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Regression Model to Predict LOS in General Medicine Department: A Bicentric Study

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Biomedical and Computational Biology (BECB 2022)

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

  1. 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

    Article  PubMed  PubMed Central  Google Scholar 

  2. 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

    Article  PubMed  PubMed Central  Google Scholar 

  3. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  4. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  5. 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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. 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)

    Google Scholar 

  7. 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

    Article  PubMed  Google Scholar 

  8. Scala, A., et al.: Regression models to study the total LOS related to valvuloplasty. Int. J. Env. Res. Public Health 19(5), 3117 (2022)

    Google Scholar 

  9. 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)

    Google Scholar 

  10. 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

    Article  PubMed  Google Scholar 

  11. 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)

    Article  CAS  PubMed  Google Scholar 

  12. 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

    Article  Google Scholar 

  13. 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

    Article  Google Scholar 

  14. 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

    Article  PubMed  Google Scholar 

  15. 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

    Article  PubMed  PubMed Central  Google Scholar 

  16. 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

    Article  Google Scholar 

  17. 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

  18. Combes, C., Kadri, F., Chaabane, S.: Predicting hospital length of stay using regression models: application to emergency department (2014)

    Google Scholar 

  19. 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)

    Google Scholar 

  20. 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)

    CAS  Google Scholar 

  21. 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)

    Google Scholar 

  22. 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)

    Google Scholar 

  23. Cesarelli, M., et al.: An application of symbolic dynamics for FHRV assessment. MIE (2012)

    Google Scholar 

  24. 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)

    Article  PubMed  PubMed Central  Google Scholar 

  25. Ponsiglione, A.M., Amato, F., Romano, M.: Multiparametric investigation of dynamics in fetal heart rate signals. Bioengineering 9(1), 8 (2021)

    Article  PubMed  PubMed Central  Google Scholar 

  26. Cesarelli, M., et al.: Prognostic decision support using symbolic dynamics in CTG monitoring. EFMI-STC (2013)

    Google Scholar 

  27. 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

    Article  PubMed  PubMed Central  Google Scholar 

  28. 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)

    Google Scholar 

  29. 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)

    Google Scholar 

  30. 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)

    Article  Google Scholar 

  31. 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)

    Google Scholar 

  32. 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

    Chapter  Google Scholar 

  33. 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

  34. 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)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. 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)

    Google Scholar 

  36. 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)

    Google Scholar 

  37. 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)

    Google Scholar 

  38. Arpaia, P., et al.: Soft transducer for patient’s vitals telemonitoring with deep learning-based personalized anomaly detection. Sensors 22(2), 536 (2022)

    Google Scholar 

  39. 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

    Google Scholar 

  40. 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

  41. 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

    Article  PubMed  PubMed Central  Google Scholar 

  42. 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

  43. 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

  44. 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

    Article  CAS  PubMed  Google Scholar 

  45. 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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Correspondence to Marta Rosaria Marino .

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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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  • DOI: https://doi.org/10.1007/978-3-031-25191-7_56

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