Evidence map›Paper›PMID 29854255›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2017

Predicting Changes in Pediatric Medical Complexity using Large Longitudinal Health Records.

Yanbo Xu, Mohammad Taha Bahadori, Elizabeth Searles, Michael Thompson, Tejedor-Sojo Javier, Jimeng Sun

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Yanbo XuGeorgia Institute of Technology.
Mohammad Taha BahadoriGeorgia Institute of Technology.
Elizabeth SearlesChildrens Healthcare of Atlanta.
Michael ThompsonChildrens Healthcare of Atlanta.
Tejedor-Sojo JavierChildrens Healthcare of Atlanta.
Jimeng SunGeorgia Institute of Technology.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medically complex patients consume a disproportionate amount of care resources in hospitals but still often end up with sub-optimal clinical outcomes. Predicting dynamics of complexity in such patients can potentially help improve the quality of care and reduce utilization of hospital resources. In this work, we model the change prediction of medical complexity using a large dataset of 226K pediatric patients over 5 years from Children's Healthcare of Atlanta (CHOA). We compare different classification methods including logistic regression, random forest, gradient boosting trees, and multilayer perceptron in predicting whether patients will change their complexity status in the last year based on the data from previous years. We achieved an area under the ROC curve (AUC) of 88% for predicting noncomplex patients becoming complex and 74% for predicting complex patients staying complex. We also identify the factors associated with the change in complexity of patients.

Indexed as

Electronic Health RecordsNeural Networks, ComputerPatient AcuityArea Under CurveChildChild Health ServicesClinical CodingData MiningDatasets as TopicHumansLogistic ModelsLongitudinal StudiesROC Curve

Identifiers

PMID29854255
PMCPMC5977630

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.