HandheldBased Decision Support in Trauma Medicine

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Handheld-Based Decision Supportin Trauma Medicine

• Bla Zupan
• Faculty of Computer Science, University of
  Ljubljana
• Baylor College of Medicine, Houston

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Examples ofMedical Decision Support

• Probability of recurrence after radical
  prostatectomy
• Predicting patients long term clinical status
  after hip arthroplasty
• Wrist injuries should we operate?

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Why?

• Second opinion
• Systematic approach
• Decision analysis
• which factors are important
• how do they influence the decision
• Prognosis,
• Treatment planning,
• Diagnosis, ...

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Why handhelds?

• Handhelds are practical
• Decision support tool should be available
  wherever decision takes place
• They provide enough computing power

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Decision Support Models
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Sucess Story Prostogram

• MW Kattan, P Fern From 1999 in regular use at
  Memorial Sloan-Kettering Hospital and BCM

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Decision Support Shellon Palm(TM)
statistical analysis data mining
(synchronization)
decision support
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An example ...
Aoki N. et al Mathematical Analysis of Data from
the Hanshin-Awaji Earthquake.
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... An example
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Current Status

• Applications
• BCM Ben Taub Hospital, Houston traumatology
• Smrke (Clinical Center in Ljubljana, Slovenia)
  hip, wrist injury
• Kattan (Sloan-Kettering, NY) prostate cancer
• Methodology
• Logistic regression, other methods (table lookup,
  naive Bayes, survival models) coming soon
• Integration with data mining tools coming soon