Discovering hospital admission patterns using models learnt from electronic hospital records

نویسنده

  • Ognjen Arandjelovic
چکیده

MOTIVATION Electronic medical records, nowadays routinely collected in many developed countries, open a new avenue for medical knowledge acquisition. In this article, this vast amount of information is used to develop a novel model for hospital admission type prediction. RESULTS I introduce a novel model for hospital admission-type prediction based on the representation of a patient's medical history in the form of a binary history vector. This representation is motivated using empirical evidence from previous work and validated using a large data corpus of medical records from a local hospital. The proposed model allows exploration, visualization and patient-specific prognosis making in an intuitive and readily understood manner. Its power is demonstrated using a large, real-world data corpus collected by a local hospital on which it is shown to outperform previous state-of-the-art in the literature, achieving over 82% accuracy in the prediction of the first future diagnosis. The model was vastly superior for long-term prognosis as well, outperforming previous work in 82% of the cases, while producing comparable performance in the remaining 18% of the cases. AVAILABILITY AND IMPLEMENTATION Full Matlab source code is freely available for download at: http://ognjen-arandjelovic.t15.org/data/dprog.zip.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Choosing a model to predict hospital admission: an observational study of new variants of predictive models for case finding

OBJECTIVES To test the performance of new variants of models to identify people at risk of an emergency hospital admission. We compared (1) the impact of using alternative data sources (hospital inpatient, A&E, outpatient and general practitioner (GP) electronic medical records) (2) the effects of local calibration on the performance of the models and (3) the choice of population denominators. ...

متن کامل

Predicting Hospital Re-Admissions from Nursing Care Data of Hospitalized Patients

Readmission rates in the hospitals are increasingly being used as a benchmark to determine the quality of healthcare delivery to hospitalized patients. Around three-fourths of all hospital re-admissions can be avoided, saving billions of dollars. Many hospitals have now deployed electronic health record (EHR) systems that can be used to study issues that trigger readmission.However, most of the...

متن کامل

Sepsis as 2 problems: Identifying sepsis at admission and predicting onset in the hospital using an electronic medical record-based acuity score.

PURPOSE Early identification and treatment improve outcomes for patients with sepsis. Current screening tools are limited. We present a new approach, recognizing that sepsis patients comprise 2 distinct and unequal populations: patients with sepsis present on admission (85%) and patients who develop sepsis in the hospital (15%) with mortality rates of 12% and 35%, respectively. METHODS Models...

متن کامل

Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records

BACKGROUND Weekend hospital admission is associated with increased mortality, but the contributions of varying illness severity and admission time to this weekend effect remain unexplored. METHODS We analysed unselected emergency admissions to four Oxford University National Health Service hospitals in the UK from Jan 1, 2006, to Dec 31, 2014. The primary outcome was death within 30 days of a...

متن کامل

Discovering Patient Phenotypes Using Generalized Low Rank Models

The practice of medicine is predicated on discovering commonalities or distinguishing characteristics among patients to inform corresponding treatment. Given a patient grouping (hereafter referred to as a phenotype), clinicians can implement a treatment pathway accounting for the underlying cause of disease in that phenotype. Traditionally, phenotypes have been discovered by intuition, experien...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Bioinformatics

دوره 31 24  شماره 

صفحات  -

تاریخ انتشار 2015