Nayara Cristina Da Silva
ABSTRACT
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.
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Index Terms
- Prediction of readmissions in hospitalized children and adolescents by machine learning
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