Interpretable Predictive Models for Knowledge Discovery from Home-Care Electronic Health Records. Issue 1 (12th April 2011)

• Record Type: Journal Article
• Authors: Westra, Bonnie L.; Dey, Sanjoy; Fang, Gang; Steinbach, Michael; Kumar, Vipin; Oancea, Cristina; Savik, Kay; Dierich, Mary
• Is Part Of: Journal of healthcare engineering. Volume 2:Issue 1(2011)
• Page Start: 55
• Page End: 74
• Publication Date: 2011-04-12
• Subjects: electronic health records -- oral medication management -- data mining -- home care -- rules classification; Hospital buildings -- Environmental engineering -- Periodicals; Medical technology -- Periodicals; Medical informatics -- Periodicals; 610.28
• DOI: 10.1260/2040-2295.2.1.55
• Languages: English
• ISSNs: 2040-2295

Abstract

Abstract : The purpose of this methodological study was to compare methods of developing predictive rules that are parsimonious and clinically interpretable from electronic health record (EHR) home visit data, contrasting logistic regression with three data mining classification models. We address three problems commonly encountered in EHRs: the value of including clinically important variables with little variance, handling imbalanced datasets, and ease of interpretation of the resulting predictive models. Logistic regression and three classification models using Ripper, decision trees, and Support Vector Machines were applied to a case study for one outcome of improvement in oral medication management. Predictive rules for logistic regression, Ripper, and decision trees are reported and results compared using F-measures for data mining models and area under the receiver-operating characteristic curve for all models. The rules generated by the three classification models provide potentially novel insights into mining EHRs beyond those provided by standard logistic regression, and suggest steps for further study.