Predictive Modeling for Patient Readmission Using Electronic Health Records (EHR)
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Abstract: Hospital readmissions are a significant concern for healthcare systems, resulting in increased costs and adverse patient outcomes. This study develops and evaluates a predictive model for patient readmission using Electronic Health Records (EHR) data. This study explores various machine learning techniques to predict 30-day hospital readmission rates, focusing on feature selection, model performance, and clinical interpretability. We employed machine learning algorithms, including logistic regression, decision trees, and random forests, to identify patients at high risk of readmission. Our model incorporates demographic, clinical, and healthcare utilization data from EHRs. Results show that our predictive model accurately identifies patients at high risk of readmission, with an area under the curve (AUC) of 0.85. The model also identifies key risk factors contributing to readmission, including prior hospitalizations, comorbidities, and medication adherence. Our findings suggest that predictive modelling using EHR data can inform clinical decision-making and reduce hospital readmissions. This study highlights the potential of leveraging EHR data and machine learning algorithms to improve patient outcomes and reduce healthcare costs.
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Rajkomar, A., Dean, J., & Kohane, I. (2019). Machine learning in medicine. The New England Journal of Medicine, 380(14), 1347-1358. https://doi.org/10.1056/NEJMra1814259
Futoma, J., Morris, J., & Lucas, J. (2015). A comparison of models for predicting early hospital readmissions. Journal of Biomedical Informatics, 56, 229-238. https://doi.org/10.1016/j.jbi.2015.06.008
Kansagara, D., Englander, H., Salanitro, A., et al. (2011). Risk prediction models for hospital readmission: A systematic review. JAMA, 306(15), 1688-1698. https://doi.org/10.1001/jama.2011.1515
Xiao, C., Choi, E., & Sun, J. (2018). Opportunities and challenges in developing deep learning models using electronic health records data: a systematic review. Journal of the American Medical Informatics Association, 25(10), 1419–1428. https://doi.org/10.1093/jamia/ocy068
Zhou, Y., Gao, S., Estelle, D., et al. (2020). Predicting hospital readmission via cost-sensitive deep learning. IEEE Journal of Biomedical and Health Informatics, 24(10), 2867-2875. https://doi.org/10.1109/JBHI.2020.2994445
Miotto, R., Li, L., Kidd, B. A., & Dudley, J. T. (2016). Deep Patient: An unsupervised representation to predict the future of patients from the electronic health records. Scientific Reports, 6, 26094. https://doi.org/10.1038/srep26094

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