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dc.contributor.authorBetts, KS
dc.contributor.authorKisely, S
dc.contributor.authorAlati, R
dc.date.accessioned2021-01-19T01:30:26Z
dc.date.available2021-01-19T01:30:26Z
dc.date.issued2021
dc.identifier.issn1532-0464en_US
dc.identifier.doi10.1016/j.jbi.2020.103651en_US
dc.identifier.urihttp://hdl.handle.net/10072/401281
dc.description.abstractObjectives: A major challenge for hospitals and clinicians is the early identification of neonates at risk of developing adverse conditions. We develop a model based on routinely collected administrative data, which accurately predicts two common disorders among early term and preterm (<39 weeks) neonates prior to discharge. Study design. The data included all inpatient live births born prior to 39 weeks (n = 154,755) occurring in the Australian state of Queensland between January 2009 and December 2015. Predictor variables included all maternal data captured in administrative records from the beginning of gestation up to, and including, the delivery, as well as neonatal data recorded at the delivery. Gradient boosted trees were used to predict neonatal respiratory distress syndrome and hypoglycaemia prior to discharge, with model performance benchmarked against a logistic regression models. Results: The gradient boosted trees model achieved very high discrimination for respiratory distress syndrome [AUC = 0.923, 95% CI (0.917, 0.928)] and good discrimination for hypoglycaemia [AUC = 0.832, 95% CI (0.827, 0.837)] in the validation data, as well as outperforming the logistic regression models. Conclusion: Our study suggests that routinely collected health data have the potential to play an important role in assisting clinicians to identify neonates at risk of developing selected disorders shortly after birth. Despite achieving high levels of discrimination, many issues remain before such models can be implemented in practice, which we discuss in relation to our findings.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofjournalJournal of Biomedical Informaticsen_US
dc.relation.ispartofvolume114en_US
dc.subject.fieldofresearchBiological Sciencesen_US
dc.subject.fieldofresearchInformation and Computing Sciencesen_US
dc.subject.fieldofresearchMedical and Health Sciencesen_US
dc.subject.fieldofresearchcode06en_US
dc.subject.fieldofresearchcode08en_US
dc.subject.fieldofresearchcode11en_US
dc.subject.keywordsAdministrative data linkageen_US
dc.subject.keywordsMachine learningen_US
dc.subject.keywordsNeonatal outcomesen_US
dc.subject.keywordsPredictive modelsen_US
dc.titlePredicting neonatal respiratory distress syndrome and hypoglycaemia prior to discharge: Leveraging health administrative data and machine learningen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationBetts, KS; Kisely, S; Alati, R, Predicting neonatal respiratory distress syndrome and hypoglycaemia prior to discharge: Leveraging health administrative data and machine learning, Journal of Biomedical Informatics, 2021, 114en_US
dcterms.dateAccepted2020-11-30
dc.date.updated2021-01-19T01:24:24Z
gro.hasfulltextNo Full Text
gro.griffith.authorKisely, Steve R.


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