Abstract
The Department of General Medicine deals with patients suffering from various acute or chronic pathologies coming from home, from the emergency room or from specialized departments. The length of stay (LOS) is a useful tool to monitor patients and for evaluating the efficiency and quality of the services offered. This study was conducted with the aim of providing LOS for all patients who were admitted in the General Medicine Department at the University Hospital “San Giovanni di Dio e Ruggi d’Aragona” in Salerno (Italy) and the A.O.R.N. “Antonio Cardarelli” in Naples (Italy). Our aim concerns the comparison between the LOS estimation in two different hospitals located in Campania Region. The analysis was conducted with Multiple Linear Regression analysis, in particular for the former an R2 equal to 0.764 was obtained and for the latter a value of R2 equal to 0.712.
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References
Borghans, I., Heijink, R., Kool, T., et al.: Benchmarking and reducing length of stay in Dutch hospitals. BMC Health Serv. Res. 8, 220 (2008). https://doi.org/10.1186/1472-6963-8-220
El-Eid, G.R., Kaddoum, R., Tamim, H., Hitti, E.A.: Improving hospital discharge time: a successful implementation of Six Sigma methodology. Medicine 94(12), e633 (2015). https://doi.org/10.1097/MD.0000000000000633
Hastings, S.N., Schmader, K.E., Sloane, R.J., Weinberger, M., Goldberg, K.C., Oddone, E.Z.: Adverse health outcomes after discharge from the emergency department—incidence and risk factors in a veteran population. J. Gen. Intern. Med. 22(11), 1527–1531 (2007)
Launay, C.P., de Decker, L., Kabeshova, A., Annweiler, C., Beauchet, O.: Screening for older emergency department inpatients at risk of prolonged hospital stay: the brief geriatric assessment tool. PLoS ONE 9(10), e110135 (2014)
Baek, H., Cho, M., Kim, S., Hwang, H., Song, M., Yoo, S.: Analysis of length of hospital stay using electronic health records: a statistical and data mining approach. PLoS ONE 13(4), e0195901 (2018). https://doi.org/10.1371/journal.pone.0195901
Montella, E., et al.: Predictive analysis of healthcare-associated blood stream infections in the neonatal intensive care unit using artificial intelligence: a single center study. Int. J. Env. Res. Public Health 19(5), 2498 (2022)
Kim, S.-M., Yeom, J.-W., Song, H.K., Hwang, K.-T., Hwang, J.-H., Yoo, J.-H.: Lateral locked plating for distal femur fractures by low-energy trauma: what makes a difference in healing? Int. Orthop. 42(12), 2907–2914 (2018). https://doi.org/10.1007/s00264-018-3881-3
Scala, A., et al.: Regression models to study the total LOS related to valvuloplasty. Int. J. Env. Res. Public Health 19(5), 3117 (2022)
Majolo, M., et al.: Studying length of stay in the Emergency Department of AORN “Antonio Cardarelli” of Naples. In: 2021 10th International Conference on Bioinformatics and Biomedical Science (2021)
Hoyer, E.H., et al.: Promoting mobility and reducing length of stay in hospitalized general medicine patients: a quality-improvement project. J. Hosp. Med. 11, 341–347 (2016). https://doi.org/10.1002/jhm.2546
Detsky, A.S., Stricker, S.C., Mulley, A.G., Thibault, G.E.: Prognosis, survival, and the expenditure of hospital resources for patients in an intensive-care unit. N. Engl. J. Med. 305, 667–672 (1981)
Han, Q., Molinaro, C., Picariello, A., Sperli, G., Subrahmanian, V.S., Xiong, Y.: Generating fake documents using probabilistic logic graphs. IEEE Trans. Dependable Secure Comput. (2021). https://doi.org/10.1109/TDSC.2021.3058994
Di Girolamo, R., Esposito, C., Moscato, V., Sperlí, G.: Evolutionary game theoretical on-line event detection over tweet streams. Knowl.-Based Syst. 211, 106563 (2021). https://doi.org/10.1016/j.knosys.2020.106563
