Machine learning‐based patient classification system for adult patients in intensive care units: A cross‐sectional study. (27th February 2021)

• Record Type: Journal Article
• Authors: An, Ran; Chang, Guang‐ming; Fan, Yu‐ying; Ji, Ling‐ling; Wang, Xiao‐hui; Hong, Su
• Is Part Of: Journal of nursing management. Volume 29:Number 6(2021)
• Page Start: 1752
• Page End: 1762
• Publication Date: 2021-02-27
• Subjects: clustering analysis -- critical care -- intensive care unit -- machine learning; Nursing services -- Administration -- Periodicals; Nursing services -- Business management -- Periodicals; 610.73068
• DOI: 10.1111/jonm.13284
• Languages: English
• ISSNs: 0966-0429

Abstract

Abstract: Aim: This study aimed to develop a patient classification system that stratifies patients admitted to the intensive care unit based on their disease severity and care needs. Background: Classifying patients into homogenous groups based on clinical characteristics can optimize nursing care. However, an objective method for determining such groups remains unclear. Methods: Predictors representing disease severity and nursing workload were considered. Patients were clustered into subgroups with different characteristics based on the results of a clustering algorithm. A patient classification system was developed using a partial least squares regression model. Results: Data of 300 patients were analysed. Cluster analysis identified three subgroups of critically patients with different levels of clinical trajectories. Except for blood potassium levels ( p = .29), the subgroups were significantly different according to disease severity and nursing workload. The predicted value ranges of the regression model for Classes A, B and C were <1.44, 1.44–2.03 and >2.03. The model was shown to have good fit and satisfactory prediction efficiency using 200 permutation tests. Conclusions: Classifying patients based on disease severity and care needs enables the development of tailored nursing management for each subgroup. Implications for Nursing Management: The patient classification system can help nurse managers identify homogeneous patient groups and further improve the management of critically ill patients.