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Applying a BP Neural Network Model to Predict the Length of Hospital Stay

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Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 7798))

Abstract

Length of hospital stay (LOS) is closely related to the control of medical costs and the management of hospital resources. In this study, we implemented a data mining approach based on Back-Propagation (BP) neural net-works to construct a LOS prediction model that can help doctors and nurses individualize patient treatment. We analyzed medical data from 921 patients whowere diagnosed as cholecystitis and treated in a Chinese hospital between 2003and 2007. Our prediction model achieved approximately 80% accuracy, and revealed 5 LOS predictors: days before operation, wound grade, operation approach, charge type and number of admissions. The model can be easily used toprovide suggestions for doctors and nurses determining patient LOS.

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References

  1. Stephen, M., Peter, S.: Explaining variations in inpatient length of stay in the National Health Service. Journal of Health Economics 15, 279–304 (1996)

    Article  Google Scholar 

  2. Fakhry, S.M., Couillard, D., Liddy, C.T., Adams, D., Norcross, E.D.: Trauma Center Finances and Length of Stay: Identifying a Profitability Inflection Point. Journal of the American College of Surgeons 210, 817–821 (2010)

    Article  Google Scholar 

  3. Liu, Z., Dowb, W.H., Nortonb, E.C.: Effect of drive-through delivery laws on postpartum length of stay and hospital charges. Journal of Health Economics 23, 129–155 (2004)

    Article  Google Scholar 

  4. Evans, J.H., Hwang, Y., Nagarajan, N.J.: Management control and hospital cost reduction: additional evidence. Journal of Accounting and Public Policy 20, 73–88 (2001)

    Article  Google Scholar 

  5. Theurl, E., Winner, H.: The impact of hospital financing on the length of stay: Evidence from Austria. Health Policy 82, 375–389 (2007)

    Article  Google Scholar 

  6. Taheri, P.A., Butz, D.A., Greenfield, L.J.: Length of stay has minimal impact on the cost of hospital admission. Journal of the American College of Surgeons 191, 123–130 (2000)

    Article  Google Scholar 

  7. Chertow, G.M., Burdick, E., Honour, M., Bonventre, J.V., Bates, D.W.: Acute Kidney Injury, Mortality, Length of Stay, and Costs in Hospitalized Patients. Journal of the American Society of Nephrology 16, 3365–3370 (2005)

    Article  Google Scholar 

  8. Nawata, K., Ii, M., Ishiguro, A., Kawabuchi, K.: An analysis of the length of hospital stay for cataract patients in Japan using the discrete-type proportional hazard model. Mathematics and Computers in Simulation 79, 2889–2896 (2009)

    Article  MathSciNet  MATH  Google Scholar 

  9. Imai, H., Hosomi, J., Nakao, H., Tsukino, H., Katoh, T., Itoh, T., Yoshida, T.: Characteristics of psychiatric hospitals associated with length of stay in Japan. Health Policy 74, 115–121 (2005)

    Article  Google Scholar 

  10. Uzzo, R.D., Wei, J.T., Hafez, K., Kay, R.: Comparison of direct Hospital costs and length of stay for radical nephrectomy versus nephronsparing surgery in the managment of localized renal cell carcinoma. Adult Urology 54, 994–998 (1999)

    Article  Google Scholar 

  11. Meyfroidt, G., Guiza, F., Cottem, D., Becker, W.D., Loon, K.V., Aerts, J.M., Berckmans, D., Ramon, J., Bruynooghe, M., Van den Berghe, G.: Computerized prediction of intensive care unit discharge after cardiac surgery: development and validation of a Gaussian processes model. Bmc Medical Informatics and Decision Making 11, 64–77 (2011)

    Article  Google Scholar 

  12. Hung, W.J., Lin, L.P., Wub, C.L., Lin, J.D.: Cost of hospitalization and length of stay in people with Down syndrome: Evidence from a national hospital discharge claims database. Research in Developmental Disabilities 32, 1709–1713 (2011)

    Article  Google Scholar 

  13. Paul, S.D., Eagle, K.A., Guidry, U.: Do Gender-based differences in presentation and management influence predictors of hospitalization costs and length of stay after an acute myocardial infarction? The American Journal of Cardiology 76, 1122–1125 (1995)

    Article  Google Scholar 

  14. Furlanetto, L.M., da Silva, R.V., Bueno, J.R.: The impact of psychiatric comorbidity on length of stay of medical inpatients. General Hospital Psychiatry 25, 14–19 (2003)

