With the emergence of the Hospital Readmission Reduction Program of the Center for Medicare and Medicaid Services on October 1, 2012, forecasting unplanned patient readmission risk became crucial to the healthcare domain. There are tangible works in the literature emphasizing on developing readmission risk prediction m…
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29 results for “readmissions”
Categorical Co-Frequency Analysis: Clustering Diagnosis Codes to Predict Hospital Readmissionsstat.AP
Accurately predicting patients' risk of 30-day hospital readmission would enable hospitals to efficiently allocate resource-intensive interventions. We develop a new method, Categorical Co-Frequency Analysis (CoFA), for clustering diagnosis codes from the International Classification of Diseases (ICD) according to the …
Hospital Readmission Prediction - Applying Hierarchical Sparsity Norms for Interpretable Modelscs.LG
Hospital readmissions have become one of the key measures of healthcare quality. Preventable readmissions have been identified as one of the primary targets for reducing costs and improving healthcare delivery. However, most data driven studies for understanding readmissions have produced black box classification and p…
Heart failure hospitalization is a severe burden on healthcare. How to predict and therefore prevent readmission has been a significant challenge in outcomes research. To address this, we propose a deep learning approach to predict readmission from clinical notes. Unlike conventional methods that use structured data fo…
Deep Learning Approach for Predicting 30 Day Readmissions after Coronary Artery Bypass Graft Surgerycs.LG
Hospital Readmissions within 30 days after discharge following Coronary Artery Bypass Graft (CABG) Surgery are substantial contributors to healthcare costs. Many predictive models were developed to identify risk factors for readmissions. However, majority of the existing models use statistical analysis techniques with …
Heart failure (HF) is one of the leading causes of hospital admissions in the US. Readmission within 30 days after a HF hospitalization is both a recognized indicator for disease progression and a source of considerable financial burden to the healthcare system. Consequently, the identification of patients at risk for …
We develop a model using deep learning techniques and natural language processing on unstructured text from medical records to predict hospital-wide -day unplanned readmission, with c-statistic . Our model is constructed to allow physicians to interpret the significant features for prediction.
Deep learning predicts readmissions from less structured data.
problem Predicting readmissions from non-standard, unstructured medical records.
method Proposes a deep learning architecture that handles less structured data, including Spanish text.
result Achieves AUROC of 0.76 on a Chilean medical dataset, comparable to US results.
Hospital readmission is a crucial healthcare quality measure that helps in determining the level of quality of care that a hospital offers to a patient and has proven to be immensely expensive. It is estimated that more than $25 billion are spent yearly due to readmission of diabetic patients in the USA. This paper ben…
Early Prediction of 30-day ICU Re-admissions Using Natural Language Processing and Machine Learningcs.LG
ICU readmission is associated with longer hospitalization, mortality and adverse outcomes. An early recognition of ICU re-admission can help prevent patients from worse situation and lower treatment cost. As the abundance of Electronics Health Records (EHR), it is popular to design clinical decision tools with machine …
Objective: To compare different deep learning architectures for predicting the risk of readmission within 30 days of discharge from the intensive care unit (ICU). The interpretability of attention-based models is leveraged to describe patients-at-risk. Methods: Several deep learning architectures making use of attentio…
Model predicts wound and episode-level readmission risk and time to re-admit.
problem Identify patients at high risk of re-admission to prevent wound recurrences and reduce healthcare costs.
method Data-driven analysis of wound care and episode-level patient data.
result Model achieves high recall and precision for predicting re-admission risk and time.
Electronic Health Records (EHRs) have been heavily used to predict various downstream clinical tasks such as readmission or mortality. One of the modalities in EHRs, clinical notes, has not been fully explored for these tasks due to its unstructured and inexplicable nature. Although recent advances in deep learning (DL…
We augment linear Support Vector Machine (SVM) classifiers by adding three important features: (i) we introduce a regularization constraint to induce a sparse classifier; (ii) we devise a method that partitions the positive class into clusters and selects a sparse SVM classifier for each cluster; and (iii) we develop a…
Proposes inference for DNNs in GNRMs, addressing non-independence issues.
problem Inference for DNN-estimated means in GNRMs under non-independence.
method Develops a DNN estimator and ESM for variance estimation and confidence intervals.
result Demonstrates feasibility of inference under GNRMs with ESM.
