Pamela B Pfeifer, Antonette Marie Desai, Kathleen A Stevens
New Graduate Nurse Residency: Taking Rehabilitation Nurses' Transition to Practice to a New Level
Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
improved survival patients acute coronary syndromes population growth overall life expectancy rise led significant increase proportion patients stable coronary artery disease cad creating significant load entire healthcare system disease often progresses development many complications significantly increasing likelihood hospitalization developing applying machine learning model predicting hospitalizations patients cad inpatient medical facility allow close monitoring highrisk patients early preventive interventions optimized medical care development external validation personalized models predicting preventable hospitalizations patients stable cad complications using ml algorithms data realworld clinical practice 135873 depersonalized electronic health records 49103 patients stable cad included study anthropometric measurements physical examination results laboratory instrumental anamnestic sociodemographic data widely used routine medical practice considered potential predictors total 73 features logistic regression decision treebased methods including gradient boosting adaboost lightgbm xgboost catboost bagging randomforest extratrees discriminant analysis lineardiscriminant quadraticdiscriminant naive bayes classifier compared external validation performed data separate region best results stability external validation data shown catboost model auc 0875 95 ci 08650885 internal testing 0872 95 ci 08560886 external validation best model showed good performance evaluated auroc brier score standardized net benefit target npv threshold validation dataset slightly similar train data metrics best model superior previously published studies results external validation demonstrated relative stability model new data another region confirms possibility models application real clinical practice