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Predicting Continuity of Asthma Care Using a Machine Learning Model

Retrospective Cohort Study

Bibliographic Data

ID15480464
AuthorsYao Tong (0000-0001-6573-859X, University of Washington), Beilei Lin (0000-0002-6502-7402, Zhengzhou University), Gang Chen (0000-0002-8385-5965, Zhengzhou University, corresponding author), Zhenxiang Zhang (0009-0009-3192-9043, Zhengzhou University, corresponding author)
Year2022
Volume19
Issue3
Pages1237-1237
Publication date2022-01-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19031237
PMID35162261
OpenAlexW4207025491
LanguageEN
Citations received1
References cited54

Continuity of care (COC) has been shown to possess numerous health benefits for chronic diseases. Specifically, the establishment of its level can facilitate clinical decision-making and enhanced allocation of healthcare resources. However, the use of a generalizable predictive methodology to determine the COC in patients has been underinvestigated. To fill this research gap, this study aimed to develop a machine learning model to predict the future COC of asthma patients and explore the associated factors. We included 31,724 adult outpatients with asthma who received care from the University of Washington Medicine between 2011 and 2018, and examined 138 features to build the machine learning model. Following the 10-fold cross-validations, the proposed model yielded an accuracy of 88.20%, an average area under the receiver operating characteristic curve of 0.96, and an average F1 score of 0.86. Further analysis revealed that the severity of asthma, comorbidities, insurance, and age were highly correlated with the COC of patients with asthma. This study used predictive methods to obtain the COC of patients, and our excellent modeling strategy achieved high performance. After further optimization, the model could facilitate future clinical decisions, hospital management, and improve outcomes

Asthma · Asthma management · Cohort · Cohort study · Health care · Machine learning · Predictive modelling · Receiver operating characteristic · Retrospective cohort study · Chronic Disease Management Strategies · Computer Science · Health Systems, Economic Evaluations, Quality of Life · Medicine · Primary Care and Health Outcomes · Artificial Intelligence · Internal Medicine

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Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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