La Gatta, V., Moscato, V., Pennone, M., Postiglione, M., Sperlí, G.: Music recommendation via hypergraph embedding. IEEE Trans. Neural Netw. Learn. Syst. (2022). https://doi.org/10.1109/TNNLS.2022.3146968
Ianni, M., Masciari, E., Sperlí, G.: A survey of big data dimensions vs social networks analysis. J. Intell. Inf. Syst. 57(1), 73–100 (2020). https://doi.org/10.1007/s10844-020-00629-2
Sperlí, G.: A cultural heritage framework using a Deep Learning based Chatbot for supporting tourist journey. Expert Syst. Appl. 183, 115277 (2021). https://doi.org/10.1016/j.eswa.2021.115277
Scala, A., Trunfio, T.A., Borrelli, A., Ferrucci, G., Triassi, M, Improta, G.: Modelling the hospital length of stay for patients undergoing laparoscopic cholecystectomy through a multiple regression model. In: 2021 5th International Conference on Medical and Health Informatics (ICMHI 2021), New York, NY, USA, pp. 68–72. Association for Computing Machinery (2021). https://doi.org/10.1145/3472813.3472826
Combes, C., Kadri, F., Chaabane, S.: Predicting hospital length of stay using regression models: application to emergency department (2014)
Al Taleb, A.R., Hoque, M., Hasanat, A., Khan, M.B.: Application of data mining techniques to predict length of stay of stroke patients. In: 2017 International Conference on Informatics, Health Technology (ICIHT), pp 1–5 (2017)
Bender, G.J., et al.: Neonatal intensive care unit: predictive models for length of stay. J. Perinatol. Off. J. Calif. Perinat. Assoc. 33, 147–153 (2013)
Bacchi, S., Tan, Y., Oakden-Rayner, L., Jannes, J., Kleinig, T., Koblar, S.: Machine learning in the prediction of medical inpatient length of stay. Intern. Med. J. (n/a)
Trunfio, T.A., et al.: Multiple regression model to analyze the total LOS for patients undergoing laparoscopic appendectomy. BMC Med. Inform. Decis. Mak. 22(1), 1–8 (2022)
Cesarelli, M., et al.: An application of symbolic dynamics for FHRV assessment. MIE (2012)
Ponsiglione, A.M., Cosentino, C., Cesarelli, G., Amato, F., Romano, M.: A comprehensive review of techniques for processing and analyzing fetal heart rate signals. Sensors 21(18), 6136 (2021)
Ponsiglione, A.M., Amato, F., Romano, M.: Multiparametric investigation of dynamics in fetal heart rate signals. Bioengineering 9(1), 8 (2021)
Cesarelli, M., et al.: Prognostic decision support using symbolic dynamics in CTG monitoring. EFMI-STC (2013)
Rosa, D., Balato, G., Ciaramella, G., Soscia, E., Improta, G., Triassi, M.: Long-term clinical results and MRI changes after autologous chondrocyte implantation in the knee of young and active middle aged patients. J. Orthop. Traumatol. 17(1), 55–62 (2015). https://doi.org/10.1007/s10195-015-0383-6
Improta, G., et al.: Fuzzy logic–based clinical decision support system for the evaluation of renal function in post-transplant patients. J. Eval. Clin. Practice 26(4), 1224–1234 (2020)
Santini, S., et al.: Using fuzzy logic for improving clinical daily-care of β-thalassemia patients. In: 2017 IEEE International Conference on Fuzzy Systems (FUZZ-IEEE). IEEE (2017)
Ponsiglione, A.M., Amato, F., Cozzolino, S., Russo, G., Romano, M., Improta, G.: A hybrid analytic hierarchy process and likert scale approach for the quality assessment of medical education programs. Mathematics 10(9), 1426 (2022)
Improta, G., et al.: Analytic hierarchy process (AHP) in dynamic configuration as a tool for health technology assessment (HTA): the case of biosensing optoelectronics in oncology. Int. J. Inf. Technol. Decis. Mak. 18(05), 1533–1550 (2019)
