Abstract
Research on predicting unplanned readmissions in hospitals is becoming more popular with a larger amount of hospital data becoming available. To gain an in-depth observation of recent insights in the field, a literature review analysing contributions between the years of 2005 and 2017 is conducted. The aggregated results show the most important risk factors included in prediction models so far, evaluation metrics of both all-cause and diagnosis-specific prediction models as well as the most prominent classification methods used in this context. Furthermore, the development of research on predicting unplanned patient readmissions over time is shown, and current gaps are identified.
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References
Amalakuhan, B., Kiljanek, L., Parvathaneni, A., Hester, M., Cheriyath, P., & Fischman, D. (2012). A prediction model for COPD readmissions: catching up, catching our breath, and improving a national problem. Journal of Community Hospital Internal Medicine Perspectives, 2(1), 9915.
Amarasingham, R., Moore, B. J., Tabak, Y. P., Drazner, M. H., Clark, C. A., Zhang, S., Reed, W. G., Swanson, T. S., Ma, Y., & Halm, E. A. (2010). An automated model to identify heart failure patients at risk for 30-day readmission or death using electronic medical record data. Medical Care, 48(11), 981–988.
Bardhan, I., Oh, J.-h., Zheng, Z., & Kirksey, K. (2015). Predictive analytics for readmission of patients with congestive heart failure. Information Systems Research, 26(1), 19–39.
Betihavas, V., Frost, S. A., Newton, P. J., Macdonald, P., Stewart, S., Carrington, M. J., Chan, Y. K., & Davidson, P. M. (2015). An absolute risk prediction model to determine unplanned cardiovascular readmissions for adults with chronic heart failure. Heart, Lung & Circulation, 24(11), 1068–1073.
Billings, J., Georghiou, T., Blunt, I., & Bardsley, M. (2013). Choosing a model to predict hospital admission: an observational study of new variants of predictive models for case finding. BMJ Open, 3(8), e003352.
Brown, J. R., Conley, S. M., & Niles, N. W. (2013). Predicting readmission or death after acute ST-elevation myocardial infarction. Clinical Cardiology, 36(10), 570–575.
Brzan, P. P., Obradovic, Z., & Stiglic, G. (2017). Contribution of temporal data to predictive performance in 30-day readmission of morbidly obese patients. PeerJ, 5, e3230.
Choudhry, S. A., Li, J., Davis, D., Erdmann, C., Sikka, R., & Sutariya, B. (2013). A public-private partnership develops and externally validates a 30-day hospital readmission risk prediction model. Online Journal of Public Health Informatics, 5(2), 219.
CMS. (2016). Readmissions Reduction Program (HRRP). Available at https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps/readmissions-reduction-program.html
Demir, E. (2014). A decision support tool for predicting patients at risk of readmission. A comparison of classification trees, logistic regression, generalized additive models, and multivariate adaptive regression splines. Decision Sciences, 45(5), 849–880.
Demir, E., Chahed, S., Chaussalet, T., Toffa, S., & Fouladinajed, F. (2012). A decision support tool for health service re-design. Journal of Medical Systems, 36(2), 621–630.
Demir, E., Chaussalet, T., Xie, H., & Millard, P. H. (2009). Modelling risk of readmission with phase-type distribution and transition models. IMA Journal of Management Mathematics, 20(4), 357–367.
Donzé, J., Aujesky, D., Williams, D., & Schnipper, J. L. (2013). Potentially avoidable 30-day hospital readmissions in medical patients: derivation and validation of a prediction model. JAMA Internal Medicine, 173(8), 632–638.
Dorajoo, S. R., See, V., Chan, C. T., Tan, J. Z., Tan, D. S. Y., Abdul Razak, S. M. B., Ong, T. T., Koomanan, N., Yap, C. W., & Chan, A. (2017). Identifying potentially avoidable readmissions: a medication-based 15-day readmission risk stratification algorithm. Pharmacotherapy, 37(3), 268–277.
Dugger, A., McBride, S., & Song, H. (2014). Can nurses tell the future? Creation of a model predictive of 30-day readmissions. ANS. Advances in Nursing Science, 37(4), 315–326.
Fehnel, C. R., Lee, Y., Wendell, L. C., Thompson, B. B., Potter, N. S., & Mor, V. (2015). Post-acute care data for predicting readmission after ischemic stroke. A nationwide cohort analysis using the minimum data set. Journal of the American Heart Association, 4(9), e002145.
Fleming, L. M., Gavin, M., Piatkowski, G., Chang, J. D., & Mukamal, K. J. (2014). Derivation and validation of a 30-day heart failure readmission model. The American Journal of Cardiology, 114(9), 1379–1382.
Golmohammadi, D., & Radnia, N. (2016). Prediction modeling and pattern recognition for patient readmission. International Journal of Production Economics, 171, 151–161.
