Table 3.
Results of the readmissions prediction model.
| Model | AUROCa | Sensitivity | Specificity | PPVb | NPVc | |
| LACEd baseline |
|
|
|
|
|
|
|
|
Frequente | 0.8288 | 0.7021 | 0.7840 | 0.7466 | 0.7438 |
|
|
Standardf | 0.8302 | 0.7341 | 0.7606 | 0.6649 | 0.8156 |
|
|
Geriatricsg | 0.8254 | 0.7479 | 0.7328 | 0.6713 | 0.7994 |
|
|
Combinedh | 0.8397 | 0.7303 | 0.7757 | 0.6696 | 0.8221 |
| LACE baseline+sociali |
|
|
|
|
|
|
|
|
Frequent | 0.8573 | 0.7598 | 0.7573 | 0.7394 | 0.7767 |
|
|
Standard | 0.8621 | 0.7661 | 0.7796 | 0.6922 | 0.8375 |
|
|
Geriatrics | 0.8686 | 0.7749 | 0.7832 | 0.7228 | 0.8267 |
|
|
Combined | 0.8707 | 0.7763 | 0.7825 | 0.6896 | 0.8490 |
| LACE baseline+physicianj+social |
|
|
|
|
|
|
|
|
Frequent | 0.8952 | 0.8232 | 0.8136 | 0.8001 | 0.8354 |
|
|
Standard | 0.9001 | 0.8224 | 0.8235 | 0.7509 | 0.8776 |
|
|
Geriatrics | 0.9100 | 0.8318 | 0.8331 | 0.7843 | 0.8716 |
|
|
Combined | 0.9069 | 0.8254 | 0.8318 | 0.7534 | 0.8845 |
aAUROC: area under the receiving operating characteristic curve.
bPPV: positive predictive value.
cNPV: negative predictive value.
dLACE: Length of stay, Acuity of the admission, Comorbidity of the patient, and Emergency department use.
eHold-out sample of patients identified by the hospital as frequent readmission patients.
fHold-out sample of a typical hospital patient.
gSubset of patients in the “Standard” sample who are 65 years or older.
hCombination of “Frequent” and “Standard” hold-out samples.
iSocial represents the text-mined notes that medical social workers and case managers provided.
jPhysician represents the text-mined notes provided by physicians.