Evidence map›Paper›PMID 29295255›Full record

ArticleStudies in health technology and informatics2017

Predicting Length of Stay for Obstetric Patients via Electronic Medical Records.

Cheng Gao, Abel N Kho, Catherine Ivory, Sarah Osmundson, Bradley A Malin, You Chen

Abstract read
In one paragraph

Article in Studies in health technology and informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Provider Networks in the Neonatal Intensive Care Unit Associate with Length of Stay.... IEEE Conference on Collaboration and Internet Computing. IEEE Conference on Collaboration and Internet Computing · 2019
    Article
  5. Interaction patterns of trauma providers are associated with length of stay.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cheng GaoDept. of Biomedical Informatics, School of Medicine, Vanderbilt University, Nashville, TN, USA.
Abel N KhoInstitute for Public Health and Medicine, Northwestern University, Chicago, IL, USA.
Catherine IvorySchool of Nursing, Vanderbilt University, Nashville, TN, USA.
Sarah OsmundsonDept. of Obstetrics and Gynecology, School of Medicine, Vanderbilt University, Nashville, TN, USA.
Bradley A MalinDept. of Biomedical Informatics, School of Medicine, Vanderbilt University, Nashville, TN, USA.
You ChenDept. of Biomedical Informatics, School of Medicine, Vanderbilt University, Nashville, TN, USA.

Funding

Building Interdisciplinary Research Careers in Women's HealthK12HD043483 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARTMANN, KATHERINE E, MAJOR, AMY S · 2002 to 2023
$10.3M
Automated Detection of Anomalous Accesses to Electronic Health RecordsR01LM010207 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MALIN, BRADLEY A. · 2009 to 2017
$2.4M
Learning Patterns of Collaboration to Optimize the Management of Care ProvidersR00LM011933 · NLM · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CHEN, YOU · 2016 to 2018
$738k
NICHD NIH HHS K12 HD043483NLM NIH HHS R00 LM011933NLM NIH HHS R01 LM010207
6 · The paper itself

Abstract

Obstetric care refers to the care provided to patients during ante-, intra-, and postpartum periods. Predicting length of stay (LOS) for these patients during their hospitalizations can assist healthcare organizations in allocating hospital resources more effectively and efficiently, ultimately improving maternal care quality and reducing costs to patients. In this paper, we investigate the extent to which LOS can be forecast from a patient's medical history. We introduce a machine learning framework to incorporate a patient's prior conditions (e.g., diagnostic codes) as features in a predictive model for LOS. We evaluate the framework with three years of historical billing data from the electronic medical records of 9188 obstetric patients in a large academic medical center. The results indicate that our framework achieved an average accuracy of 49.3%, which is higher than the baseline accuracy 37.7% (that relies solely on a patient's age). The most predictive features were found to have statistically significant discriminative ability. These features included billing codes for normal delivery (indicative of shorter stay) and antepartum hypertension (indicative of longer stay).

Indexed as

Electronic Health RecordsLength of StayObstetricsClinical CodingFemaleHealth ResourcesHospitalizationHumansQuality of Health CareElectronic Health RecordsLength of StayObstetrics

Identifiers

PMID29295255
PMCPMC5860660

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.