{"id":10876,"date":"2014-11-25T20:07:06","date_gmt":"2014-11-25T20:07:06","guid":{"rendered":"http:\/\/lab-dev.research.sickkids.ca\/teresa-to-lab\/?page_id=10876"},"modified":"2017-09-21T14:44:39","modified_gmt":"2017-09-21T14:44:39","slug":"glossary-of-terms","status":"publish","type":"page","link":"https:\/\/lab.research.sickkids.ca\/oasis\/glossary-of-terms\/","title":{"rendered":"<strong>OASIS: GLOSSARY OF TERMS<\/strong>"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:20px;--awb-padding-bottom:20px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"accordian fusion-accordian\" style=\"--awb-border-size:1px;--awb-icon-size:13px;--awb-content-font-size:18px;--awb-icon-alignment:left;--awb-hover-color:#f9f9f9;--awb-border-color:#cccccc;--awb-background-color:#ffffff;--awb-divider-color:#e0dede;--awb-divider-hover-color:#e0dede;--awb-icon-color:#ffffff;--awb-title-color:#0046ad;--awb-content-color:#000000;--awb-icon-box-color:#8e8e8e;--awb-toggle-hover-accent-color:#00156d;--awb-title-font-family:Arial, Helvetica, sans-serif;--awb-title-font-weight:400;--awb-title-font-style:normal;--awb-title-font-size:18px;--awb-content-font-family:Arial, Helvetica, sans-serif;--awb-content-font-style:normal;--awb-content-font-weight:400;\" id=\"glossary-toggles\"><div class=\"panel-group fusion-toggle-icon-boxed\" id=\"accordion-10876-1\"><div class=\"fusion-panel panel-default panel-ab78b4e5c54ce6567 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_ab78b4e5c54ce6567\"><a class=\"active\" aria-expanded=\"true\" aria-controls=\"ab78b4e5c54ce6567\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-10876-1\" data-target=\"#ab78b4e5c54ce6567\" href=\"#ab78b4e5c54ce6567\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Active Asthma <\/span><\/a><\/h4><\/div><div id=\"ab78b4e5c54ce6567\" class=\"panel-collapse collapse in\" aria-labelledby=\"toggle_ab78b4e5c54ce6567\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Describes those individuals with asthma who had at least one Ontario Health Insurance Program (OHIP) claim, emergency department (\u200eED) visit or hospitalization for \u200e asthma in a fiscal year\u200e. \u200eThese individuals are a subset of the asthma prevalence cohort.\u200e<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-eb8ad97699719cbfc fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_eb8ad97699719cbfc\"><a aria-expanded=\"false\" aria-controls=\"eb8ad97699719cbfc\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-10876-1\" data-target=\"#eb8ad97699719cbfc\" href=\"#eb8ad97699719cbfc\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Asthma-Related Conditions<\/span><\/a><\/h4><\/div><div id=\"eb8ad97699719cbfc\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_eb8ad97699719cbfc\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Asthma-related conditions include acute respiratory infections, other diseases of the upper respiratory tract, pneumonia and influenza, COPD and allied conditions, other diseases of lung or respiratory system, atopic dermatitis and related conditions, and symptoms involving respiratory system and other chest symptoms. In adults, asthma-related conditions also include gastro-esophageal reflux disorder, heartburn and allergic contact dermatitis. Please\u00a0<a href=\"https:\/\/lab.research.sickkids.ca\/oasis\/contact-us\/\">contact us<\/a>\u00a0for detailed ICD codes used in evaluating asthma-related conditions.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-8f074e23093ad0d02 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_8f074e23093ad0d02\"><a aria-expanded=\"false\" aria-controls=\"8f074e23093ad0d02\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-10876-1\" data-target=\"#8f074e23093ad0d02\" href=\"#8f074e23093ad0d02\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Canadian Triage Acuity Scale (CTAS)<\/span><\/a><\/h4><\/div><div id=\"8f074e23093ad0d02\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_8f074e23093ad0d02\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>A five-level instrument used to guide the triage process in Canadian emergency departments.<\/p>\n<ul>\n<li>Level 1 (resuscitative): Conditions that are threats to life or limb (or imminent risk of deterioration) requiring aggressive interventions. Time to MD: immediate. Time to nurse: immediate.<\/li>\n<li>Level 2 (emergent): Conditions that are a potential threat of life, limb or function, requiring rapid medical intervention or delegate acts. Time to MD: 15 minutes. Time to nurse: immediate.