This research tackles monitoring machine learning algorithms post-deployment, addressing performativity issues.
problem Monitoring machine learning algorithms after deployment, especially when they affect their own data-generating process.
method Uses causal inference techniques to navigate performativity and compares different monitoring criteria and data sources.
result Different monitoring systems have varying operating characteristics and implications for ML monitoring design.
Feature engineering remains a major bottleneck when creating predictive systems from electronic medical records. At present, an important missing element is detecting predictive regular clinical motifs from irregular episodic records. We present Deepr (short for Deep record), a new end-to-end deep learning system that …
Stability in clinical prediction models is crucial for transferability between studies, yet has received little attention. The problem is paramount in high dimensional data which invites sparse models with feature selection capability. We introduce an effective method to stabilize sparse Cox model of time-to-events usi…
Effective modeling of electronic health records presents many challenges as they contain large amounts of irregularity most of which are due to the varying procedures and diagnosis a patient may have. Despite the recent progress in machine learning, unsupervised learning remains largely at open, especially in the healt…
Effective representation learning of electronic health records is a challenging task and is becoming more important as the availability of such data is becoming pervasive. The data contained in these records are irregular and contain multiple modalities such as notes, and medical codes. They are preempted by medical co…
Clinical notes contain a large amount of clinically valuable information that is ignored in many clinical decision support systems due to the difficulty that comes with mining that information. Recent work has found success leveraging deep learning models for the prediction of clinical outcomes using clinical notes. Ho…
Learning the Graphical Structure of Electronic Health Records with Graph Convolutional Transformercs.LG
Effective modeling of electronic health records (EHR) is rapidly becoming an important topic in both academia and industry. A recent study showed that using the graphical structure underlying EHR data (e.g. relationship between diagnoses and treatments) improves the performance of prediction tasks such as heart failure…
Model-based metrics: Sample-efficient estimates of predictive model subpopulation performancestat.ML
New method reduces variance in subpopulation model performance estimates.
problem High variance in subpopulation performance metrics for small groups.
method Using an evaluation model to form model-based metric (MBM) estimates.
result MBMs produce more accurate and lower variance estimates for small subpopulations.
Algorithmic risk assessments are increasingly used to help humans make decisions in high-stakes settings, such as medicine, criminal justice and education. In each of these cases, the purpose of the risk assessment tool is to inform actions, such as medical treatments or release conditions, often with the aim of reduci…
Study evaluates approaches to improve worst-case model performance across patient subpopulations.
problem Improving model accuracy for specific patient subpopulations.
method Comparison of distributionally robust optimization (DRO) and standard learning procedures.
result Standard learning procedures generally outperform DRO approaches for improving model performance across subpopulations.
Background: Choosing the most performing method in terms of outcome prediction or variables selection is a recurring problem in prognosis studies, leading to many publications on methods comparison. But some aspects have received little attention. First, most comparison studies treat prediction performance and variable…
Improved AI lung ultrasound segmentation using expert confidence values.
problem Label uncertainty in lung ultrasound due to subjective interpretation by radiologists.
method Designing a data annotation protocol capturing expert confidence, training AI on binarized labels with confidence thresholds.
result Improved AI segmentation and better clinical outcomes (e.g., S/F oxygenation ratio estimation, patient readmission prediction).
New scalable method balances hospital profit status and heart attack outcomes.
problem Balancing covariate distributions and minimizing weight dispersion in large datasets.
method Combines kernel basis expansion and convex optimization for efficient and flexible weighting.
result For-profit hospitals use interventional cardiology similarly to other hospitals but have higher mortality and readmission rates.
MetaPred: Meta-Learning for Clinical Risk Prediction with Limited Patient Electronic Health Recordscs.LG
In recent years, increasingly augmentation of health data, such as patient Electronic Health Records (EHR), are becoming readily available. This provides an unprecedented opportunity for knowledge discovery and data mining algorithms to dig insights from them, which can, later on, be helpful to the improvement of the q…