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January 10, 2023Journal of Medical Internet ResearchOpen Access

Prevention of Unplanned Hospital Admissions in Multimorbid Patients Using Computational Modeling: Observational Retrospective Cohort Study

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Why the study?

Enhanced patient stratification is vital to manage multimorbidity and reduce unplanned hospital admissions through personalized postdischarge service selection.

Can computational modeling predict mortality and readmission at 90 days after discharge in multimorbid nonsurgical patients?

Population

761 nonsurgical patients admitted to a tertiary hospital

Comparison

Predictive models and patient profiling using gradient boosting and K-means clustering

Design

Observational retrospective cohort study

Follow-up

90 days

Authors

RGRubèn GonzálezCHCarmen HerranzEVEmili Vela

Discussion

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Member takes

Overview

May aid 90-day risk stratification in multimorbid patients; leaves open whether models improve outcomes prospectively.

Structured PICO

Can computational modeling predict mortality and readmission at 90 days after discharge in multimorbid nonsurgical patients?

P
Population
761 nonsurgical multimorbid patients admitted in a tertiary hospital over 12 months (October 2017 to November 2018)
I
Intervention
Predictive models using gradient boosting techniques and K-means clustering based on multisource data (registries, clinical/functional and social support)
O
Outcome
Mortality and readmission at 90 days after dischargehard clinical

Computational modeling using multisource data can effectively predict 90-day mortality and readmission in multimorbid patients, identifying distinct patient profiles to guide personalized postdischarge care.

Cite This Study

González et al. (2023) studied this question.

synapsesocial.com/papers/6a1bf16800ee29383e9d2fechttps://doi.org/10.2196/40846
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Also Consider

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  1. 1Prediction of hospital readmission of multimorbid patients using machine learning models2022 · 16 citations
  2. 2Development and internal validation of prediction models for future hospital care utilization by patients with multimorbidity using electronic health record data2022 · 6 citations
  3. 3Risk prediction models for mortality in patients with multimorbidity: a systematic review and meta-analysis2025 · 3 citations
  4. 4Risk Stratification Index 3.0, a Broad Set of Models for Predicting Adverse Events during and after Hospital Admission2022 · 29 citations
  5. 5Multimorbidity measurement strategies for predicting hospital visits2025