IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0271331.html

Decision support through risk cost estimation in 30-day hospital unplanned readmission

Author

Listed:
  • Laura Arnal
  • Pedro Pons-Suñer
  • J Ramón Navarro-Cerdán
  • Pablo Ruiz-Valls
  • Mª Jose Caballero Mateos
  • Bernardo Valdivieso Martínez
  • Juan-Carlos Perez-Cortes

Abstract

Unplanned hospital readmissions mean a significant burden for health systems. Accurately estimating the patient’s readmission risk could help to optimise the discharge decision-making process by smartly ordering patients based on a severity score, thus helping to improve the usage of clinical resources. A great number of heterogeneous factors can influence the readmission risk, which makes it highly difficult to be estimated by a human agent. However, this score could be achieved with the help of AI models, acting as aiding tools for decision support systems. In this paper, we propose a machine learning classification and risk stratification approach to assess the readmission problem and provide a decision support system based on estimated patient risk scores.

Suggested Citation

  • Laura Arnal & Pedro Pons-Suñer & J Ramón Navarro-Cerdán & Pablo Ruiz-Valls & Mª Jose Caballero Mateos & Bernardo Valdivieso Martínez & Juan-Carlos Perez-Cortes, 2022. "Decision support through risk cost estimation in 30-day hospital unplanned readmission," PLOS ONE, Public Library of Science, vol. 17(7), pages 1-16, July.
  • Handle: RePEc:plo:pone00:0271331
    DOI: 10.1371/journal.pone.0271331
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0271331
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0271331&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0271331?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Friedman, Jerome H., 2002. "Stochastic gradient boosting," Computational Statistics & Data Analysis, Elsevier, vol. 38(4), pages 367-378, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ylinen, Mika & Ranta, Mikko, 2025. "Predicting corporate innovation using machine learning and social media data," Technovation, Elsevier, vol. 148(C).
    2. Bissan Ghaddar & Ignacio Gómez-Casares & Julio González-Díaz & Brais González-Rodríguez & Beatriz Pateiro-López & Sofía Rodríguez-Ballesteros, 2023. "Learning for Spatial Branching: An Algorithm Selection Approach," INFORMS Journal on Computing, INFORMS, vol. 35(5), pages 1024-1043, September.
    3. Nahushananda Chakravarthy H G & Karthik M Seenappa & Sujay Raghavendra Naganna & Dayananda Pruthviraja, 2023. "Machine Learning Models for the Prediction of the Compressive Strength of Self-Compacting Concrete Incorporating Incinerated Bio-Medical Waste Ash," Sustainability, MDPI, vol. 15(18), pages 1-22, September.
    4. Wen, Shaoting & Buyukada, Musa & Evrendilek, Fatih & Liu, Jingyong, 2020. "Uncertainty and sensitivity analyses of co-combustion/pyrolysis of textile dyeing sludge and incense sticks: Regression and machine-learning models," Renewable Energy, Elsevier, vol. 151(C), pages 463-474.
    5. Spiliotis, Evangelos & Makridakis, Spyros & Kaltsounis, Anastasios & Assimakopoulos, Vassilios, 2021. "Product sales probabilistic forecasting: An empirical evaluation using the M5 competition data," International Journal of Production Economics, Elsevier, vol. 240(C).
    6. Wu, Jishi & Feng, Tao & Jia, Peng, 2025. "Revealing the built environment impacts on curbside freight parking demand using a deep generalized additive modeling framework," Transport Policy, Elsevier, vol. 174(C).
    7. Kusiak, Andrew & Zheng, Haiyang & Song, Zhe, 2009. "On-line monitoring of power curves," Renewable Energy, Elsevier, vol. 34(6), pages 1487-1493.
    8. Zhu, Siying & Zhu, Feng, 2019. "Cycling comfort evaluation with instrumented probe bicycle," Transportation Research Part A: Policy and Practice, Elsevier, vol. 129(C), pages 217-231.
    9. Cao, Jason & Tao, Tao, 2025. "Can an identified environmental correlate of car ownership serve as a practical planning tool?," Transportation Research Part A: Policy and Practice, Elsevier, vol. 191(C).
    10. Dursun Delen & Hamed M. Zolbanin & Durand Crosby & David Wright, 2021. "To imprison or not to imprison: an analytics model for drug courts," Annals of Operations Research, Springer, vol. 303(1), pages 101-124, August.
    11. Doruk Cengiz & Arindrajit Dube & Attila Lindner & David Zentler-Munro, 2022. "Seeing beyond the Trees: Using Machine Learning to Estimate the Impact of Minimum Wages on Labor Market Outcomes," Journal of Labor Economics, University of Chicago Press, vol. 40(S1), pages 203-247.
    12. Zhou, Jing & Li, Wei & Wang, Jiaxin & Ding, Shuai & Xia, Chengyi, 2019. "Default prediction in P2P lending from high-dimensional data based on machine learning," Physica A: Statistical Mechanics and its Applications, Elsevier, vol. 534(C).
    13. Lu, Yingjie & Li, Tao & Hu, Hui & Zeng, Xuemei, 2023. "Short-term prediction of reference crop evapotranspiration based on machine learning with different decomposition methods in arid areas of China," Agricultural Water Management, Elsevier, vol. 279(C).
    14. Bohdan M. Pavlyshenko, 2019. "Machine-Learning Models for Sales Time Series Forecasting," Data, MDPI, vol. 4(1), pages 1-11, January.
    15. Sieun Lee & Eunhae Cho & Geunsoo Jang & Sangil Kim & Giphil Cho, 2022. "Early detection of norovirus outbreak using machine learning methods in South Korea," PLOS ONE, Public Library of Science, vol. 17(11), pages 1-12, November.
    16. Matthias Bogaert & Lex Delaere, 2023. "Ensemble Methods in Customer Churn Prediction: A Comparative Analysis of the State-of-the-Art," Mathematics, MDPI, vol. 11(5), pages 1-28, February.
    17. Jason R. W. Merrick & Claire A. Dorsey & Bo Wang & Martha Grabowski & John R. Harrald, 2022. "Measuring Prediction Accuracy in a Maritime Accident Warning System," Production and Operations Management, Production and Operations Management Society, vol. 31(2), pages 819-827, February.
    18. Buzna, Luboš & De Falco, Pasquale & Ferruzzi, Gabriella & Khormali, Shahab & Proto, Daniela & Refa, Nazir & Straka, Milan & van der Poel, Gijs, 2021. "An ensemble methodology for hierarchical probabilistic electric vehicle load forecasting at regular charging stations," Applied Energy, Elsevier, vol. 283(C).
    19. Adler, Werner & Lausen, Berthold, 2009. "Bootstrap estimated true and false positive rates and ROC curve," Computational Statistics & Data Analysis, Elsevier, vol. 53(3), pages 718-729, January.
    20. Andrea Sciandra & Alessio Surian & Livio Finos, 2021. "Supervised Machine Learning Methods to Disclose Action and Information in “U.N. 2030 Agenda” Social Media Data," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 156(2), pages 689-699, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0271331. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.