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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Lichman, M.: UCI machine learning repository (2013)
World Health Organization, et al.: Global report on diabetes. World Health Organization (2016)
OECD Indicators. Health at a glance (2005)
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)
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)
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)
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)
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)
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)
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)
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)
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)
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)
Friedman, N., Geiger, D., Goldszmidt, M.: Bayesian network classifiers. Mach. Learn. 29(2–3), 131–163 (1997)
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)
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)
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)
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.
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this paper
Cite this paper
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
Download citation
DOI: https://doi.org/10.1007/978-981-13-0755-3_2
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-0754-6
Online ISBN: 978-981-13-0755-3
eBook Packages: Computer ScienceComputer Science (R0)