<\/li>\n<li>Level 3 (urgent): Conditions that could potentially progress to a serious problem requiring emergency intervention. May be associated with significant discomfort or affecting ability to function at work or activities of daily living. Time to MD:<\/li>\n<li>Level 4 (less urgent): Conditions related to patient age, distress, or potential for deterioration or complications that would benefit from intervention or reassurance within one to two hours.\u00a0Time to MD:<\/li>\n<li>Level 5 (non-urgent): Conditions that may be acute but non-urgent as well as conditions which may be part of a chronic problem with or without evidence of deterioration. The investigation or interventions for some of these illnesses or injuries could be delayed or even referred to other area of hospital or heath care system.\u00a0Time to MD: 120 minutes.\u00a0Time to nurse: 120 minutes.<sup>1<\/sup><\/li>\n<\/ul>\n<p><sup>1<\/sup>CTAS: Canadian Triage and Acuity Scale Implementation Guidelines,\u00a0<em>CJEM Oct 1999 Special Supplement<\/em>.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-57e4e6fafaa6c3a87 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_57e4e6fafaa6c3a87\"><a aria-expanded=\"false\" aria-controls=\"57e4e6fafaa6c3a87\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-10876-1\" data-target=\"#57e4e6fafaa6c3a87\" href=\"#57e4e6fafaa6c3a87\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Deprivation Quintile <\/span><\/a><\/h4><\/div><div id=\"57e4e6fafaa6c3a87\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_57e4e6fafaa6c3a87\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>The Ontario Marginalization Index (ON-Marg) is a census and geographically based index derived to show differences in marginalization between areas and to understand inequalities in various measures of health and social well-being in populations or geographical areas. This index includes four dimensions, including material deprivation (no high school graduation, lone parent families, government transfers, unemployment, low income, homes needing major repairs), dependency (seniors, ratio of population ages 0\u00a0to\u00a014 and 65+ to population ages 15\u00a0to\u00a064, labour force participation), residential instability (living alone, youth, persons per dwelling, apartments, married, owner-occupied house, residential mobility in past five years) and ethnic concentration (recent immigrants and visible minorities). The index applies to small, relatively stable population between 2,500 and 8,000 living with similar economic and social conditions. In these analyses we used the deprivation domain as a proxy measure of socio-economic status, expressed in quintiles, with Q1 being the least and Q5 the most deprived populations.<sup>2<\/sup><\/p>\n<p><sup>2<\/sup>Matheson FI, Moineddin R, Dunn JR, Creatore MI, Gozdyra P, Glazier RH: Urban neighborhoods, chronic stress, gender and depression. Soc Sci Med 2006, 63(10):2604-2616.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-9fb2618968ff32730 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_9fb2618968ff32730\"><a aria-expanded=\"false\" aria-controls=\"9fb2618968ff32730\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-10876-1\" data-target=\"#9fb2618968ff32730\" href=\"#9fb2618968ff32730\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Emergency Department (ED) Wait Time <\/span><\/a><\/h4><\/div><div id=\"9fb2618968ff32730\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_9fb2618968ff32730\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Our asthma statistics separate ED wait time into three categories:<\/p>\n<ul>\n<li>Triage 1\u00a0(time from triage to physician assessment):\u00a0This measures the time a patient waits in the ED before initial assessment by a physician occurs. This interval of time starts once the patient has registered in the ED (or has been triaged, whichever came first) and stops once they are initially assessed by a physician.<\/li>\n<li>Triage 2\u00a0(time from physician assessment to disposition): This measures the time (in minutes) between the patient\u2019s initial assessment by a physician and their eventual disposition, which could be hospital admission, admission to the intensive care unit, death, or discharge. This interval of time starts once the patient has been initially assessed by a physician, and stops when a decision is reached regarding their eventual disposition.