Chien-Hua Huang, Chairman and clinical professor in the Department of Emergency Medicine at NTUH, with invaluable assistance from Dr. This dataset was conceived of and created by Dr. It’s the leading hospital for cardiovascular treatment in Taiwan, treating around 3,400 cardiac catheterization cases every year. Its busy emergency department sees approximately 100,000 patients every year. It’s the largest hospital in Taiwan, with 1,300 full-time physicians. Our partnersĮstablished in 1895, National Taiwan University Hospital (NTUH) is a massive, 2,300-bed hospital located in Taipei. The team would also monitor the patient’s course in the ED and the hospital, to enter a variety of other outcome data: the patient’s survival and neurological function, and what the eventual cause of the arrest was determined to be, by the doctors who cared for the patient in the hospital. Research staff would identify patients in the ED with cardiac arrest, and physicians would then review the medical records and enter the patient into a ‘registry’ dataset, using an Utstein-style reporting template. Over the past 10 years, the National Taiwan University Hospital (NTUH) has captured and stored ECG waveforms from all adult (over 20 years old) Emergency Department (ED) patients in cardiac arrest: those brought in by ambulance in cardiac arrest, and those experiencing cardiac arrest in the ED or the waiting room. This rich signal might also contain other clues: about why the heart stopped, what physicians can do in the ER to give the patient the best possible chance of surviving, and the likelihood that a patient who survives will have a normal life, without profound physical or neurological impairments. Physicians use this to determine which immediate actions are needed: most importantly, does the patient need to be shocked (cardioverted), or need some critical medication to restart the heart. One of the only pieces of data available to the emergency physician in this situation is the electrocardiogram (ECG), which measures the electrical activity of the heart. What happened to cause the arrest? What immediate actions need to be taken? And what will happen to the patient? As the physician begins the resuscitation, she knows only that the patient’s heart has stopped-but nothing else. The problemĪ patient is rushed into the ER, unconscious and in cardiac arrest. “Solving Medicine’s Data Bottleneck: Nightingale Open Science.” Nature Medicine 28, no. “Solving Medicine’s Data Bottleneck: Nightingale Open Science.” Nature Medicine, vol. MLA Mullainathan, Sendhil, and Ziad Obermeyer. Solving medicine’s data bottleneck: Nightingale Open Science.
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