Medical Same Day Emergency Care (SMDEC) services review almost half of all unplanned attendances requiring medical review. Activity has risen sharply, with monthly MSDEC admissions increasing by up to 160 percent in the past year. Patients present with a wide range of conditions and follow varied diagnostic pathways. Many require further investigations such as CT or MRI or assessment by specialty services which can lead to long waits or return visits. There are currently no agreed criteria for MSDEC patient selection.
To support research into these pathways, the NIHR PSRC and PIONEER have created a dataset of MSDEC activity. There are 5,081 patients included who are aged 65+ years and older. The dataset includes detailed demographics, symptoms, comorbidities, vital signs, investigations, imaging requests, specialty input, treatments, ward movement, discharge decisions, readmissions and mortality. It provides a comprehensive view of how patients move through MSDEC and the resources they use. The dataset enables analysis of variation, delays and predictors of outcomes in Same Day Emergency Care.
Geography: The West Midlands has a population of 6 million & includes a diverse ethnic & socio-economic mix. UHB is one of the largest NHS Trusts in England, providing direct acute services & specialist care across four hospital sites, with 2.2 million patient episodes per year, 2750 beds & > 120 ITU bed capacity. UHB runs a fully electronic healthcare record (EHR) (PICS; Birmingham Systems), a shared primary & secondary care record (Your Care Connected) & a patient portal “My Health”.
Data set availability: Data access is available via the PIONEER Hub for projects which will benefit the public or patients. This can be by developing a new understanding of disease, by providing insights into how to improve care, or by developing new models, tools, treatments, or care processes. Data access can be provided to NHS, academic, commercial, policy and third sector organisations. Applications from SMEs are welcome. There is a single data access process, with public oversight provided by our public review committee, the Data Trust Committee. Contact pioneer@uhb.nhs.uk or visit www.pioneerdatahub.co.uk for more details.
Available supplementary data: Matched controls; ambulance and community data. Unstructured data (images). We can provide the dataset in OMOP and other common data models and can build synthetic data to meet bespoke requirements.
Available supplementary support: Analytics, model build, validation & refinement; A.I. support. Data partner support for ETL (extract, transform & load) processes. Bespoke and “off the shelf” Trusted Research Environment build and run. Consultancy with clinical, patient & end-user and purchaser access/ support. Support for regulatory requirements. Cohort discovery. Data-driven trials and “fast screen” services to assess population size.