Hasan, O., Meltzer, D. O., Shaykevich, S. A., Bell, C. M., Kaboli, P. J., Auerbach, A. D., Wetterneck, T. B., Arora, V. M., Zhang, J., & Schnipper, J. L. (2010). Hospital readmission in general medicine patients: a prediction model. Journal of General Internal Medicine, 25(3), 211–219.
Hilbert, J. P., Zasadil, S., Keyser, D. J., & Peele, P. B. (2014). Using decision trees to manage hospital readmission risk for acute myocardial infarction, heart failure, and pneumonia. Applied Health Economics and Health Policy, 12(6), 573–585.
Hummel, S. L., Katrapati, P., Gillespie, B. W., Defranco, A. C., & Koelling, T. M. (2014). Impact of prior admissions on 30-day readmissions in medicare heart failure inpatients. Mayo Clinic Proceedings, 89(5), 623–630.
Huynh, Q. L., Saito, M., Blizzard, C. L., Eskandari, M., Johnson, B., Adabi, G., Hawson, J., Negishi, K., & Marwick, T. H. (2015). Roles of nonclinical and clinical data in prediction of 30-day rehospitalization or death among heart failure patients. Journal of Cardiac Failure, 21(5), 374–381.
Jamei, M., Nisnevich, A., Wetchler, E., Sudat, S., & Liu, E. (2017). Predicting all-cause risk of 30-day hospital readmission using artificial neural networks. PLoS One, 12(7), e0181173.
Kansagara, D., Chiovaro, J. C., Kagen, D., Jencks, S., Rhyne, K., O’Neil, M., Kondo, K., Relevo, R., Motu’apuaka, M., Freeman, M., & Englander, H. (2016). So many options, where do we start? An overview of the care transitions literature. Journal of Hospital Medicine, 11(3), 221–230.
Kansagara, D., Englander, H., Salanitro, A., Kagen, D., Theobald, C., Freeman, M., & Kripalani, S. (2011). Risk prediction models for hospital readmission: a systematic review. JAMA, 306(15), 1688–1698.
Kotu, V., & Deshpande, B. (2015). Predictive analytics and data mining: concepts and practice with RapidMiner. Amsterdam: Elsevier Ltd.
Lee, E. W. (2012). Selecting the best prediction model for readmission. Journal of Preventive Medicine and Public Health = Yebang Uihakhoe chi, 45(4), 259–266.
Leeds, I. L., Sadiraj, V., Cox, J. C., Gao, X. S., Pawlik, T. M., Schnier, K. E., & Sweeney, J. F. (2017). Discharge decision-making after complex surgery. Surgeon behaviors compared to predictive modeling to reduce surgical readmissions. American Journal of Surgery, 213(1), 112–119.
Lin, K.-P., Chen, P.-C., Huang, L.-Y., Mao, H.-C., & Chan, D.-C. D. (2016). Predicting inpatient readmission and outpatient admission in elderly. A population-based cohort study. Medicine, 95(16), e3484.
Lin, Y. K., Chen, H., Brown, R. A., Li, S. H., & Yang, H. J. (2017). Healthcare predictive analytics for risk profiling in chronic care: a Bayesian multitask learning approach. MIS Quarterly: Management Information Systems, 41(2), 473–495.
Lindenauer, P. K., Normand, S.-L. T., Drye, E. E., Lin, Z., Goodrich, K., Desai, M. M., Bratzler, D. W., O’Donnell, W. J., Metersky, M. L., & Krumholz, H. M. (2011). Development, validation, and results of a measure of 30-day readmission following hospitalization for pneumonia. Journal of Hospital Medicine, 6(3), 142–150.
McLaren, D. P., Jones, R., Plotnik, R., Zareba, W., McIntosh, S., Alexis, J., Chen, L., Block, R., Lowenstein, C. J., & Kutyifa, V. (2016). Prior hospital admission predicts thirty-day hospital readmission for heart failure patients. Cardiology Journal, 23(2), 155–162.
McManus, D. D., Saczynski, J. S., Lessard, D., Waring, M. E., Allison, J., Parish, D. C., Goldberg, R. J., Ash, A., & Kiefe, C. I. (2016). Reliability of predicting early hospital readmission after discharge for an acute coronary syndrome using claims-based data. The American Journal of Cardiology, 117(4), 501–507.
Mortazavi, B. J., Downing, N. S., Bucholz, E. M., Dharmarajan, K., Manhapra, A., Li, S.-X., Negahban, S. N., & Krumholz, H. M. (2016). Analysis of machine learning techniques for heart failure readmissions. Circulation. Cardiovascular Quality and Outcomes, 9(6), 629–640.
Murray, C. J. L., & Lopez, A. D. (1996). The global burden of disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020; summary, Global burden of disease and injury series (Vol. 1., Published by the Harvard School of Public Health on behalf of the World Health Organization and the World Bank;). Cambridge, MA: Distributed by Harvard University Press.
Nguyen, O. K., Makam, A. N., Clark, C., Zhang, S., Xie, B., Velasco, F., Amarasingham, R., & Halm, E. A. (2016). Predicting all-cause readmissions using electronic health record data from the entire hospitalization. Model development and comparison. Journal of Hospital Medicine, 11(7), 473–480.
