Triage management plays important roles in hospitalized patients for disease severity stratification and medical burden analysis.Although progression risks have been extensively researched for numbers of diseases,othe...Triage management plays important roles in hospitalized patients for disease severity stratification and medical burden analysis.Although progression risks have been extensively researched for numbers of diseases,other crucial indicators that reflect patients’economic and time costs have not been systematically studied.To address the problems,we developed an automatic deep learning based Auto Triage Management(ATM)Framework capable of accurately modelling patients’disease progression risk and health economic evaluation.Based on them,we can first discover the relationship between disease progression and medical system cost,find potential features that can more precisely aid patient triage in resource allocation,and allow treatment plan searching that has cured patients.Applying ATM in COVID-19,we built a joint model to predict patients’risk,the total length of stay(Lo S)and cost when at-admission,and remaining Lo S and cost at a given hospitalized time point,with C-index0.930 and 0.869 for risk prediction,mean absolute error(MAE)of 5.61 and 5.90 days for total Lo S prediction in internal and external validation data.展开更多
基金supported by the Special Zone for National Defense Innovation of CMC Science and Technology Project(19-163-15-LZ-001-001-01)。
文摘Triage management plays important roles in hospitalized patients for disease severity stratification and medical burden analysis.Although progression risks have been extensively researched for numbers of diseases,other crucial indicators that reflect patients’economic and time costs have not been systematically studied.To address the problems,we developed an automatic deep learning based Auto Triage Management(ATM)Framework capable of accurately modelling patients’disease progression risk and health economic evaluation.Based on them,we can first discover the relationship between disease progression and medical system cost,find potential features that can more precisely aid patient triage in resource allocation,and allow treatment plan searching that has cured patients.Applying ATM in COVID-19,we built a joint model to predict patients’risk,the total length of stay(Lo S)and cost when at-admission,and remaining Lo S and cost at a given hospitalized time point,with C-index0.930 and 0.869 for risk prediction,mean absolute error(MAE)of 5.61 and 5.90 days for total Lo S prediction in internal and external validation data.