Patient Discharge Classification Using Machine Learning Techniques

Annals of Data Science - Tập 8 - Trang 755-767 - 2019
Anthony Gramaje1, Fadi Thabtah1, Neda Abdelhamid2, Sayan Kumar Ray1
1School of Digital Technologies, Manukau Campus & Manukau Train Station Davies Ave, Manukau, Auckland, New Zealand
2Auckland Institute of Studies, Auckland, New Zealand

Tóm tắt

Patient discharge is one of the critical processes for medical providers from any health facility to transfer the care of the patient to another care provider after hospitalisation. The discharge plan, final clinical and physical checks, patient education, patient readiness, and general practitioner appointments play an important role in the success of this procedure. However, it has loopholes that need to be addressed to lessen the complexity of managing this critical process. When this is left unchecked, serious consequences and challenges may occur such as re-hospitalisation and financial pressure. This research investigates machine learning technology on the problem of patient discharge by using a real dataset. In particular, the applicability of techniques including Decision Trees, Bayes Net, and Random Forest have been investigated in order to predict the discharge outcome of a patient after surgery. The results of the analysis show that Bayes Net performed better than Decision Tree, and Random Forest in predicting the response variable (class) using tenfold cross validation with respect to classification accuracy. The target audiences of this research are the staff working in a healthcare facility such as clinicians, chief medical officer, and physicians among others.

Tài liệu tham khảo

Abdelhamid N, Ayesh A, Thabtah F (2013) Phishing detection using associative classification data mining. In: Proceedings of the ICAI’13—the 2013 international conference on artificial intelligence, USA, pp 491–499 Abdelhamid N, Ayesh A, Thabtah F (2012) An experimental study of three different rule ranking formulas in associative classification mining. In: Proceedings of the 7th IEEE international conference for internet technology and secured transactions (ICITST-2012), UK, pp 795–800 Baek H, Cho M, Kim S, Hwang H, Song M, Yoo S (2018) Analysis of length of hospital stay using electronic health records: a statistical and data mining approach. PLoS ONE 13(4):1–20 Barnes S, Hamrock E, Toerper M, Siddiqui S, Levin S (2015) Real-time prediction of inpatient length of stay for discharge prioritization. J Am Med Inform Assoc 23(e1):e2–e10. https://doi.org/10.1093/jamia/ocv106 Breiman L (2001) Random forests. Mach Learn 45:5–32. https://doi.org/10.1023/A:1010933404324 Cain C, Neuwirth E, Bellows J, Zuber C, Green J (2012) Patient experiences of transitioning from hospital to home: an ethnographic quality improvement project. J Hosp Med 7(5):382–386. https://doi.org/10.1002/jhm.1918 Elbattah M, Molloy O (2016) Using machine learning to predict length of stay and discharge destination for hip-fracture patients. SAI Intelligent Systems Conference (IntelliSys) 2016, vol 15. Springer, Cham, pp 207–217. https://doi.org/10.1007/978-3-319-56994-9_15 Georgiadis A, Corrigan O (2017) The experience of transitional care for non-medically complex older adults and their family caregivers. Glob Qual Nurs Res 4:1–9. https://doi.org/10.1177/2333393617696687 Kocic S, Vasiljevic D, Radovanovic S, Radevic S, Vukomanovic I, Mihailovic N (2016) Possible uses of data from hospital discharge reports. Serb J f Exp Clin Res 18(2):163–167. https://doi.org/10.1515/sjecr-2016-0023 Lichman M (2013) UCI machine learning repository. University of California, Irvine, School of Information and Computer Sciences. Retrieved from UCI Machine Learning Repository: http://archive.ics.uci.edu/ml/index.php Mennuni M, Gulizia M, Alunni G, Amico A, Bovenzi F, Caporale R, Zuin G (2017) ANMCO position paper: hospital discharge planning: recommendations and standards. Eur Heart J Suppl 19(D):D244–D255. https://doi.org/10.1093/eurheartj/sux011 Paul S (2008) Hospital discharge education for patients with heart failure: what really works and what is the evidence? Crit Care Nurse 28(2):66–82 Pearl J (1985) Bayesian networks: a model of self-activated memory for evidential reasoning. In: Seventh annual conference of the cognitive science society, vol 2, pp 329–334 Prisk D, Godfrey J, Lawrence A (2016) Emergency department length of stay for Maori and European patients in New Zealand. West J Med 17(4):438–448. https://doi.org/10.5811/westjem.2016.5.29957 Quinlan JR (1993) C4.5: programs for machine learning. Morgan Kaufmann, CA Smith C (2017) Decision trees and random forests: a visual introduction for beginners, 1st edn. Blue Windmill Media, Legazpi Thabtah F (2006) Rule preference effect in associative classification mining. J Inf Knowl Manag 5(01):13–20 Thabtah F (2017) Autism spectrum disorder screening: machine learning adaptation and DSM-5 fulfillment. In: Proceedings of the 1st international conference on medical and health informatics 2017. ACM, Taichung City, Taiwan, pp 1–6 Thabtah F (2018) Machine learning in autistic spectrum disorder behavioral research: a review and ways forward. Inform Health Soc Care J 43(2):1–21 Thabtah F (2018) An accessible and efficient autism screening method for behavioural data and predictive analyses. Health Inf J. https://doi.org/10.1177/1460458218796636 Thabtah F (2019) Detecting autistic traits using computational intelligence & machine learning techniques. Master Thesis, School of Health, Department of Psychology, University of Huddersfield Thabtah F, Abdelhamid N (2016) Deriving correlated sets of website features for phishing detection: a computational intelligence approach. J Inf Knowl Manag 15(4):1–17. https://doi.org/10.1142/S0219649216500428 Thabtah F, Peebles D (2019) A new machine learning model based on induction of rules for autism detection. Health Inform J. https://doi.org/10.1177/1460458218824711 Thabtah F, Mahmood Q, McCluskey L, Abdel-jaber H (2010) A new classification based on association algorithm. J Inf Knowl Manag 9(1):55–64 Thabtah F, Hadi W, Abdelhamid N, Issa A (2011) Prediction phase in associative classification. J Knowl Eng Softw Eng 21(6):855–876 Thabtah F, Zhang L, Abdelhamid N (2019) NBA game result prediction using feature analysis and machine learning. Ann Data Sci. https://doi.org/10.1007/s40745-018-00189-x Town P, Thabtah F (2019) Data analytics tools: a user perspective. J Inf Knowl Manag 18(1):1950002 Ubbink D, Tump E, Koenders J, Kleiterp S, Goslings JC, Brolmann F (2014) Which reasons do doctors, nurses, and patients have for hospital discharge? A mixed-methods study. PLoS ONE 9(3):1–13. https://doi.org/10.1371/journal.pone.0091333 Vieira A (2016) Predicting online user behaviour using deep learning algorithms. CoRR, abs/1511.06247, 1–21. arXiv:1511.06247 Witten I, Frank E, Hall M (2011) Data mining practical machine learning tools and techniques, 3rd edn. Morgan Kaufmann, Burlington