Machine learning;
data analysis;
hospital readmission;
children health;
adolescents health;
D O I:
10.1145/3555776.3577592
中图分类号:
TP39 [计算机的应用];
学科分类号:
081203 ;
0835 ;
摘要:
Pediatric hospital readmission involves greater burdens for the patient and their family network, and for the health system. Machine learning can be a good strategy to expand knowledge in this area and to assist in the identification of patients at readmission risk. The objective of the study was to develop a predictive model to identify children and adolescents at high risk of potentially avoidable 30-day readmission using a machine learning approach. Retrospective cohort study with patients under 18 years old admitted to a tertiary university hospital. We collected demographic, clinical, and nutritional data from electronic databases. We apply machine learning techniques to build the predictive models. The 30-day hospital readmissions rate was 9.50%. The accuracy for CART model with bagging was 0.79, the sensitivity, and specificity were 76.30% and 64.40%, respectively. Machine learning approaches can predict avoidable 30-day pediatric hospital readmission into tertiary assistance.