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Using Open Clinical Data to Create an Embeddable Prediction System for Hospital Stay

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Computing, Analytics and Networks (ICAN 2017)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 805))

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Abstract

With the ever increasing availability of open, clinical health data, there exists a deficiency of platforms to take advantage of it [1]. The global prevalence of diabetes has risen from 4.7% in 1980 to 8.5% in 2014 and continues to rise, placing an increased demand on hospital resources [2]. The management of diabetic patients within hospital can be assisted by the accurate prediction of length of stay (LOS) of patients. This paper introduces the use of Bayesian networks (BN) to accurately predict patient LOS in hospital. The results show the tree augmented naive BN classifier to be the most effective in predicting LOS. We believe that our model can be implemented by hospitals to more efficiently utilize hospital resources.

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References

  1. Lichman, M.: UCI machine learning repository (2013)

    Google Scholar 

  2. World Health Organization, et al.: Global report on diabetes. World Health Organization (2016)

    Google Scholar 

  3. OECD Indicators. Health at a glance (2005)

    Google Scholar 

  4. Marshall, A., Vasilakis, C., El-Darzi, E.: Length of stay-based patient flow models: recent developments and future directions. Health Care Manag. Sci. 8(3), 213–220 (2005)

    Article  Google Scholar 

  5. Damiani, G., Pinnarelli, L., Sommella, L., Vena, V., Magrini, P., Ricciardi, W.: The short stay unit as a new option for hospitals: a review of the scientific literature. Med. Sci. Monitor Int. Med. J. Exp. Clin. Res. 17(6), SR15 (2011)

    Article  Google Scholar 

  6. Escobar, G.J., Greene, J.D., Gardner, M.N., Marelich, G.P., Quick, B., Kipnis, P.: Intra-hospital transfers to a higher level of care: contribution to total hospital and intensive care unit (ICU) mortality and length of stay (LOS). J. Hosp. Med. 6(2), 74–80 (2011)

    Article  Google Scholar 

  7. Constantinou, A.C., Fenton, N., Marsh, W., Radlinski, L.: From complex questionnaire and interviewing data to intelligent Bayesian network models for medical decision support. Artif. Intell. Med. 67, 75–93 (2016)

    Article  Google Scholar 

  8. Strack, B., DeShazo, J.P., Gennings, C., Olmo, J.L., Ventura, S., Cios, K.J., Clore, J.N.: Impact of HbA1c measurement on hospital readmission rates: analysis of 70,000 clinical database patient records. BioMed. Res. Int. 2014, 1–11 (2014)

    Article  Google Scholar 

  9. Cai, X., Perez-Concha, O., Coiera, E., Martin-Sanchez, F., Day, R., Roffe, D., Gallego, B.: Real-time prediction of mortality, readmission, and length of stay using electronic health record data. J. Am. Med. Inform. Assoc. 23(3), 553–561 (2015)

    Article  Google Scholar 

  10. Pitkäaho, T., Partanen, P., Miettinen, M., Vehviläinen-Julkunen, K.: Non-linear relationships between nurse staffing and patients? Length of stay in acute care units: Bayesian dependence modelling. J. Adv. Nurs. 71(2), 458–473 (2015)

    Article  Google Scholar 

  11. Cho, I., Park, I., Kim, E., Lee, E., Bates, D.W.: Using EHR data to predict hospital-acquired pressure ulcers: a prospective study of a Bayesian network model. Int. J. Med. Inform. 82(11), 1059–1067 (2013)

    Article  Google Scholar 

  12. Marshall, A.H., McClean, S.I.: Conditional phase-type distributions for modelling patient length of stay in hospital. Int. Trans. Oper. Res. 10(6), 565–576 (2003)

    Article  Google Scholar 

  13. Marshall, A.H., McClean, S.I., Shapcott, C.M., Millard, P.H.: Modelling patient duration of stay to facilitate resource management of geriatric hospitals. Health Care Manag. Sci. 5(4), 313–319 (2002)

    Article  Google Scholar 

  14. Friedman, N., Geiger, D., Goldszmidt, M.: Bayesian network classifiers. Mach. Learn. 29(2–3), 131–163 (1997)

    Article  Google Scholar 

  15. Tsamardinos, I., Brown, L.E., Aliferis, C.F.: The max-min hill-climbing Bayesian network structure learning algorithm. Mach. Learn. 65(1), 31–78 (2006)

    Article  Google Scholar 

  16. Tsamardinos, I., Aliferis, C.F., Statnikov, A.: Time and sample efficient discovery of Markov blankets and direct causal relations. In: Proceedings of the Ninth ACM SIGKDD International Conference on Knowledge Discovery and Data Mining, pp. 673–678. ACM (2003)

    Google Scholar 

  17. Tsamardinos, I., Aliferis, C.F., Statnikov, A.R., Statnikov, E.: Algorithms for large scale Markov blanket discovery. In: FLAIRS Conference, vol. 2, pp. 376–380 (2003)

    Google Scholar 

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Acknowledgement

The work is partially supported by Dr. Mago’s NSERC Discovery Grant. All authors also like to thank Darryl Willick for his support to run the experiments on High Performance Computing Lab at Lakehead University.

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Correspondence to Dillon Small , Fahad Wali , Christopher M. Gibb or Vijay Mago .

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Small, D., Wali, F., Gibb, C.M., Mago, V. (2018). Using Open Clinical Data to Create an Embeddable Prediction System for Hospital Stay. In: Sharma, R., Mantri, A., Dua, S. (eds) Computing, Analytics and Networks. ICAN 2017. Communications in Computer and Information Science, vol 805. Springer, Singapore. https://doi.org/10.1007/978-981-13-0755-3_2

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  • DOI: https://doi.org/10.1007/978-981-13-0755-3_2

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-0754-6

  • Online ISBN: 978-981-13-0755-3

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