Machine Learning in Discharge Planning for Stroke Patients: A Review of Feature Representation and Aggregation Strategies With Suggestions for Improvement...Cui Y, Xiang L, Zhao P, et al. Machine learning decision support model for discharge planning in stroke patients. Journal of Clinical Nursing (John Wiley & Sons, Inc). 2024;33(8):3145-3160.

The article focuses on a machine learning (ML) decision support model for discharge planning in acute stroke patients, highlighting its integration of clinical severity, functional status, and social determinants of health to enhance nursing-led decision-making. The study employs a prospective cohor...

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Publicado en:Journal of Clinical Nursing (John Wiley & Sons, Inc.) Vol. 35; no. 9; pp. 3989 - 3991
Autores principales: Liu, Siyu, Cai, Jiaxin
Formato: commentary letter Journal Article
Publicado: John Wiley & Sons, Inc. Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2026
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      pub: John Wiley & Sons, Inc.
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        atl: Machine Learning in Discharge Planning for Stroke Patients: A Review of Feature Representation and Aggregation Strategies With Suggestions for Improvement...Cui Y, Xiang L, Zhao P, et al. Machine learning decision support model for discharge planning in stroke patients. Journal of Clinical Nursing (John Wiley & Sons, Inc). 2024;33(8):3145-3160.
      aug:
        au:
          Liu, Siyu
          Cai, Jiaxin
        affil: School of Computer and Information Engineering, Xiamen University of Technology, Xiamen Fujian,, China
      sug:
        subj:
          Machine Learning Methods
          Decision Support Systems, Clinical Utilization
          Patient Discharge Standards
          Stroke Patients
          Discharge Planning
          Nursing Informatics
          Stroke Rehabilitation
          Reproducibility of Results
      ab: The article focuses on a machine learning (ML) decision support model for discharge planning in acute stroke patients, highlighting its integration of clinical severity, functional status, and social determinants of health to enhance nursing-led decision-making. The study employs a prospective cohort design and identifies a random forest model as the best-performing algorithm, with key predictors including the NIH Stroke Scale (NIHSS) score, Barthel Index, FRAIL score, and family income. The authors discuss methodological considerations, suggesting that current ML approaches treating variables independently may overlook complex interactions, and propose advanced feature aggregation techniques like spectral methods to improve model robustness and interpretability. Emphasizing that ML tools should augment rather than replace clinical judgment, the article underscores the potential for improved transferability and clinical relevance through refined representation learning in discharge planning systems.
      pubtype: Academic Journal
      doctype:
        commentary
        letter
        Journal Article
      ougenre: Article
    language: English
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