利用数据挖掘对住院病人死亡率进行可推广的全住院期预测

Trevor Hillsgrove, Robert Steele
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引用次数: 5

摘要

住院时患者死亡率的全条件预测对患者护理和临床决策支持能力具有重要的临床价值和更广泛的意义。在这项研究中,我们应用机器学习模型来预测住院患者死亡率,即患者是否会在住院期间死亡,正如从入院前预测的那样。我们利用医疗保健研究和质量机构提供的医院出院大型数据集,开发和评估了许多机器学习模型。我们报告了这些模型中表现最好的模型的性能,其中表现最好的模型的AUC得分为0.802。我们还通过在对应于不同时间段的单独大型数据集上评估这些模型来评估模型的泛化性。我们描述了结果,并对其意义进行了分析和讨论。
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Utilization of Data Mining for Generalizable, All-Admission Prediction of Inpatient Mortality
The all-condition prediction of patient mortality at the time of hospital admission has significant clinical value and broader implications for patient care and clinical decision support capabilities. In this study we have applied machine learning models to predict inpatient mortality, that is whether a patient will die during the hospital stay, as predicted from a time near to admission. We have utilized an Agency for Healthcare Research and Quality-provided large dataset of hospital discharges, to develop and evaluate a number of machine learning models. We report on the performance of the best performing of these models, with the best performing model having an AUC score of 0.802. We also evaluate the generalizability of the models via evaluating these on a separate large dataset corresponding to a different time period. We describe the results and provide an analysis and discussion of their significance.
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