Converso, Giuseppe, Improta, Giovanni, Mignano, Manuela, Santillo, Liberatina C.: A simulation approach for agile production logic implementation in a hospital emergency unit. In: Fujita, Hamido, Guizzi, Guido (eds.) SoMeT 2015. CCIS, vol. 532, pp. 623–634. Springer, Cham (2015). https://doi.org/10.1007/978-3-319-22689-7_48
Ponsiglione, A.M., Romano, M., Amato, F.: A finite-state machine approach to study patients dropout from medical examinations. In: 2021 IEEE 6th International Forum on Research and Technology for Society and Industry (RTSI), pp. 289–294 (2021). https://doi.org/10.1109/RTSI50628.2021.9597264
Improta, G., Borrelli, A., Triassi, M.: Machine learning and lean six sigma to assess how COVID-19 has changed the patient management of the complex operative unit of neurology and stroke unit: a single center study. Int. J. Environ. Res. Public Health 19(9), 5215 (2022)
Trunfio, T.A., Borrelli, A., Improta, G.: Is it possible to predict the length of stay of patients undergoing hip-replacement surgery? Int. J. Env. Res. Public Health 19(10), 6219 (2022)
Improta, G., et al.: Use of machine learning to predict abandonment rates in an emergency department. In: 2021 10th International Conference on Bioinformatics and Biomedical Science (2021)
Loperto, I., et al.: Use of regression models to predict glomerular filtration rate in kidney transplanted patients. In: 2021 International Symposium on Biomedical Engineering and Computational Biology (2021)
Arpaia, P., et al.: Soft transducer for patient’s vitals telemonitoring with deep learning-based personalized anomaly detection. Sensors 22(2), 536 (2022)
Profeta, M., Cesarelli, G., Giglio, C., Ferrucci, G., Borrelli, A., Amato, F.: Influence of demographic and organizational factors on the length of hospital stay in a general medicine department: factors influencing length of stay in general medicine. In: 2021 International Symposium on Biomedical Engineering and Computational Biology, pp. 1–4, August 2021
Guarino, F., Improta, G., Triassi, M., Castiglione, S., Cicatelli, A.: Air quality biomonitoring through Olea europaea L.: the study case of “Land of pyres”. Chemosphere 282, 131052 (2021). https://doi.org/10.1016/j.chemosphere.2021.131052
Guarino, F., Improta, G., Triassi, M., Cicatelli, A., Castiglione, S.: Effects of zinc pollution and compost amendment on the root microbiome of a metal tolerant poplar clone. Front. Microbiol. 11, 1677 (2020). https://doi.org/10.3389/fmicb.2020.01677
Guarino, F., et al.: Genetic characterization, micropropagation, and potential use for arsenic phytoremediation of Dittrichia viscosa (L.) Greuter. Ecotoxicol. Environ. Saf. 148, 675–683 (2018). https://doi.org/10.1016/j.ecoenv.2017.11.010
Guarino, F., Cicatelli, A., Brundu, G., Improta, G., Triassi, M., Castiglione, S.: The use of MSAP reveals epigenetic diversity of the invasive clonal populations of Arundo donax L. PLoS One 14 (2019). https://doi.org/10.1371/journal.pone.0215096
De Agostini, A., et al.: Heavy metal tolerance of orchid populations growing on abandoned mine tailings: a case study in Sardinia Island (Italy). Ecotoxicol. Environ. Saf. 189, 110018 (2020). https://doi.org/10.1016/j.ecoenv.2019.110018
Moccia, E., et al.: Use of Zea mays L. in phytoremediation of trichloroethylene. Environ. Sci. Pollut. Res. 24, 11053–11060 (2017). https://doi.org/10.1007/s11356-016-7570-8
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Montella, E. et al. (2023). Regression Model to Predict LOS in General Medicine Department: A Bicentric Study. In: Wen, S., Yang, C. (eds) Biomedical and Computational Biology. BECB 2022. Lecture Notes in Computer Science(), vol 13637. Springer, Cham. https://doi.org/10.1007/978-3-031-25191-7_56
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