RLOS) and factors associated with RLOS for neurological inpatient rehabilitation at the tertiary care hospital.
The aim of the study is to identify factors that influence RLOS and the correlated costs for neurological rehabilitation in tertiary rehab using data extracted from EPIC. It is also aimed to identify the median direct costs to find out the main contributors to the costs in the local population. Lastly, the study aims to utilise artificial intelligence or machine learning to analyse the compiled data to develop a predictive model. The model aspires to understand factors associated with extended RLOS and to predict RLOS of patients who require neurological rehabilitation, aiding preemptive measures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with tertiary neurological rehabilitation | Patients with confirmed diagnosis of stroke, acquired brain injuries, traumatic brain injuries, brain tumours, central nervous system infections and polytrauma from acute neurological or neurosurgical units in Singapore. The cohort will be selected from the TTSH Rehabilitation Centre (TTSH RC) admissions from year 2016 to the present. |
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| Measure | Description | Time Frame |
|---|---|---|
| Rehabilitation length of stay | Duration of which patient is admitted to and discharge from the rehabilitation ward. | 1998-2022 |
| Hospital bill | Bill size of patient's stay in the rehabilitation ward, including subsidies, insurance and copayment. | 2012-2022 |
| Housing type | Type of housing to look at the socio-economics status of the patients. | 2014-2023 |
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Inclusion Criteria:
• All patients who completed inpatient rehabilitation with the index conditions in their discharge summaries
Exclusion Criteria:
• Did not complete inpatient rehabilitation as they are discharged against medical advice
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Patients who have admitted to the rehabilitation ward during their inpatient episode for neurological rehabilitation.
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| Name | Affiliation | Role |
|---|---|---|
| Dr Karen Chua, MBBS | Tan Tock Seng Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tan Tock Seng Hospital | Singapore | Singapore |
PI need to verify the quality of the data as extraction will involve accessing Ministry of Health government website to obtain deidentified data set
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D001930 | Brain Injuries |
| D000070642 | Brain Injuries, Traumatic |
| D001932 | Brain Neoplasms |
| D002494 | Central Nervous System Infections |
| D009104 | Multiple Trauma |
| D009369 | Neoplasms |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D016543 | Central Nervous System Neoplasms |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
| D007239 | Infections |
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