干旱区生态环境知识资源中心(Arid): Using Machine Learning on Home Health Care Assessments to Predict Fall Risk

Arid

DOI	10.3233/SHTI190310
	Using Machine Learning on Home Health Care Assessments to Predict Fall Risk
	Lo, Yancy; Lynch, Selah F.; Urbanowicz, Ryan J.; Olson, Randal S.; Ritter, Ashley Z.; Whitehouse, Christina R.; O'Connor, Melissa; Keim, Susan K.; McDonald, Margaret; Moore, Jason H.; Bowles, Kathryn H.
通讯作者	Lo, Y (corresponding author), Univ Penn, Inst Biomed Informat, Clin Res Informat Core, Philadelphia, PA 19104 USA.
会议名称	17th World Congress of Medical and Health Informatics (MEDINFO)
会议日期	AUG 25-30, 2019
会议地点	Int Med Informat Assoc, Lyon, FRANCE
英文摘要	Falls are the leading cause of injuries among older adults, particularly in the more vulnerable home health care (HHC) population. Existing standardized fall risk assessments often require supplemental data collection and tend to have low specificity. We applied a random forest algorithm on readily available HHC data from the mandated Outcomes and Assessment Information Set (OASIS) with over 100 items from 59,006 HHC patients to identify factors that predict and quantify fall risks. Our ultimate goal is to build clinical decision support for fall prevention. Our model achieves higher precision and balanced accuracy than the commonly used multifactorial Missouri Alliance for Home Care fall risk assessment. This is the first known attempt to determine fall risk factors from the extensive OASIS data from a large sample. Our quantitative prediction off all risks can aid clinical discussions of risk factors and prevention strategies for lowering fall incidence.
英文关键词	Falls Health Risk Assessment Machine Learning
来源出版物	MEDINFO 2019: HEALTH AND WELLBEING E-NETWORKS FOR ALL
ISSN	0926-9630
EISSN	1879-8365
出版年	2019
卷号	264
页码	684-688
ISBN	978-1-64368-003-3; 978-1-64368-002-6
出版者	IOS PRESS
类型	Proceedings Paper
语种	英语
收录类别	CPCI-S
WOS记录号	WOS:000569653400137
WOS关键词	ADULTS
WOS类目	Computer Science, Interdisciplinary Applications ; Health Care Sciences & Services ; Medical Informatics
WOS研究方向	Computer Science ; Health Care Sciences & Services ; Medical Informatics
资源类型	会议论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/369983
作者单位	[Lo, Yancy; Lynch, Selah F.; Urbanowicz, Ryan J.; Moore, Jason H.] Univ Penn, Inst Biomed Informat, Clin Res Informat Core, Philadelphia, PA 19104 USA; [Urbanowicz, Ryan J.; Olson, Randal S.; Moore, Jason H.] Univ Penn, Dept Biostat Epidemiol & Informat, Philadelphia, PA 19104 USA; [Ritter, Ashley Z.; Whitehouse, Christina R.; Keim, Susan K.; Bowles, Kathryn H.] Univ Penn, Sch Nursing, NewCourtland Ctr Transit & Hlth, Philadelphia, PA 19104 USA; [Whitehouse, Christina R.; O'Connor, Melissa] Villanova Univ, Fitzpatrick Coll Nursing, Villanova, PA 19085 USA; [McDonald, Margaret; Bowles, Kathryn H.] Visiting Nurse Serv New York, Ctr Home Care Policy & Res, New York, NY USA
推荐引用方式 GB/T 7714	Lo, Yancy,Lynch, Selah F.,Urbanowicz, Ryan J.,et al. Using Machine Learning on Home Health Care Assessments to Predict Fall Risk[C]:IOS PRESS,2019:684-688.