Is Regular Re-Training of a Predictive Delirium Model Necessary After Deployment in Routine Care?

Adoption of electronic medical records in hospitals generates a large amount of data. Health care professionals can easily lose their sight on the important insights of the patients' clinical and medical history. Although machine learning algorithms have already proved their significance in healthca...

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Publicado en:Studies in Health Technology & Informatics Vol. 260; pp. 186 - 192
Autores principales: VEERANKI, Sai Pavan Kumar, KRAMER, Diether, HAYN, Dieter, JAUK, Stefanie, EGGERTH, Alphons, QUEHENBERGER, Franz, LEODOLTER, Werner, SCHREIER, Günter
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2019
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        atl: Is Regular Re-Training of a Predictive Delirium Model Necessary After Deployment in Routine Care?
      aug:
        au:
          VEERANKI, Sai Pavan Kumar
          KRAMER, Diether
          HAYN, Dieter
          JAUK, Stefanie
          EGGERTH, Alphons
          QUEHENBERGER, Franz
          LEODOLTER, Werner
          SCHREIER, Günter
        affil: AIT Austrian Institute of Technology, Graz, Austria
      sug:
        subj:
          Delirium Risk Factors
          Models, Theoretical
          Machine Learning
          Risk Assessment
          Human
          Retrospective Design
          Electronic Health Records
          ROC Curve
          Hospitalization
      ab: Adoption of electronic medical records in hospitals generates a large amount of data. Health care professionals can easily lose their sight on the important insights of the patients' clinical and medical history. Although machine learning algorithms have already proved their significance in healthcare research, remains a challenge translation and dissemination of fully automated prediction algorithms from research to decision support at the point of care. In this paper, we address the effect of changes in the characteristics of data over time on the performance of deployed models for the use case of predicting delirium in hospitalised patients. We have analysed the stability of models trained with subsets of data from one single year (2012, 2013...2016, respectively), and tested the models with data from 2017. Our results show that in the case of delirium prediction, the models were stable over time, indicating that re-training the models is not necessary e.g. once per year might be more than sufficient.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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