Automated identification and predictive tools to help identify high-risk heart failure patients: pilot evaluation

Journal of the American Medical Informatics Association : JAMIA
R Scott EvansDonald L Lappé

Abstract

Develop and evaluate an automated identification and predictive risk report for hospitalized heart failure (HF) patients. Dictated free-text reports from the previous 24 h were analyzed each day with natural language processing (NLP), to help improve the early identification of hospitalized patients with HF. A second application that uses an Intermountain Healthcare-developed predictive score to determine each HF patient's risk for 30-day hospital readmission and 30-day mortality was also developed. That information was included in an identification and predictive risk report, which was evaluated at a 354-bed hospital that treats high-risk HF patients. The addition of NLP-identified HF patients increased the identification score's sensitivity from 82.6% to 95.3% and its specificity from 82.7% to 97.5%, and the model's positive predictive value is 97.45%. Daily multidisciplinary discharge planning meetings are now based on the information provided by the HF identification and predictive report, and clinician's review of potential HF admissions takes less time compared to the previously used manual methodology (10 vs 40 min). An evaluation of the use of the HF predictive report identified a significant reduction in 30-day mortali...Continue Reading

References

Oct 11, 2005·International Journal of Cardiology·M MejhertM Edner
Jan 25, 2008·American Heart Journal·Gregg C Fonarow
Sep 4, 2008·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Jane MacIverHeather J Ross
Dec 17, 2008·Congestive Heart Failure·Stuart D RussellFrancis D Pagani
Feb 26, 2009·Health Affairs·Charles RoehrigJenny Bryant
Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
Aug 20, 2010·Journal of Pain & Palliative Care Pharmacotherapy·UNKNOWN Medicare Payment Advisory Commission U.S. Department Of Health And Human Services
Oct 7, 2010·Circulation. Cardiovascular Quality and Outcomes·Simon StewartAnnika Rosengren
Jan 26, 2011·Circulation·Paul A HeidenreichUNKNOWN Council on Cardiovascular Surgery and Anesthesia, and Interdisciplinary Council on Quality of Care and Outcomes Research
Feb 8, 2011·The American Journal of Medicine·Catherine Y WongHarlan M Krumholz
Sep 13, 2011·Congestive Heart Failure·Eric S Ketchum, Wayne C Levy
Oct 19, 2011·Translational Research : the Journal of Laboratory and Clinical Medicine·Benjamin D HorneJeffrey L Anderson
Oct 20, 2011·JAMA : the Journal of the American Medical Association·Jersey ChenHarlan M Krumholz
Dec 20, 2011·Circulation·Véronique L RogerUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee
Mar 7, 2012·Circulation·Larry A AllenUNKNOWN Council on Cardiovascular Surgery and Anesthesia
Jul 5, 2012·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Richard K ChengW Robb MacLellan
Mar 2, 2013·Preventing Chronic Disease·Thomas E Kottke, Courtney Jordan Baechler
Jan 10, 2014·European Journal of Preventive Cardiology·Benjamin D HorneNina P Paynter
Aug 19, 2014·The Medical Journal of Australia·Karen PageUNKNOWN National Heart Foundation of Australia
Feb 11, 2015·International Journal of Cardiology·Yuan BianYu-guo Chen
Mar 1, 2015·Journal of Cardiac Failure·Quan L HuynhUNKNOWN MARATHON Investigators
Mar 19, 2015·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Makoto SaitoThomas H Marwick
Apr 17, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Michel Komajda
May 12, 2015·European Journal of Heart Failure·Hassan KhanUNKNOWN EVEREST Trial Investigators

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Citations

Nov 3, 2016·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·T R SrinivasP D Mauldin
Jul 9, 2016·Journal of Biomedical Informatics·Selen BozkurtDaniel L Rubin
Mar 24, 2018·Journal of Cardiac Surgery·Jose BenuzilloJohn Doty
Feb 23, 2019·Journal of the American Medical Informatics Association : JAMIA·Matthew T NeameDaniel B Hawcutt
Nov 5, 2019·International Journal for Numerical Methods in Biomedical Engineering·Zhe WangDongdong Li
Jul 1, 2020·The Journal of Applied Laboratory Medicine·Michael E GerlingUNKNOWN APPROACH Investigators
Sep 27, 2018·Current Heart Failure Reports·Nadia Bouabdallaoui, Anique Ducharme
Jan 15, 2021·Current Opinion in Cardiology·William E SandersShyam Ramchandani
Jan 14, 2020·JACC. Heart Failure·David P KaoChen-Tan Lin
Sep 10, 2017·Journal of Cardiac Failure·Saul BleckerStuart D Katz

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