Deep learning-based prediction of heart failure rehospitalization during 6, 12, 24-month follow-ups in patients with acute myocardial infarction
Open Access
- 1 April 2022
- journal article
- research article
- Published by SAGE Publications in Health Informatics Journal
- Vol. 28 (2)
Abstract
Heart failure is a clinical syndrome that occurs when the heart is too weak or stiff and cannot pump enough blood that our body needs. It is one of the most expensive diseases due to frequent hospitalizations and emergency room visits. Reducing unnecessary rehospitalizations is also an important and challenging task that has the potential of saving healthcare costs, enabling discharge planning, and identifying patients at high risk. Therefore, this paper proposes a deep learning-based prediction model of heart failure rehospitalization during 6, 12, 24-month follow-ups after hospital discharge in patients with acute myocardial infarction (AMI). We used the Korea Acute Myocardial Infarction-National Institutes of Health (KAMIR-NIH) registry which included 13,104 patient records and 551 features. The proposed deep learning-based rehospitalization prediction model outperformed traditional machine learning algorithms such as logistic regression, support vector machine, AdaBoost, gradient boosting machine, and random forest. The performance of the proposed model was accuracy, the area under the curve, precision, recall, specificity, and F1 score of 99.37%, 99.90%, 96.86%, 98.61%, 99.49%, and 97.73%, respectively. This study showed the potential of a deep learning-based model for cardiology, which can be used for decision-making and medical diagnosis tool of heart failure rehospitalization in patients with AMI.Keywords
Funding Information
- Ministry of Science and ICT, South Korea (IITP-2021-2020-0-01462)
- Korea Institute for Advancement of Technology (No. N0002429)
- National Research Foundation of Korea (2017R1D1A1A02018718)
This publication has 36 references indexed in Scilit:
- Human-level control through deep reinforcement learningNature, 2015
- Current Trend of Acute Myocardial Infarction in Korea (from the Korea Acute Myocardial Infarction Registry from 2006 to 2013)The American Journal of Cardiology, 2014
- Heart Failure Re-Admission: Measuring the Ever Shortening Gap between Repeat Heart Failure HospitalizationsPLOS ONE, 2014
- Heart Failure: Preventing Disease and Death WorldwideESC Heart Failure, 2014
- Using the LACE index to predict hospital readmissions in congestive heart failure patientsBMC Cardiovascular Disorders, 2014
- The annual global economic burden of heart failureInternational Journal of Cardiology, 2014
- Postdischarge Environment Following Heart Failure Hospitalization: Expanding the View of Hospital ReadmissionJournal of the American Heart Association, 2013
- The timing of development and subsequent clinical course of heart failure after a myocardial infarctionEuropean Heart Journal, 2008
- Greedy function approximation: A gradient boosting machine.The Annals of Statistics, 2001
- Support-vector networksMachine Learning, 1995