    Article  Google Scholar 

  15. Yang, C.S., Wei, C.P., Yuan, C.C., Schoung, J.Y.: Predicting the length of hospital stay of burn patients: Comparisons of prediction accuracy among different clinical stages. Decision Support Systems 50, 325–335 (2010)

    Article  Google Scholar 

  16. Negassa, A., Monrad, E.S.: Prediction of length of stay following elective percutaneous coronary intervention. ISRN Surg. 2011, 6 pages (2011)

    Google Scholar 

  17. Rowan, M., Ryan, T., Hegarty, F., O’Hare, N.: The use of artificial neural networks to stratify the length of stay of cardiac patients based on preoperative and initial postoperative factors. Artificial Intelligence in Medicine 40, 211–221 (2007)

    Article  Google Scholar 

  18. Lin, C.L., Lin, P.H., Chou, L.W., Lan, S.J., Meng, N.H., Lo, S.F., Wu, H.-D.I.: Model-based Prediction of Length of Stay for Rehabilitating Stroke Patients. Journal of the Formosan Medical Association 108, 653–662 (2009)

    Article  Google Scholar 

  19. Houdenhoven, M.V., Nguyen, D.T., Eijkemans, M., Steyerberg, E., Tilanus, H., Gommers, D., Wullink, G., Bakker, J., Kazemier, G.: Optimizing intensive care capacity using individual length-of-stay prediction models. Critical Care 11, 1–10 (2007)

    Google Scholar 

  20. Ettema, R.G., Peelen, L.M., Schuurmans, M.J., Nierich, A.P., Kalkman, C.J., Moons, K.G.: Prediction models for prolonged intensive care unit stay after cardiac surgery: Systematic review and validation study. Circulation 122, 682–689 (2010)

    Article  Google Scholar 

  21. Paterson, R., MacLeod, D.C., Thetford, D., Beattie, A., Graham, C., Lam, S., Bell, D.: Prediction of in-hospital mortality and length of stay using an early warning scoring system: clinical audit. Clinical Medicine, Journal of the Royal College of Physicians 6, 281–284 (2006)

    Google Scholar 

  22. Chang, K.C., Tseng, M.C., Weng, H.H., Lin, Y.H., Liou, C.W., Tan, T.Y.: Prediction of length of stay of first-ever ischemic stroke. Stroke 33, 2670–2674 (2002)

    Article  Google Scholar 

  23. Kramer, A., Zimmerman, J.: A predictive model for the early identification of patients at risk for a prolonged intensive care unit length of stay. Bmc Medical Informatics and Decision Making 10, 1–16 (2010)

    Article  Google Scholar 

  24. Giakoumidakis, K., Baltopoulos, G.I., Charitos, C., Patelarou, E., Galanis, P., Brokalaki, H.: Risk factors for prolonged stay in cardiac surgery intensive care units. Nursing in Critical Care 16, 243–251 (2011)

    Article  Google Scholar 

  25. Walsh, P., Cunningham, P., Rothenberg, S.J., O’Doherty, S., Hoey, H., Healy, R.: An Artificial Neural Network Ensemble to Predict Disposition and length of stay in children presenting with bronchiolitis. European Journal of Emergency Medicine 11, 259–264 (2004)

    Article  Google Scholar 

  26. Zhong, W., Chow, R., He, J.Y.: Clinical charge profiles prediction for patients diagnosed with chronic diseases using Multi-level Support Vector Machine. Expert Systems with Applications 39, 1474–1483 (2012)

    Article  Google Scholar 

  27. Sargent, D.J.: Comparison of artificial neural networks with other statistical approaches: results from medical data sets. Cancer 91, 1636–1642 (2001)

    Article  Google Scholar 

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© 2013 Springer-Verlag Berlin Heidelberg

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Li, JS., Tian, Y., Liu, YF., Shu, T., Liang, MH. (2013). Applying a BP Neural Network Model to Predict the Length of Hospital Stay. In: Huang, G., Liu, X., He, J., Klawonn, F., Yao, G. (eds) Health Information Science. HIS 2013. Lecture Notes in Computer Science, vol 7798. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37899-7_2

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  • DOI: https://doi.org/10.1007/978-3-642-37899-7_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-37898-0

  • Online ISBN: 978-3-642-37899-7

  • eBook Packages: Computer ScienceComputer Science (R0)

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