对心脏病患者的医院再入院进行预测建模:从2012-2023年进行的最新审查
IEEE journal of biomedical and health informatics
|January 2, 2024
概括
对心脏病患者的医院再入院是一个重大问题. 预测模型是有希望的,但未来的研究必须解决数据的局限性,并改进实施,以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 在医疗保健中的数据科学.
背景情况:
- 医院再接收对医疗保健系统构成重大挑战,影响患者的治疗结果和资源分配.
- 心脏病患者的再入院率特别高,需要专注于预测建模的研究.
研究的目的:
- 系统地审查和综合现有关于心脏病患者再入院预测模型的文献.
- 确定常见的建模方法,数据源,预测因素和当前研究的局限性.
主要方法:
- 在七个主要数据库中进行了全面的文献搜索,确定了56项符合条件的研究.
- 数据提取侧重于再接收类型,数据源,建模技术和关键预测因素,以及质量评估.
主要成果:
- 大多数研究集中在模型开发 (44项研究),回归和单层机器学习是普遍的方法.
- 同病,并发症,年龄和种族被确定为关键的临床和人口预测因素.
- 发现再接收类型受到政策决策的影响,医院数据是主要来源.
结论:
- 目前的心脏病再入院的预测模型显示了进展,但受到诸如消耗偏差和缺失数据处理等问题的限制.
- 未来的研究应该优先优化再接收分类,增强模型通用性,利用可解释模型,并专注于实际实施策略.
相关概念视频
01:30Pulse rhythm
805
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
805
01:15Methods of Documentation VI: Case Management Model
574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
574