Table 5.
Model calibration assessment of predicting in-hospital mortality using Elixhauser measures from three different models based on the 2021 AHRQ POA guidelinesa
Model | Traditional logistic regression | Elastic net model | Artificial neural network | ||||||
---|---|---|---|---|---|---|---|---|---|
| |||||||||
Measure | E1 | E2 | E3 | E1 | E2 | E3 | E1 | E2 | E3 |
MAE | 0.050 | 0.050 | 0.050 | 0.050 | 0.050 | 0.050 | 0.048 | 0.048 | 0.047 |
H-L statistics | 1.070 | 0.648 | 0.667 | 1.070 | 0.531 | 0.583 | 7.601 | 2.912 | 1.942 |
H-L p-value | 0.998 | 0.999 | 0.999 | 0.998 | 0.999 | 0.999 | 0.473 | 0.940 | 0.980 |
Cox intercept | −0.005 | −0.019 | −0.031 | −0.005 | −0.018 | −0.029 | −0.003 | −0.011 | 0.007 |
Cox slope | 1.001 | 0.996 | 0.992 | 1.001 | 0.996 | 0.993 | 0.996 | 0.991 | 1.002 |
Models were built on training data (n=1,267,467 patient admissions), and model discrimination performance results were from testing data (n=528,704 patient admissions); E1: VW Elixhauser composite score; E2: 31 individual Elixhauser comorbidities; E3: 31 individual Elixhauser comorbidities plus other patient characteristics; MAE=Mean absolute error; H-L= Hosmer–Lemeshow.