by David G
In Montreal Quebec there was a study done among 1431 patients using a predictive algorithm to identify adult asthmatics from medical services and pharmacy claims databases. It’s goal is to diagnose adult asthmatics who have no idea they may have some form of asthma. One of their challenges with creating this type of system was using both databases to identify predictors of poor health and accurately identifying patients with asthma. Using two sources from the Medical Office of the Twenty First Century (MOXXI), which is an electronic prescription and drug management system that contains 1,538 patients who consented, they were able to retrieve dispensed prescriptions, diagnostic codes, and dates of medical visits. Their other source of information was from an electronic prescription database where the physician indicates a therapeutic indication, in this case asthma. Patients were considered to have or not have asthma according to the diagnostic codes and prescription indication. Of those 1,431 patients were included in the analysis and 50 percent of the subjects were selected at random after being placed by some type of asthma status. So 714 subjects were included in the final predictive model. In total they identified 193 patients as having asthma of the 1,431 patients. So 13.5 percent of those patients were diagnosed with asthma and 86.5 were diagnosed at not having asthma. The availability of having health care databases allows researchers to capture valuable clinical information and monitor quality of care and asthma patients’ control status. It also helps in many other types of patients that don’t have asthma.
This study is about helping adults discover they may have asthma. Using databases and algorithms we can identify or at least monitor how patients get treated with asthma. This is where medical databases excel. They can provide valuable research and tools needed to not only help studies but patient health. Since they were able to use more than one database for examinations their results were more accurate and acceptable. It was also used with consent from the patients studied.
I love when I read articles of study like this. I am an asthmatic and was diagnosed with it at the age of 5. I have had a constant battle with asthma all my life and now manage to control it very well. I know that helping others in medical studies is always a great idea. There are people that study all type of related illnesses and even though asthma is not curable it can be maintainable. This type of system would be beneficial to patients with maybe cancer or another illness that can be diagnosed early and maybe prevented or treated from progressing. I am a big advocate of medicine and quality of human life. Your health is the most important thing in this world.
Citation Cal Poly Pomona University Library Catalog – My Library Accout – WAM. 1 June 2011. Web. 20 Nov. 2011. <http://0-web.ebscohost.com.opac.library.csupomona.edu/ehost/pdfviewer/pdfviewer?vid=3>.