Evidence map›Paper›PMID 32294087›Full record

ArticlePloS one2020

Predicting 30-day hospital readmissions using artificial neural networks with medical code embedding.

Wenshuo Liu, Cooper Stansbury, Karandeep Singh, Andrew M Ryan, Devraj Sukul, Elham Mahmoudi, Akbar Waljee, Ji Zhu, Brahmajee K Nallamothu

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Large Models for Small Tables: Adapting Tabular Foundation Models to EHR Data.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026
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  14. Predicting Hospitalization among Medicaid Home- and Community-Based Services Users Using Machine Learning Methods.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
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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

9 authors.

Wenshuo LiuMichigan Integrated Center for Health Analytics and Medical Prediction, University of Michigan, Ann Arbor, MI, United States of America.
Cooper StansburyDepartment of Computational Biology and Bioinformatics, University of Michigan Medical School, Ann Arbor, MI, United States of America.
Karandeep SinghMichigan Integrated Center for Health Analytics and Medical Prediction, University of Michigan, Ann Arbor, MI, United States of America.
Andrew M RyanDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, United States of America.
Devraj SukulDivision of Cardiology, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, United States of America.ORCID 0000-0003-4709-3390
Elham MahmoudiMichigan Integrated Center for Health Analytics and Medical Prediction, University of Michigan, Ann Arbor, MI, United States of America.ORCID 0000-0002-9746-8165
Akbar WaljeeMichigan Integrated Center for Health Analytics and Medical Prediction, University of Michigan, Ann Arbor, MI, United States of America.ORCID 0000-0003-1964-8790
Ji ZhuMichigan Integrated Center for Health Analytics and Medical Prediction, University of Michigan, Ann Arbor, MI, United States of America.
Brahmajee K NallamothuMichigan Integrated Center for Health Analytics and Medical Prediction, University of Michigan, Ann Arbor, MI, United States of America.ORCID 0000-0003-4331-6649

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reducing unplanned readmissions is a major focus of current hospital quality efforts. In order to avoid unfair penalization, administrators and policymakers use prediction models to adjust for the performance of hospitals from healthcare claims data. Regression-based models are a commonly utilized method for such risk-standardization across hospitals; however, these models often suffer in accuracy. In this study we, compare four prediction models for unplanned patient readmission for patients hospitalized with acute myocardial infarction (AMI), congestive health failure (HF), and pneumonia (PNA) within the Nationwide Readmissions Database in 2014. We evaluated hierarchical logistic regression and compared its performance with gradient boosting and two models that utilize artificial neural networks. We show that unsupervised Global Vector for Word Representations embedding representations of administrative claims data combined with artificial neural network classification models improves prediction of 30-day readmission. Our best models increased the AUC for prediction of 30-day readmissions from 0.68 to 0.72 for AMI, 0.60 to 0.64 for HF, and 0.63 to 0.68 for PNA compared to hierarchical logistic regression. Furthermore, risk-standardized hospital readmission rates calculated from our artificial neural network model that employed embeddings led to reclassification of approximately 10% of hospitals across categories of hospital performance. This finding suggests that prediction models that incorporate new methods classify hospitals differently than traditional regression-based approaches and that their role in assessing hospital performance warrants further investigation.

Indexed as

Patient ReadmissionAgedAged, 80 and overFemaleHumansLogistic ModelsMaleMiddle AgedModels, BiologicalMyocardial InfarctionNeural Networks, ComputerPrognosisRisk Assessment

Identifiers

PMID32294087
PMCPMC7159221

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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.