Population-wide analysis of hospital laboratory tests to assess seasonal variation and temporal reference interval modification
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Population-wide analysis of hospital laboratory tests to assess seasonal variation and temporal reference interval modification. / Muse, Victorine P.; Aguayo-Orozco, Alejandro; Balaganeshan, Sedrah B.; Brunak, Søren.
In: Patterns, Vol. 4, No. 8, 100778, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Population-wide analysis of hospital laboratory tests to assess seasonal variation and temporal reference interval modification
AU - Muse, Victorine P.
AU - Aguayo-Orozco, Alejandro
AU - Balaganeshan, Sedrah B.
AU - Brunak, Søren
N1 - Publisher Copyright: © 2023 The Author(s)
PY - 2023
Y1 - 2023
N2 - We identified mortality-, age-, and sex-associated differences in relation to reference intervals (RIs) for laboratory tests in population-wide data from nearly 2 million hospital patients in Denmark and comprising more than 300 million measurements. A low-parameter mathematical wave-based modification method was developed to adjust for dietary and environment influences during the year. The resulting mathematical fit allowed for improved association rates between re-classified abnormal laboratory tests, patient diagnoses, and mortality. The study highlights the need for seasonally modified RIs and presents an approach that has the potential to reduce over- and underdiagnosis, affecting both physician-patient interactions and electronic health record research as a whole.
AB - We identified mortality-, age-, and sex-associated differences in relation to reference intervals (RIs) for laboratory tests in population-wide data from nearly 2 million hospital patients in Denmark and comprising more than 300 million measurements. A low-parameter mathematical wave-based modification method was developed to adjust for dietary and environment influences during the year. The resulting mathematical fit allowed for improved association rates between re-classified abnormal laboratory tests, patient diagnoses, and mortality. The study highlights the need for seasonally modified RIs and presents an approach that has the potential to reduce over- and underdiagnosis, affecting both physician-patient interactions and electronic health record research as a whole.
KW - DSML3: Development/pre-production: Data science output has been rolled out/validated across multiple domains/problems
KW - health data science
KW - hospital laboratory tests
KW - mortality
KW - reference intervals
KW - seasonality
U2 - 10.1016/j.patter.2023.100778
DO - 10.1016/j.patter.2023.100778
M3 - Journal article
C2 - 37602220
AN - SCOPUS:85167995684
VL - 4
JO - Patterns
JF - Patterns
SN - 2666-3899
IS - 8
M1 - 100778
ER -
ID: 365554145