Predicting Patient Length of Stay in Australian Emergency Departments Using Data Mining

Length of Stay (LOS) is an important performance metric in Australian Emergency Departments (EDs). Recent evidence suggests that an LOS in excess of 4 h may be associated with increased mortality, but despite this, the average LOS continues to remain greater than 4 h in many EDs. Previous studies ha...

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Main Authors: Sai Gayatri Gurazada, Shijia (Caddie) Gao, Frada Burstein, Paul Buntine
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/22/13/4968
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author Sai Gayatri Gurazada
Shijia (Caddie) Gao
Frada Burstein
Paul Buntine
author_facet Sai Gayatri Gurazada
Shijia (Caddie) Gao
Frada Burstein
Paul Buntine
author_sort Sai Gayatri Gurazada
collection DOAJ
description Length of Stay (LOS) is an important performance metric in Australian Emergency Departments (EDs). Recent evidence suggests that an LOS in excess of 4 h may be associated with increased mortality, but despite this, the average LOS continues to remain greater than 4 h in many EDs. Previous studies have found that Data Mining (DM) can be used to help hospitals to manage this metric and there is continued research into identifying factors that cause delays in ED LOS. Despite this, there is still a lack of specific research into how DM could use these factors to manage ED LOS. This study adds to the emerging literature and offers evidence that it is possible to predict delays in ED LOS to offer Clinical Decision Support (CDS) by using DM. Sixteen potentially relevant factors that impact ED LOS were identified through a literature survey and subsequently used as predictors to create six Data Mining Models (DMMs). An extract based on the Victorian Emergency Minimum Dataset (VEMD) was used to obtain relevant patient details and the DMMs were implemented using the Weka Software. The DMMs implemented in this study were successful in identifying the factors that were most likely to cause ED LOS > 4 h and also identify their correlation. These DMMs can be used by hospitals, not only to identify risk factors in their EDs that could lead to ED LOS > 4 h, but also to monitor these factors over time.
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spelling doaj.art-eddc0a61dde541c284732371b699ad052023-11-30T22:28:09ZengMDPI AGSensors1424-82202022-06-012213496810.3390/s22134968Predicting Patient Length of Stay in Australian Emergency Departments Using Data MiningSai Gayatri Gurazada0Shijia (Caddie) Gao1Frada Burstein2Paul Buntine3Faculty of Information Technology, Monash University, Clayton, Melbourne, VIC 3800, AustraliaFaculty of Information Technology, Monash University, Clayton, Melbourne, VIC 3800, AustraliaFaculty of Information Technology, Monash University, Clayton, Melbourne, VIC 3800, AustraliaEastern Health Clinical School Monash University, Box Hill, Melbourne, VIC 3128, AustraliaLength of Stay (LOS) is an important performance metric in Australian Emergency Departments (EDs). Recent evidence suggests that an LOS in excess of 4 h may be associated with increased mortality, but despite this, the average LOS continues to remain greater than 4 h in many EDs. Previous studies have found that Data Mining (DM) can be used to help hospitals to manage this metric and there is continued research into identifying factors that cause delays in ED LOS. Despite this, there is still a lack of specific research into how DM could use these factors to manage ED LOS. This study adds to the emerging literature and offers evidence that it is possible to predict delays in ED LOS to offer Clinical Decision Support (CDS) by using DM. Sixteen potentially relevant factors that impact ED LOS were identified through a literature survey and subsequently used as predictors to create six Data Mining Models (DMMs). An extract based on the Victorian Emergency Minimum Dataset (VEMD) was used to obtain relevant patient details and the DMMs were implemented using the Weka Software. The DMMs implemented in this study were successful in identifying the factors that were most likely to cause ED LOS > 4 h and also identify their correlation. These DMMs can be used by hospitals, not only to identify risk factors in their EDs that could lead to ED LOS > 4 h, but also to monitor these factors over time.https://www.mdpi.com/1424-8220/22/13/4968clinical decision supportdata mining modelsemergency departmentlength of staypredictive data miningWeka
spellingShingle Sai Gayatri Gurazada
Shijia (Caddie) Gao
Frada Burstein
Paul Buntine
Predicting Patient Length of Stay in Australian Emergency Departments Using Data Mining
Sensors
clinical decision support
data mining models
emergency department
length of stay
predictive data mining
Weka
title Predicting Patient Length of Stay in Australian Emergency Departments Using Data Mining
title_full Predicting Patient Length of Stay in Australian Emergency Departments Using Data Mining
title_fullStr Predicting Patient Length of Stay in Australian Emergency Departments Using Data Mining
title_full_unstemmed Predicting Patient Length of Stay in Australian Emergency Departments Using Data Mining
title_short Predicting Patient Length of Stay in Australian Emergency Departments Using Data Mining
title_sort predicting patient length of stay in australian emergency departments using data mining
topic clinical decision support
data mining models
emergency department
length of stay
predictive data mining
Weka
url https://www.mdpi.com/1424-8220/22/13/4968
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