PLoS ONE (Jan 2022)

Decision support through risk cost estimation in 30-day hospital unplanned readmission.

  • Laura Arnal,
  • Pedro Pons-Suñer,
  • J Ramón Navarro-Cerdán,
  • Pablo Ruiz-Valls,
  • Mª Jose Caballero Mateos,
  • Bernardo Valdivieso Martínez,
  • Juan-Carlos Perez-Cortes

DOI
https://doi.org/10.1371/journal.pone.0271331
Journal volume & issue
Vol. 17, no. 7
p. e0271331

Abstract

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Unplanned hospital readmissions mean a significant burden for health systems. Accurately estimating the patient's readmission risk could help to optimise the discharge decision-making process by smartly ordering patients based on a severity score, thus helping to improve the usage of clinical resources. A great number of heterogeneous factors can influence the readmission risk, which makes it highly difficult to be estimated by a human agent. However, this score could be achieved with the help of AI models, acting as aiding tools for decision support systems. In this paper, we propose a machine learning classification and risk stratification approach to assess the readmission problem and provide a decision support system based on estimated patient risk scores.