The sequence of clinical trajectories for a given patient until death or end of simulation was fully determined by a set of estimated probabilities.
Clinical trajectories usually yield models restricted to a single piece of hospital information system.
The clinical trajectories of such different patient populations and differences in their mix across facilities lead to different expectations regarding facility QI performance.
Clinical trajectories of individuals with severe SDB are described by a prolonged recovery of pulmonary function, delayed weaning and a pronounced inflammatory response after surgery.
For example, if the user wants to study the clinical trajectories of diabetics, the user can define a list of factors related to diabetes.
The aim of clinical trajectories is to offer a flowchart format for the decisions to be made and the care to be provided for a given patient or patient group.
Although our checklist has not addressed analytical techniques, the choice of technique is crucial, given that analyses of time intervals are used to monitor quality of clinical trajectories and in research on prognosis of cancer.
However, their clinical trajectories are also experience dependent, and so heavily influenced by environmental and experiential phenomena such as stress, exposure to substance use, psychological trauma, social attachments, internal representations of self and other sociocultural influences such as the degree of early stress and of nurturing (Grossman et al., 2003; Leonardo and Hen, 2008).
While methods of data mining aim to discover details in clinical trajectories or clinical pathways, the number of patterns discovered need to be restricted to the main stages defined by guidelines when the objective is to provide routine evaluation indicators of the compliance of observed care trajectories to guidelines.
Such an analysis (1) simplifies disease trajectory and response to treatment as linear phenomena, (2) ignores the complexity of the AD syndrome, and (3) does not take into account patient-to-patient variability in clinical trajectories, including the variability in emergence, duration, and severity of symptoms [ 16- 18].
