Machine Learning Models to Predict Readmission Risk of Patients with Schizophrenia in a Spanish Region.

Currently, high hospital readmission rates have become a problem for mental health services, because it is directly associated with the quality of patient care. The development of predictive models with machine learning algorithms allows the assessment of readmission risk in hospitals. The main obje...

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Publicado en:International Journal of Mental Health & Addiction Vol. 22; no. 4; pp. 2508 - 2528
Autores principales: Góngora Alonso, Susel, Herrera Montano, Isabel, Ayala, Juan Luis Martín, Rodrigues, Joel J. P. C., Franco-Martín, Manuel, de la Torre Díez, Isabel
Formato: Artículo
Publicado: Springer Nature Aug2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
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      pub: Springer Nature
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        10.1007/s11469-022-01001-x
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        atl: Machine Learning Models to Predict Readmission Risk of Patients with Schizophrenia in a Spanish Region.
      aug:
        au:
          Góngora Alonso, Susel
          Herrera Montano, Isabel
          Ayala, Juan Luis Martín
          Rodrigues, Joel J. P. C.
          Franco-Martín, Manuel
          de la Torre Díez, Isabel
        affil:
          https://ror.org/01fvbaw18 Department of Signal Theory and Communications, and Telematics Engineering, University of Valladolid, Paseo de Belén, 15, 47011, Valladolid, Spain
          https://ror.org/048tesw25 Faculty of Health Sciences, European University of the Atlantic, Isabel Torres, 21, 39011, Santander, Spain
          Department of Education, International Iberoamerican University, 24560, Campeche, Mexico
          https://ror.org/05gbn2817 College of Computer Science and Technology, China University of Petroleum (East China), 266555, Qingdao, China
          https://ror.org/02ht4fk33 Instituto de Telecomunicações, Covilhã, Portugal
          Psychiatry and Mental Health Department, Zamora Hospital (Sacyl), Hernan Cortés, 45, 49021, Zamora, Spain
      su:
        Mental health services
        Machine learning
        Patient readmissions
        People with schizophrenia
        Public hospitals
      sug:
        subj:
          Mental health services
          Residential Mental Health and Substance Abuse Facilities
          Psychiatric and Substance Abuse Hospitals
          Offices of Mental Health Practitioners (except Physicians)
          General Medical and Surgical Hospitals
          Machine learning
          Patient readmissions
          People with schizophrenia
          Public hospitals
      keyword:
        Algorithms
        Readmission
        Risk factors
        Schizophrenia
        Algorithms
        Readmission
        Risk factors
        Schizophrenia
      ab: Currently, high hospital readmission rates have become a problem for mental health services, because it is directly associated with the quality of patient care. The development of predictive models with machine learning algorithms allows the assessment of readmission risk in hospitals. The main objective of this paper is to predict the readmission risk of patients with schizophrenia in a region of Spain, using machine learning algorithms. In this study, we used a dataset with 6089 electronic admission records corresponding to 3065 patients with schizophrenia disorders. Data were collected in the period 2005–2015 from acute units of 11 public hospitals in a Spain region. The Random Forest classifier obtained the best results in predicting the readmission risk, in the metrics accuracy = 0.817, recall = 0.887, F1-score = 0.877, and AUC = 0.879. This paper shows the algorithm with highest accuracy value and determines the factors associated with readmission risk of patients with schizophrenia in this population. It also shows that the development of predictive models with a machine learning approach can help improve patient care quality and develop preventive treatments.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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