<\/li>\n<li>Total\u00a0(time from triage to disposition): This measures the time that a patient waits in the ED before their eventual disposition. This interval of time starts once the patient has registered in the ED (or has been triaged, whichever came first) and stops once a decision is reached regarding their eventual disposition.<\/li>\n<\/ul>\n<p>These statistics also refer to four hospital types:<\/p>\n<ul>\n<li><em>Paediatric<\/em>\u00a0hospitals are those for patients \u226418 years of age.<\/li>\n<li><em>Small<\/em>\u00a0hospitals are single community providers with &lt;2,700 inpatient acute, CCC and day surgery weighted cases.<\/li>\n<li><em>Teaching<\/em>\u00a0hospitals have membership in the Council of Academic Hospitals of Ontario (CAHO).<\/li>\n<li><em>Community<\/em>\u00a0hospitals encompass those hospitals not defined as small or teaching.<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-bd869df4f5cd57900 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_bd869df4f5cd57900\"><a aria-expanded=\"false\" aria-controls=\"bd869df4f5cd57900\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-10876-1\" data-target=\"#bd869df4f5cd57900\" href=\"#bd869df4f5cd57900\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Incidence <\/span><\/a><\/h4><\/div><div id=\"bd869df4f5cd57900\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_bd869df4f5cd57900\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Incidence is the number of new cases of a given condition over a specific time period, divided by the number of people at risk over that same time period.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-28ece9270101bae12 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_28ece9270101bae12\"><a aria-expanded=\"false\" aria-controls=\"28ece9270101bae12\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-10876-1\" data-target=\"#28ece9270101bae12\" href=\"#28ece9270101bae12\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Income Quintile<\/span><\/a><\/h4><\/div><div id=\"28ece9270101bae12\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_28ece9270101bae12\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Socioeconomic status was inferred from neighbourhood income derived from postal codes and census data and is expressed in quintiles.<sup>3<\/sup><\/p>\n<p><sup>3<\/sup>Wilkins R. PCCF+ Version 4D User\u2019s Guide (Geocodes\/PCCF). Automated Geographic Coding Based on the Statistics Canada Postal Code Conversion Files, Including Postal Codes to December 2003. Ottawa: Statistics Canada, 2004.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-4502526da477dbbf0 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_4502526da477dbbf0\"><a aria-expanded=\"false\" aria-controls=\"4502526da477dbbf0\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-10876-1\" data-target=\"#4502526da477dbbf0\" href=\"#4502526da477dbbf0\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Prevalence <\/span><\/a><\/h4><\/div><div id=\"4502526da477dbbf0\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_4502526da477dbbf0\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>The prevalence is the number of people with the condition. The formula for the prevalence rate is:<\/p>\n<ul>\n<li><em>Prevalence Rate<\/em>\u00a0= (Number of people with the condition) \/ Population<\/li>\n<\/ul>\n<\/div><\/div><\/div><div class=\"fusion-panel panel-default panel-420efb97dc74ad205 fusion-toggle-has-divider\"><div class=\"panel-heading\"><h4 class=\"panel-title toggle\" id=\"toggle_420efb97dc74ad205\"><a aria-expanded=\"false\" aria-controls=\"420efb97dc74ad205\" role=\"button\" data-toggle=\"collapse\" data-parent=\"#accordion-10876-1\" data-target=\"#420efb97dc74ad205\" href=\"#420efb97dc74ad205\"><span class=\"fusion-toggle-icon-wrapper\" aria-hidden=\"true\"><i class=\"fa-fusion-box active-icon awb-icon-minus\" aria-hidden=\"true\"><\/i><i class=\"fa-fusion-box inactive-icon awb-icon-plus\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-toggle-heading\">Rurality <\/span><\/a><\/h4><\/div><div id=\"420efb97dc74ad205\" class=\"panel-collapse collapse \" aria-labelledby=\"toggle_420efb97dc74ad205\"><div class=\"panel-body toggle-content fusion-clearfix\">\n<p>Rural communities are defined as those with fewer than 10,000 people.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10876","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.0 (Yoast SEO v27.0) - 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