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Responsive and Minimalist App Based on Explainable AI to Assess Palliative Care Needs during Bedside Consultations on Older Patients

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  • Vicent Blanes-Selva

    (Biomedical Data Science Laboratory, Instituto Universitario de Tecnologías de la Información y Comunicaciones (ITACA), Universitat Politècnica de València, 46022 Valencia, Spain)

  • Ascensión Doñate-Martínez

    (Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain)

  • Gordon Linklater

    (Highland Hospice and NHS Highland, Inverness IV2 3BW, UK)

  • Jorge Garcés-Ferrer

    (Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain)

  • Juan M. García-Gómez

    (Biomedical Data Science Laboratory, Instituto Universitario de Tecnologías de la Información y Comunicaciones (ITACA), Universitat Politècnica de València, 46022 Valencia, Spain)

Abstract

Palliative care is an alternative to standard care for gravely ill patients that has demonstrated many clinical benefits in cost-effective interventions. It is expected to grow in demand soon, so it is necessary to detect those patients who may benefit from these programs using a personalised objective criterion at the correct time. Our goal was to develop a responsive and minimalist web application embedding a 1-year mortality explainable predictive model to assess palliative care at bedside consultation. A 1-year mortality predictive model has been trained. We ranked the input variables and evaluated models with an increasing number of variables. We selected the model with the seven most relevant variables. Finally, we created a responsive, minimalist and explainable app to support bedside decision making for older palliative care. The selected variables are age, medication, Charlson, Barthel, urea, RDW-SD and metastatic tumour. The predictive model achieved an AUC ROC of 0.83 [CI: 0.82, 0.84]. A Shapley value graph was used for explainability. The app allows identifying patients in need of palliative care using the bad prognosis criterion, which can be a useful, easy and quick tool to support healthcare professionals in obtaining a fast recommendation in order to allocate health resources efficiently.

Suggested Citation

  • Vicent Blanes-Selva & Ascensión Doñate-Martínez & Gordon Linklater & Jorge Garcés-Ferrer & Juan M. García-Gómez, 2021. "Responsive and Minimalist App Based on Explainable AI to Assess Palliative Care Needs during Bedside Consultations on Older Patients," Sustainability, MDPI, vol. 13(17), pages 1-11, September.
    • Handle: RePEc:gam:jsusta:v:13:y:2021:i:17:p:9844-:d:627434
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