Machine-learning prediction for hospital length of stay using a French medico-administrative database

Franck Jaotombo (), Vanessa Pauly, Guillaume Fond, Veronica Orleans, Pascal Auquier, Badih Ghattas and Laurent Boyer
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Franck Jaotombo: EM - EMLyon Business School

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Abstract: "Introduction: Prolonged Hospital Length of Stay (PLOS) is an indicator of deteriorated efficiency in Quality of Care. One goal of public health management is to reduce PLOS by identifying its most relevant predictors. The objective of this study is to explore Machine Learning (ML) models that best predict PLOS.Methods: Our dataset was collected from the French Medico-Administrative database (PMSI) as a retrospective cohort study of all discharges in the year 2015 from a large university hospital in France (APHM). The study outcomes were LOS transformed into a binary variable (long vs. short LOS) according to the 90th percentile (14 days). Logistic regression (LR), classification and regression trees (CART), random forest (RF), gradient boosting (GB) and neural networks (NN) were applied to the collected data. The predictive performance of the models was evaluated using the area under the ROC curve (AUC).Results: Our analysis included 73,182 hospitalizations, of which 7,341 (10.0%) led to PLOS. The GB classifier was the most performant model with the highest AUC (0.810), superior to all the other models (all p-values

Keywords: Machine learning; neural network; prediction; health services research; public health (search for similar items in EconPapers)
Date: 2023-01-01
New Economics Papers: this item is included in nep-big, nep-cmp and nep-eur
Note: View the original document on HAL open archive server: https://hal.science/hal-04325691v1
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Published in Journal of Market Access & Health Policy, 2023, 11 (1), 11 p

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