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September 28, 2013Journal of the American Medical Informatics AssociationOpen Access

Mining high-dimensional administrative claims data to predict early hospital readmissions

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Key result

An administrative claim-based algorithm predicted 30-day readmission with an AUC ≥0.75 for medical patients and ≥0.65 for chronic pancreatitis patients, performing similarly to clinical models.

Why the study?

Can an administrative claim-based algorithm using high-dimensional data accurately predict 30-day hospital readmissions in medical and chronic pancreatitis patients?

Population

46,209 hospital admissions, comprising medical patients and patients with chronic pancreatitis from two…

Design

Cohort

Follow-up

30 days

Authors

DHDanning HeHuzhou Vocational and Technical CollegeSMSimon C. MathewsUnited States Department of Veterans AffairsAKAnthony N. KallooJohns Hopkins University

Discussion

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Implication

May enable scalable readmission prediction from claims data alone; hypothesis-generating and should not yet change practice.

Study Design

Type

Observational (n=46,209)

Multicenter

Yes

Structured PICO

Can an administrative claim-based algorithm using high-dimensional data accurately predict 30-day hospital readmissions in medical and chronic pancreatitis patients?

P
Population
46,209 hospital admissions, comprising medical patients (n=26,091 training, n=16,194 testing) and patients with chronic pancreatitis (n=3,218 training, n=706 testing) from two Johns Hopkins hospitals.
I
Intervention
Administrative claim-based algorithm to predict 30-day readmission using high-dimensional claims data (ICD-9-CM and CPT codes)
O
Outcome
30-day readmission prediction performance (AUC, sensitivity, specificity, positive predictive values, negative predictive values, and F-measure)

An administrative claim-based algorithm using high-dimensional data can predict 30-day hospital readmissions with performance comparable to models requiring clinical data.

Cite This Study

He et al. (2013) conducted an observational in Medical patients and chronic pancreatitis (n=46,209). Administrative claim-based algorithm vs. State-of-the-art readmission models requiring clinical data was evaluated on 30-day readmission prediction performance (AUC). An administrative claim-based algorithm predicted 30-day readmission with an AUC ≥0.75 for medical patients and ≥0.65 for chronic pancreatitis patients, performing similarly to clinical models.

synapsesocial.com/papers/6a106d882badbc352affffaehttps://doi.org/10.1136/amiajnl-2013-002151
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Also Consider

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  5. 5The accuracy of Medicare's hospital claims data: progress has been made, but problems remain.1992 · 717 citations