Prediction of Length of Hospital Stay in Hip Fracture Patients After Post-Anesthesia Care Unit Using Artificial Intelligence
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 366
- 试验地点
- 1
- 主要终点
- Prediction of Length of Hospital Stay in Hip Fracture Patients After Post-Anesthesia Care Unit Using Artificial Intelligence
研究概览
简要总结
With increasing life expectancy, the elderly population is growing. Hip fractures significantly increase morbidity and mortality, particularly within the first year, among elderly patients. Managing anesthesia in these elderly patients, who often have multiple comorbidities, is challenging. Identifying perioperative factors that can reduce mortality will benefit the perioperative management of these patients.
The aim of this study is to develop and validate a machine learning based model to predict the length of hospital stay for hip fracture patients after PACU. Different machine learning algorithms such as R language Gradient Boosting, Random Forest, Artificial Neural Networks and Logistic Regression will be used in the study and the best performing model will be determined. In addition, the prediction mechanism of the model will be examined with SHAP analysis and its applicability in clinical decision processes will be evaluated. Thus, by predicting the length of hospital stay, clinicians will be enabled to manage patient care processes more effectively.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 65 Years 至 100 Years(Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients who underwent hip fracture surgery at our institution between 2017 and 2024
- •Patients aged 65 years or older
- •Patients with hip fractures resulting from a low-energy trauma (simple fall from standing height)
排除标准
- •Patients with pathological hip fractures due to malignancy
- •Cancer patients with multiple organ metastases
- •Patients who underwent revision hip fracture surgery
结局指标
主要结局
Prediction of Length of Hospital Stay in Hip Fracture Patients After Post-Anesthesia Care Unit Using Artificial Intelligence
时间窗: Assessed up to 30 days from PACU admission to hospital discharge
Unit of Measure: Days * Definition: Absolute difference between predicted and actual length of stay * Target: ±7 days accuracy
次要结局
未报告次要终点
研究者
Volkan Alparslan
Asist. Prof. M.D
Kocaeli University
