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Exploring MIMIC-III Critical Care Database
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README.md

Exploring MIMIC-III Critical Care Database

The examples in this repository build on the information from the MIMIC-III: Getting Started repository.

PowerPoint slides are in the root directory in both .pptx and .pdf formats for a talk given at the Kansas City R Users Group on Feb. 9, 2019: Exploring MIMIMC-III Critical Care Data Using Postgres/tidyverse/dbplyr/dplyr.

Repository Directories

Let's build a data dictionary with information about fields by table and how they can be used.

The MIMIC-III database schema can be viewed online here.

Database tables

patients

  • Explore the six fields in the patients table.

  • Why is there a pattern in the counts of records by subject_id?

  • Let's compute age at death for patients when both dob (date of birth) and dod (date of death) are defined.

  • To protect patient anonymity dates were shifted. Patients originally >89 years old show up as 300 years old! This is an unusual approach.

  • Database drivers RPostgres and PostgreSQL give different age-at-death density plots (for now) since date computations are not always correct.

admissions

  • Explore the 15 fields in the admissions table.

  • A log scale was used to view a density plot for length-of-stay computed from admit time to discharge time.

  • The relationship between the diagnosis field in this table and the diagnoses_icd table information is unclear.

diagnoses_icd and d_icd_diagnoses

  • Explore the diagnoses_icd fact table with additional information in the d_icd_diagnoses dimension table.

  • A bar plot of seq_num (diagnosis priority) shows values can range from 1 to 39, but usually are less than 10.

  • The dimension table has many icd 9 codes that are never referenced by a fact table record.

  • The fact table has over 140 icd 9 codes that cannot be found in the dimension table.

  • A left_join is likely more desirable than an inner_join when connecting the dimension table to the fact table.

  • Computed Summaries

    • Counts by ICD Diagnosis COde

    • Counts by primary vs secondary diagnosis by ICD Diagnosis Code (stored in file)

    • Counts by 10-year age intervals by ICD Diagnosis Code (stored in file)

chartevents

  • Explore chartevents table with 330 million records and over 6400 types of chart events from two different dbsources.

  • Explore event categories, parameter types, and units of measure.

labevents

  • The "first look" file identified data inconsistencies with valueuom (value unit of measure), and several fields in the lab items dimension.

  • The file Lab-Event-Multiple-Units.xlsx identifies loinc_codes and itemids with multiple units of measure.

  • The file Lab-Event-Item-Counts.xlsx shows lab event counts by loinc_code and itemid along with the label and unit(s) of measure.

  • The file Lab-Event-Fluid-Category-Counts shows lab event counts by fluid (9 groups) and category (3 groups).

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