Predictive Modeling for End-of-Life Pain Outcome using Electronic Health Records.

Autor: Lodhi MK; University of Illinois at Chicago, Chicago, IL, US., Stifter J; University of Illinois at Chicago, Chicago, IL, US., Yao Y; University of Illinois at Chicago, Chicago, IL, US., Ansari R; University of Illinois at Chicago, Chicago, IL, US., Kee-Nan GM; University of Florida, Gainesville, FL, US., Wilkie DJ; University of Florida, Gainesville, FL, US., Khokhar AA; Illinois Institute of Technology, Chicago, IL, US.
Jazyk: angličtina
Zdroj: Advances in data mining. Industrial Conference on Data Mining [Adv Data Min] 2015 Jul; Vol. 9165, pp. 56-68. Date of Electronic Publication: 2015 Jun 20.
DOI: 10.1007/978-3-319-20910-4_5
Abstrakt: Electronic health record (EHR) systems are being widely used in the healthcare industry nowadays, mostly for monitoring the progress of the patients. EHR data analysis has become a big data problem as data is growing rapidly. Using a nursing EHR system, we built predictive models for determining what factors influence pain in end-of-life (EOL) patients. Utilizing different modeling techniques, we developed coarse-grained and fine-grained models to predict patient pain outcomes. The coarse-grained models help predict the outcome at the end of each hospitalization, whereas fine-grained models help predict the outcome at the end of each shift, thus providing a trajectory of predicted outcomes over the entire hospitalization. These models can help in determining effective treatments for individuals and groups of patients and support standardization of care where appropriate. Using these models may also lower the cost and increase the quality of end-of-life care. Results from these techniques show significantly accurate predictions.
Databáze: MEDLINE