Title
A Validated Risk Model for 30-Day Readmission for Heart Failure.
Abstract
One of the goals of the Precision Medicine Initiative launched in the United States in 2016 is to use innovative tools and sources in data science. We realized this goal by implementing a use case that identified patients with heart failure at Veterans Health Administration using data from the Electronic Health Records from multiple health domains between 2005 and 2013. We applied a regularized logistic regression model and predicted 30-day readmission risk for 1210 unique patients. Our validation cohort resulted in a C-statistic of 0.84. Our top predictors of readmission were prior diagnosis of heart failure, vascular and renal diseases, and malnutrition as comorbidities, compliance with outpatient follow-up, and low socioeconomic status. This validated risk prediction scheme delivered better performance than the published models so far (C-Statistics: 0.69). It can be used to strati patients for readmission and to aid clinicians in delivering precise health interventions.
Year
DOI
Venue
2017
10.3233/978-1-61499-830-3-506
Studies in Health Technology and Informatics
Keywords
DocType
Volume
Patient Readmission,Models,Theoretical,Heart Failure
Conference
245
ISSN
Citations 
PageRank 
0926-9630
0
0.34
References 
Authors
0
4
Name
Order
Citations
PageRank
Satish M Mahajan100.68
Prabir Burman2143.34
Ana Newton300.34
Paul Heidenreich462.22