Pack, Q. R., Priya, A., Lagu, T., Pekow, P. S., Engelman, R., Kent, D. M., & Lindenauer, P. K. (2016). Development and validation of a predictive model for short- and medium-term hospital readmission following heart valve surgery. Journal of the American Heart Association, 5(9), e003544.
Pencina, M. J., & D’Agostino, R. B. (2015). Evaluating discrimination of risk prediction models. The C statistic. JAMA, 314(10), 1063–1064.
Picker, D., Heard, K., Bailey, T. C., Martin, N. R., LaRossa, G. N., & Kollef, M. H. (2015). The number of discharge medications predicts thirty-day hospital readmission. A cohort study. BMC Health Services Research, 15, 282.
Rana, S., Tran, T., Luo, W., Phung, D., Kennedy, R. L., & Venkatesh, S. (2014). Predicting unplanned readmission after myocardial infarction from routinely collected administrative hospital data. Australian Health Review, 38(4), 377–382.
Sawhney, S., Marks, A., Fluck, N., McLernon, D. J., Prescott, G. J., & Black, C. (2017). Acute kidney injury as an independent risk factor for unplanned 90-day hospital readmissions. BMC Nephrology, 18(1), 9.
Shadmi, E., Flaks-Manov, N., Hoshen, M., Goldman, O., Bitterman, H., & Balicer, R. D. (2015). Predicting 30-day readmissions with preadmission electronic health record data. Medical Care, 53(3), 283–289.
Shams, I., Ajorlou, S., & Yang, K. (2015). A predictive analytics approach to reducing 30-day avoidable readmissions among patients with heart failure, acute myocardial infarction, pneumonia, or COPD. Health Care Management Science, 18(1), 19–34.
Shmueli, G., & Koppius, O. (2011). Predictive analytics in information systems research. MIS Quarterly, 35(3), 553–572.
Shulan, M., Gao, K., & Moore, C. D. (2013). Predicting 30-day all-cause hospital readmissions. Health Care Management Science, 16(2), 167–175.
Tabak, Y. P., Sun, X., Nunez, C. M., Gupta, V., & Johannes, R. S. (2017). Predicting readmission at early hospitalization using electronic clinical data: an early readmission risk score. Medical Care, 55(3), 267–275.
Taber, D. J., Palanisamy, A. P., Srinivas, T. R., Gebregziabher, M., Odeghe, J., Chavin, K. D., Egede, L. E., & Baliga, P. K. (2015). Inclusion of dynamic clinical data improves the predictive performance of a 30-day readmission risk model in kidney transplantation. Transplantation, 99(2), 324–330.
Tong, L., Erdmann, C., Daldalian, M., Li, J., & Esposito, T. (2016). Comparison of predictive modeling approaches for 30-day all-cause non-elective readmission risk. BMC Medical Research Methodology, 16, 26.
Walsh, C., & Hripcsak, G. (2014). The effects of data sources, cohort selection, and outcome definition on a predictive model of risk of thirty-day hospital readmissions. Journal of Biomedical Informatics, 52, 418–426.
Webster, J., & Watson, R. T. (2002). Analyzing the past to prepare for the future: writing a literature review. MIS Quarterly, 26(2), xiii–xxiii.
Whitlock, T. L., Tignor, A., Webster, E. M., Repas, K., Conwell, D., Banks, P. A., & Wu, B. U. (2011). A scoring system to predict readmission of patients with acute pancreatitis to the hospital within thirty days of discharge. Clinical Gastroenterology and Hepatology, 9(2), 175–180. quiz e18.
Yeo, H., Mao, J., Abelson, J. S., Lachs, M., Finlayson, E., Milsom, J., & Sedrakyan, A. (2016). Development of a nonparametric predictive model for readmission risk in elderly adults after colon and rectal cancer surgery. Journal of the American Geriatrics Society, 64(11), e125–e130.
Yu, S., Farooq, F., van Esbroeck, A., Fung, G., Anand, V., & Krishnapuram, B. (2015). Predicting readmission risk with institution-specific prediction models. Artificial Intelligence in Medicine, 65(2), 89–96.
Zhu, K., Lou, Z., Zhou, J., Ballester, N., Kong, N., & Parikh, P. (2015). Predicting 30-day hospital readmission with publicly available administrative database. A conditional logistic regression modeling approach. Methods of Information in Medicine, 54(6), 560–567.
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Eigner, I., Cooney, A. (2020). A Literature Review on Predicting Unplanned Patient Readmissions. In: Wickramasinghe, N., Bodendorf, F. (eds) Delivering Superior Health and Wellness Management with IoT and Analytics. Healthcare Delivery in the Information Age. Springer, Cham. https://doi.org/10.1007/978-3-030-17347-0_12
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DOI: https://doi.org/10.1007/978-3-030-17347-0_12
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