Random Forests on Ubiquitous Data for Heart Failure 30-Day Readmissions Prediction

作者: Michael A. Vedomske , Donald E. Brown , James H. Harrison

DOI: 10.1109/ICMLA.2013.158

关键词:

摘要: Heart failure is the most common reason for unplanned hospital readmissions. Typical 30 day readmission prediction models either use data that are not readily available at majority of US hospitals or modeling techniques do provide adequate accuracy. Moreover, tendency ongoing studies to incorporate clinical only present in modern electronic health record systems (EHRs). This problematic as population affected by heart disease, rural poor, also same whose have slowest adoption rates advanced EHR systems. We apply machine learning technique random forests administrative claims predict all-cause readmissions congestive patients a system located central Virginia, USA. form two model variants based on datasets comprised procedure data, diagnosis combination both, and basic demographic data. Our results show significant predictive performance, yield importance rankings candidate variables, address high-need areas.

参考文章(27)
Sharath R. Cholleti, William Bornstein, Andrew R. Post, Joel H. Saltz, Dedra Cantrell, Jingjing Gao, Xia Lin, Leveraging derived data elements in data analytic models for understanding and predicting hospital readmissions. american medical informatics association annual symposium. ,vol. 2012, pp. 103- 111 ,(2012)
Youn-Jung Son, Hong-Gee Kim, Eung-Hee Kim, Sangsup Choi, Soo-Kyoung Lee, Application of Support Vector Machine for Prediction of Medication Adherence in Heart Failure Patients Healthcare Informatics Research. ,vol. 16, pp. 253- 259 ,(2010) , 10.4258/HIR.2010.16.4.253
Adrian F Hernandez, Melissa A Greiner, Gregg C Fonarow, Bradley G Hammill, Paul A Heidenreich, Clyde W Yancy, Eric D Peterson, Lesley H Curtis, Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. JAMA. ,vol. 303, pp. 1716- 1722 ,(2010) , 10.1001/JAMA.2010.533
Harlan M. Krumholz, Ya-Ting Chen, Yun Wang, Viola Vaccarino, Martha J. Radford, Ralph I. Horwitz, Predictors of readmission among elderly survivors of admission with heart failure. American Heart Journal. ,vol. 139, pp. 72- 77 ,(2000) , 10.1016/S0002-8703(00)90311-9
Kimberly J. O'Malley, Karon F. Cook, Matt D. Price, Kimberly Raiford Wildes, John F. Hurdle, Carol M. Ashton, Measuring diagnoses: ICD code accuracy. Health Services Research. ,vol. 40, pp. 1620- 1639 ,(2005) , 10.1111/J.1475-6773.2005.00444.X
Mary E. Charlson, Peter Pompei, Kathy L. Ales, C.Ronald MacKenzie, A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation☆ Journal of Chronic Diseases. ,vol. 40, pp. 373- 383 ,(1987) , 10.1016/0021-9681(87)90171-8
Anita G. Au, Finlay A. McAlister, Jeffrey A. Bakal, Justin Ezekowitz, Padma Kaul, Carl van Walraven, Predicting the risk of unplanned readmission or death within 30 days of discharge after a heart failure hospitalization American Heart Journal. ,vol. 164, pp. 365- 372 ,(2012) , 10.1016/J.AHJ.2012.06.010
Ruben Amarasingham, Billy J. Moore, Ying P. Tabak, Mark H. Drazner, Christopher A. Clark, Song Zhang, W. Gary Reed, Timothy S. Swanson, Ying Ma, Ethan A. Halm, An Automated Model to Identify Heart Failure Patients at Risk for 30-Day Readmission or Death Using Electronic Medical Record Data Medical Care. ,vol. 48, pp. 981- 988 ,(2010) , 10.1097/MLR.0B013E3181EF60D9
Douglas S. Lee, Peter C. Austin, Jean L. Rouleau, Peter P. Liu, David Naimark, Jack V. Tu, Predicting mortality among patients hospitalized for heart failure: derivation and validation of a clinical model. JAMA. ,vol. 290, pp. 2581- 2587 ,(2003) , 10.1001/JAMA.290.19.2581