Evidence map›Paper›PMID 31242238›Full record

ArticlePloS one2019

Feature selection and transformation by machine learning reduce variable numbers and improve prediction for heart failure readmission or death.

Saqib E Awan, Mohammed Bennamoun, Ferdous Sohel, Frank M Sanfilippo, Benjamin J Chow, Girish Dwivedi

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

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0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Article
  2. Article
  3. Artificial intelligence in heart failure.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Review
  4. Article
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  10. Machine Learning-Based Prediction of Binge Drinking among Adults in the United State: Analysis of the 2022 Health Information National Trends Survey.Proceedings of the 2024 9th International Conference on Mathematics and Artificial Intelligence · 2024
    Article
  11. Article
  12. Article
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Saqib E AwanDepartment of Computer Science and Software Engineering, The University of Western Australia, Perth, Australia.
Mohammed BennamounDepartment of Computer Science and Software Engineering, The University of Western Australia, Perth, Australia.
Ferdous SohelDepartment of Computer Science and Software Engineering, The University of Western Australia, Perth, Australia.ORCID 0000-0003-1557-4907
Frank M SanfilippoSchool of Population and Global Health, The University of Western Australia, Perth, Australia.
Benjamin J ChowUniversity of Ottawa Heart Institute, University of Ottawa, Ottawa, Canada.
Girish DwivediHarry Perkins Institute of Medical Research and Fiona Stanley Hospital, The University of Western Australia, Perth, Australia.ORCID 0000-0003-0717-740X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prediction of readmission or death after a hospital discharge for heart failure (HF) remains a major challenge. Modern healthcare systems, electronic health records, and machine learning (ML) techniques allow us to mine data to select the most significant variables (allowing for reduction in the number of variables) without compromising the performance of models used for prediction of readmission and death. Moreover, ML methods based on transformation of variables may potentially further improve the performance.

objectiveTo use ML techniques to determine the most relevant and also transform variables for the prediction of 30-day readmission or death in HF patients.

methodsWe identified all Western Australian patients aged 65 years and above admitted for HF between 2003-2008 in linked administrative data. We evaluated variables associated with HF readmission or death using standard statistical and ML based selection techniques. We also tested the new variables produced by transformation of the original variables. We developed multi-layer perceptron prediction models and compared their predictive performance using metrics such as Area Under the receiver operating characteristic Curve (AUC), sensitivity and specificity.

resultsFollowing hospital discharge, the proportion of 30-day readmissions or death was 23.7% in our cohort of 10,757 HF patients. The prediction model developed by us using a smaller set of variables (n = 8) had comparable performance (AUC 0.62) to the traditional model (n = 47, AUC 0.62). Transformation of the original 47 variables further improved (p<0.001) the performance of the predictive model (AUC 0.66).

conclusionsA small set of variables selected using ML matched the performance of the model that used the full set of 47 variables for predicting 30-day readmission or death in HF patients. Model performance can be further significantly improved by transforming the original variables using ML methods.

Indexed as

AgedAged, 80 and overArea Under CurveCohort StudiesElectronic Health RecordsFemaleHeart FailureHumansMachine LearningMalePatient DischargePatient ReadmissionRisk FactorsWestern Australia

Identifiers

PMID31242238
PMCPMC6594617

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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.