Length-of-Stay Prediction Model of Appendicitis using Artificial Neural Networks and Decision Tree

For the efficient management of hospital sickbeds, it is important to predict the length of stay (LoS) of appendicitis patients. This study analyzed the patient data to find factors that show high positive correlation with LoS, build LoS prediction models using neural network and decision tree models, and compare their performance. In order to increase the prediction accuracy, we applied the ensemble techniques such as bagging and boosting. Experimental results show that decision tree model which was built with less number of variables shows prediction accuracy almost equal to that of neural network model, and that bagging is better than boosting. In conclusion, since the decision tree model which provides better explanation than neural network model can well predict the LoS of appendicitis patients and can also be used to select the input variables, it is recommended that hospitals make use of the decision tree techniques more actively.

[1]  Ron Kohavi,et al.  A Study of Cross-Validation and Bootstrap for Accuracy Estimation and Model Selection , 1995, IJCAI.

[2]  Kent A. Spackman,et al.  Predicting Length of Stay for Psychiatric Diagnosis-Related Groups Using Neural Networks , 1995, J. Am. Medical Informatics Assoc..

[3]  K. Yau,et al.  Factors Influencing Hospitalisation of Infants for Recurrent Gastroenteritis in Western Australia , 2003, Methods of Information in Medicine.

[4]  Andy H. Lee,et al.  Determinants of Maternity Length of Stay: A Gamma Mixture Risk-Adjusted Model , 2001, Health care management science.

[5]  Michael J. A. Berry,et al.  Data mining techniques - for marketing, sales, and customer support , 1997, Wiley computer publishing.

[6]  R. McLeod,et al.  Epidemiologic features of acute appendicitis in Ontario, Canada. , 2003, Canadian journal of surgery. Journal canadien de chirurgie.

[7]  I. Hyman,et al.  The association between length of stay in Canada and intimate partner violence among immigrant women. , 2006, American journal of public health.

[8]  B. Popkin,et al.  Length of hospital stays among obese individuals. , 2004, American journal of public health.

[9]  G. Dombi,et al.  Prediction of rib fracture injury outcome by an artificial neural network. , 1995, The Journal of trauma.

[10]  S. Walczak,et al.  Use of an artificial neural network to predict length of stay in acute pancreatitis. , 1998, The American surgeon.

[11]  Tom M. Mitchell,et al.  Machine Learning and Data Mining , 2012 .

[12]  W. W. Daniel,et al.  The use of demographic characteristics in predicting length of stay in a state mental hospital. , 1968, American journal of public health and the nation's health.

[13]  Y C Chen,et al.  Comparative impact of hospital-acquired infections on medical costs, length of hospital stay and outcome between community hospitals and medical centres. , 2005, The Journal of hospital infection.

[14]  J. Read,et al.  The relation of body weight to length of stay and charges for hospital services for patients undergoing elective surgery: a study of two procedures. , 1987, American journal of public health.

[15]  C. Granger,et al.  Length of stay and hospital readmission for persons with disabilities. , 2000, American journal of public health.

[16]  L. Doering,et al.  Determinants of intensive care unit length of stay after coronary artery bypass graft surgery. , 2001, Heart & lung : the journal of critical care.

[17]  Omer Gider,et al.  The factors affecting length of stay of the patients undergoing appendectomy surgery in a military teaching hospital. , 2007, Military medicine.

[18]  R M Elashoff,et al.  Hospital- and patient-related characteristics determining maternity length of stay: a hierarchical linear model approach. , 1998, American journal of public health.

[19]  L. Chan,et al.  Laparoscopic appendectomy significantly reduces length of stay for perforated appendicitis , 2006, Surgical Endoscopy And Other Interventional Techniques.

[20]  Steven Walczak,et al.  A decision support tool for allocating hospital bed resources and determining required acuity of care , 2003, Decis. Support Syst..