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本文引用的文献

1
Predicting the risk of hospital readmissions using a machine learning approach: a case study on patients undergoing skin procedures.使用机器学习方法预测医院再入院风险:以接受皮肤手术的患者为例的研究。
Front Artif Intell. 2024 Jan 5;6:1213378. doi: 10.3389/frai.2023.1213378. eCollection 2023.
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Machine learning in medicine: a practical introduction to techniques for data pre-processing, hyperparameter tuning, and model comparison.机器学习在医学中的应用:数据预处理、超参数调优和模型比较技术的实用介绍。
BMC Med Res Methodol. 2022 Nov 1;22(1):282. doi: 10.1186/s12874-022-01758-8.
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Machine Learning-Based Boosted Regression Ensemble Combined with Hyperparameter Tuning for Optimal Adaptive Learning.基于机器学习的增强回归集成与超参数调整相结合,实现最优自适应学习。
Sensors (Basel). 2022 May 16;22(10):3776. doi: 10.3390/s22103776.
4
Comparison of Machine Learning Methods With Traditional Models for Use of Administrative Claims With Electronic Medical Records to Predict Heart Failure Outcomes.利用电子病历中的行政索赔数据进行机器学习方法与传统模型预测心力衰竭结局的比较。
JAMA Netw Open. 2020 Jan 3;3(1):e1918962. doi: 10.1001/jamanetworkopen.2019.18962.
5
A machine learning model to predict the risk of 30-day readmissions in patients with heart failure: a retrospective analysis of electronic medical records data.机器学习模型预测心力衰竭患者 30 天再入院风险:电子病历数据的回顾性分析。
BMC Med Inform Decis Mak. 2018 Jun 22;18(1):44. doi: 10.1186/s12911-018-0620-z.
6
Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition -- Heart Failure (BEAT-HF) Randomized Clinical Trial.心力衰竭住院患者出院后远程患者监测的有效性:过渡后更佳有效性——心力衰竭(BEAT-HF)随机临床试验
JAMA Intern Med. 2016 Mar;176(3):310-8. doi: 10.1001/jamainternmed.2015.7712.
7
Electronic medical record-based multicondition models to predict the risk of 30 day readmission or death among adult medicine patients: validation and comparison to existing models.基于电子病历的多病情模型预测成年内科患者30天再入院或死亡风险:验证及与现有模型比较
BMC Med Inform Decis Mak. 2015 May 20;15:39. doi: 10.1186/s12911-015-0162-6.

将远程患者监测数据整合到用于预测急诊科利用率的机器学习模型中。

Integrating Remote Patient Monitoring Data into Machine Learning Models for Predicting Emergency Department Utilization.

作者信息

Farzana Ashika, Kalepalli Satish, DeLong Grant, Mehra Vishal, Fry Emily, Vawdrey David K, Mitchell Elliot G

机构信息

Geisinger, Danville, PA.

出版信息

AMIA Annu Symp Proc. 2025 May 22;2024:398-406. eCollection 2024.

PMID:40417519
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12099409/
Abstract

The integration of Remote Patient Monitoring (RPM) data into risk stratification models has emerged as a promising approach for improving healthcare delivery and patient outcomes. In this work, we explore the integration of RPM features - including at home monitoring of body weight, blood pressure, and blood oxygen - into a machine learning model that uses EHR data to predict the likelihood of emergency department (ED) visits or unplanned inpatient admissions within the next 30 days. Through exploratory data analysis, feature engineering, model training, and evaluation of a dataset with 913 patients, we found that RPM data has signal to predict unplanned utilization, and combining RPM data with EHR data improves the predictive power of the model, compared with either data source alone. We discuss the transformative potential of RPM data to augment predictive analytics capabilities in care management settings.

摘要

将远程患者监测(RPM)数据整合到风险分层模型中,已成为改善医疗服务提供和患者预后的一种有前景的方法。在这项工作中,我们探索将RPM特征——包括在家中监测体重、血压和血氧——整合到一个机器学习模型中,该模型利用电子健康记录(EHR)数据来预测未来30天内急诊室(ED)就诊或非计划住院的可能性。通过对一个包含913名患者的数据集进行探索性数据分析、特征工程、模型训练和评估,我们发现RPM数据具有预测非计划医疗利用的信号,并且与单独使用任一数据源相比,将RPM数据与EHR数据相结合可提高模型的预测能力。我们讨论了RPM数据在增强护理管理环境中的预测分析能力方面的变革潜力。