Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot3 - STU 1 Ballot 3 World

Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

: Organ support-free days

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<EvidenceVariable xmlns="http://hl7.org/fhir">
  <id value="7753"/>
  <meta>
    <versionId value="6"/>
    <lastUpdated value="2023-12-01T16:35:08.324Z"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: EvidenceVariable 7753</b></p><a name="7753"> </a><a name="hc7753"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 6; Last updated: 2023-12-01 16:35:08+0000</p></div><p><b>ArtifactPublicationStatus</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/cited-artifact-status-type active}">Active</span></p><p><b>url</b>: <a href="https://fevir.net/resources/EvidenceVariable/7753">https://fevir.net/resources/EvidenceVariable/7753</a></p><p><b>identifier</b>: FEvIR Object Identifier/7753</p><p><b>name</b>: Organ_support_free_days</p><p><b>title</b>: Organ support-free days</p><p><b>citeAs</b>: </p><div><p>Organ support-free days [EvidenceVariable]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 7753. Revised 2022-03-07. Available at: https://fevir.net/resources/EvidenceVariable/7753. Computable resource at: https://fevir.net/resources/EvidenceVariable/7753.</p>
</div><p><b>status</b>: Active</p><p><b>date</b>: 2022-03-07 00:50:50+0000</p><p><b>author</b>: Brian S. Alper: </p><p><b>publisher</b>: Computable Publishing LLC</p><p><b>contact</b>: <a href="mailto:support@computablepublishing.com">support@computablepublishing.com</a></p><p><b>description</b>: </p><div><p>The primary outcome was organ support–free days, evaluated on an ordinal scale that combined in-hospital death and the number of days free of cardiovascular or respiratory organ support up to day 21 among patients who survived to hospital discharge. Patients who were discharged from the hospital before day 21 were assumed to be alive and free of organ support through day 21. Any death during the index hospitalization through 90 days was assigned the worst score on the outcome scale (–1). This end point reflects both the use of ICU-level interventions and survival, with higher values indicating better outcomes.</p>
</div><p><b>note</b>: , </p><blockquote><div><p>Organ support was defined as oxygen delivered by high-flow nasal cannula, noninvasive or invasive mechanical ventilation, or the use of vasopressors or inotropes.</p>
</div></blockquote><blockquote><div><p>The methods for one of the included trials stated 'Organ Support is defined as receipt of invasive or non-invasive mechanical ventilation, high flow nasal oxygen, vasopressor therapy, or ECMO support'</p>
</div></blockquote><p><b>copyright</b>: </p><div><p>https://creativecommons.org/licenses/by-nc-sa/4.0/</p>
</div><h3>Definitions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:">Days alive and free of organ support to day 21: The ordinal scale includes a score of –1 (in-hospital death at any time through 90 days, the worst possible outcome), a score of 0 to 21 (the numbers of days alive without organ support), and a score of 22 (survival until hospital discharge without receipt of organ support, the best possible outcome).</span></td></tr></table><p><b>handling</b>: <span title="Codes:{https://fevir.net/sevco STATO:0000228}">ordinal variable</span></p></div>
  </text>
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  </extension>
  <url value="https://fevir.net/resources/EvidenceVariable/7753"/>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="ACSN"/>
        <display value="Accession ID"/>
      </coding>
      <text value="FEvIR Object Identifier"/>
    </type>
    <system value="https://fevir.net/FOI"/>
    <value value="7753"/>
    <assigner>
      <display value="Computable Publishing LLC"/>
    </assigner>
  </identifier>
  <name value="Organ_support_free_days"/>
  <title value="Organ support-free days"/>
  <citeAs
          value="Organ support-free days [EvidenceVariable]. Contributors: Brian S. Alper [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 7753. Revised 2022-03-07. Available at: https://fevir.net/resources/EvidenceVariable/7753. Computable resource at: https://fevir.net/resources/EvidenceVariable/7753."/>
  <status value="active"/>
  <date value="2022-03-07T00:50:50.578Z"/>
  <author>
    <name value="Brian S. Alper"/>
  </author>
  <publisher value="Computable Publishing LLC"/>
  <contact>
    <telecom>
      <system value="email"/>
      <value value="support@computablepublishing.com"/>
    </telecom>
  </contact>
  <description
               value="The primary outcome was organ support–free days, evaluated on an ordinal scale that combined in-hospital death and the number of days free of cardiovascular or respiratory organ support up to day 21 among patients who survived to hospital discharge. Patients who were discharged from the hospital before day 21 were assumed to be alive and free of organ support through day 21. Any death during the index hospitalization through 90 days was assigned the worst score on the outcome scale (–1). This end point reflects both the use of ICU-level interventions and survival, with higher values indicating better outcomes."/>
  <note>
    <text
          value="Organ support was defined as oxygen delivered by high-flow nasal cannula, noninvasive or invasive mechanical ventilation, or the use of vasopressors or inotropes."/>
  </note>
  <note>
    <text
          value="The methods for one of the included trials stated 'Organ Support is defined as receipt of invasive or non-invasive mechanical ventilation, high flow nasal oxygen, vasopressor therapy, or ECMO support'"/>
  </note>
  <copyright value="https://creativecommons.org/licenses/by-nc-sa/4.0/"/>
  <definition>
    <concept>
      <text
            value="Days alive and free of organ support to day 21: The ordinal scale includes a score of –1 (in-hospital death at any time through 90 days, the worst possible outcome), a score of 0 to 21 (the numbers of days alive without organ support), and a score of 22 (survival until hospital discharge without receipt of organ support, the best possible outcome)."/>
    </concept>
  </definition>
  <handling>
    <coding>
      <system value="https://fevir.net/sevco"/>
      <code value="STATO:0000228"/>
      <display value="ordinal variable"/>
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  </handling>
</EvidenceVariable>