Using Natural Language Processing to Identify Home Health Care Patients at Risk for Diagnosis of Alzheimer's Disease and Related Dementias.

Autor:	Ryvicker M; Center for Home Care Policy & Research, VNS Health, New York, NY, USA., Barrón Y; Center for Home Care Policy & Research, VNS Health, New York, NY, USA., Song J; University of Pennsylvania School of Nursing, Philadelphia, PA, USA., Zolnoori M; Columbia University School of Nursing, New York, NY, USA., Shah S; Center for Home Care Policy & Research, VNS Health, New York, NY, USA., Burgdorf JG; Center for Home Care Policy & Research, VNS Health, New York, NY, USA., Noble JM; Columbia University Medical Center, New York, NY, USA., Topaz M; Center for Home Care Policy & Research, VNS Health, New York, NY, USA.; Columbia University Medical Center, New York, NY, USA.
Jazyk:	angličtina
Zdroj:	Journal of applied gerontology : the official journal of the Southern Gerontological Society [J Appl Gerontol] 2024 Oct; Vol. 43 (10), pp. 1461-1472. Date of Electronic Publication: 2024 Mar 31.
DOI:	10.1177/07334648241242321
Abstrakt:	This study aimed to: (1) validate a natural language processing (NLP) system developed for the home health care setting to identify signs and symptoms of Alzheimer's disease and related dementias (ADRD) documented in clinicians' free-text notes; (2) determine whether signs and symptoms detected via NLP help to identify patients at risk of a new ADRD diagnosis within four years after admission. This study applied NLP to a longitudinal dataset including medical record and Medicare claims data for 56,652 home health care patients and Cox proportional hazard models to the subset of 24,874 patients admitted without an ADRD diagnosis. Selected ADRD signs and symptoms were associated with increased risk of a new ADRD diagnosis during follow-up, including: motor issues; hoarding/cluttering; uncooperative behavior; delusions or hallucinations; mention of ADRD disease names; and caregiver stress. NLP can help to identify patients in need of ADRD-related evaluation and support services. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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