Comparison of Unplanned 30-Day Readmission Prediction Models, Based on Hospital Warehouse and Demographic Data...30th Medical Informatics Europe Conference

Anticipating unplanned hospital readmission episodes is a safety and medico-economic issue. We compared statistics (Logistic Regression) and machine learning algorithms (Gradient Boosting, Random Forest, and Neural Network) for predicting the risk of all-cause, 30-day hospital readmission using data...

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Publicado en:Studies in Health Technology & Informatics Vol. 270; pp. 547 - 552
Autores principales: DHALLUIN, Thibault, BANNAY, Aurélie, LEMORDANT, Pierre, SYLVESTRE, Emmanuelle, CHAZARD, Emmanuel, CUGGIA, Marc, BOUZILLE, Guillaume
Formato: proceedings research tables/charts Journal Article
Publicado: Sage Publications Inc. 2020
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Comparison of Unplanned 30-Day Readmission Prediction Models, Based on Hospital Warehouse and Demographic Data...30th Medical Informatics Europe Conference
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          DHALLUIN, Thibault
          BANNAY, Aurélie
          LEMORDANT, Pierre
          SYLVESTRE, Emmanuelle
          CHAZARD, Emmanuel
          CUGGIA, Marc
          BOUZILLE, Guillaume
        affil: Univ Rennes, CHU Rennes, Inserm, LTSI – UMR 1099, F-35000 Rennes, France.
      sug:
        subj:
          Readmission
          Data Warehouse
          Socioeconomic Factors
          Human
          Congresses and Conferences
          Logistic Regression
          Algorithms
          Machine Learning
          Medical Informatics
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Length of Stay
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Anticipating unplanned hospital readmission episodes is a safety and medico-economic issue. We compared statistics (Logistic Regression) and machine learning algorithms (Gradient Boosting, Random Forest, and Neural Network) for predicting the risk of all-cause, 30-day hospital readmission using data from the clinical data warehouse of Rennes and from other sources. The dataset included hospital stays based on the criteria of the French national methodology for the 30-day readmission rate (i.e., patients older than 18 years, geolocation, no iterative stays, and no hospitalization for palliative care), with a similar pre-processing for all algorithms. We calculated the area under the ROC curve (AUC) for 30-day readmission prediction by each model. In total, we included 259114 hospital stays, with a readmission rate of 8.8%. The AUC was 0.61 for the Logistic Regression, 0.69 for the Gradient Boosting, 0.69 for the Random Forest, and 0.62 for the Neural Network model. We obtained the best performance and reproducibility to predict readmissions with Random Forest, and found that the algorithms performed better when data came from different sources.
      pubtype: Academic Journal
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        research
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      ougenre: Article
    language: English
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