Prediction of ICU readmissions using data at patient discharge

A Pakbin, P Rafi, N Hurley, W Schulz… - 2018 40th annual …, 2018 - ieeexplore.ieee.org
2018 40th annual international conference of the IEEE engineering …, 2018ieeexplore.ieee.org
Unplanned readmissions to ICU contribute to high health care costs and poor patient
outcomes. 6-7% of all ICU cases see a readmission within 72 hours. Machine learning
models on electronic health record data can help identify these cases, providing more
information about short and long-term risks to clinicians at the time of ICU discharge. While
time-to-event techniques have been used in clinical care, models that identify risks over time
using higher-dimensional, non-linear machine learning models need to be developed to …
Unplanned readmissions to ICU contribute to high health care costs and poor patient outcomes. 6-7% of all ICU cases see a readmission within 72 hours. Machine learning models on electronic health record data can help identify these cases, providing more information about short and long-term risks to clinicians at the time of ICU discharge. While time-to-event techniques have been used in clinical care, models that identify risks over time using higher-dimensional, non-linear machine learning models need to be developed to present changes in risk with non-linear techniques. This work identifies risks of ICU readmissions at 24 hours, 72 hours, 7 days, 30 days, and bounceback readmissions in the same hospital admission with an AUROC for 72 hours of 0.76 and for bounceback of 0.84.
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