{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T17:40:35Z","timestamp":1777225235911,"version":"3.51.4"},"reference-count":60,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T00:00:00Z","timestamp":1689033600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01 HS027742"],"award-info":[{"award-number":["R01 HS027742"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000056","name":"National Institute for Nursing Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Reducing Health Disparities","award":["T32NR007969"],"award-info":[{"award-number":["T32NR007969"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,25]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Little is known about proactive risk assessment concerning emergency department (ED) visits and hospitalizations in patients with heart failure (HF) who receive home healthcare (HHC) services. This study developed a time series risk model for predicting ED visits and hospitalizations in patients with HF using longitudinal electronic health record data. We also explored which data sources yield the best-performing models over various time windows.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We used data collected from 9362 patients from a large HHC agency. We iteratively developed risk models using both structured (eg, standard assessment tools, vital signs, visit characteristics) and unstructured data (eg, clinical notes). Seven specific sets of variables included: (1) the Outcome and Assessment Information Set, (2) vital signs, (3) visit characteristics, (4) rule-based natural language processing-derived variables, (5) term frequency-inverse document frequency variables, (6) Bio-Clinical Bidirectional Encoder Representations from Transformers variables, and (7) topic modeling. Risk models were developed for 18 time windows (1\u201315, 30, 45, and 60\u00a0days) before an ED visit or hospitalization. Risk prediction performances were compared using recall, precision, accuracy, F1, and area under the receiver operating curve (AUC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The best-performing model was built using a combination of all 7 sets of variables and the time window of 4\u00a0days before an ED visit or hospitalization (AUC\u2009=\u20090.89 and F1\u2009=\u20090.69).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusion<\/jats:title><jats:p>This prediction model suggests that HHC clinicians can identify patients with HF at risk for visiting the ED or hospitalization within 4\u00a0days before the event, allowing for earlier targeted interventions.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jamia\/ocad129","type":"journal-article","created":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T00:40:00Z","timestamp":1689122400000},"page":"1622-1633","source":"Crossref","is-referenced-by-count":16,"title":["Predicting emergency department visits and hospitalizations for patients with heart failure in home healthcare using a time series risk model"],"prefix":"10.1093","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9136-6176","authenticated-orcid":false,"given":"Sena","family":"Chae","sequence":"first","affiliation":[{"name":"College of Nursing, The University of Iowa , Iowa City, Iowa, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4345-3889","authenticated-orcid":false,"given":"Anahita","family":"Davoudi","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy & Research, VNS Health , New York, New York, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0362-0670","authenticated-orcid":false,"given":"Jiyoun","family":"Song","sequence":"additional","affiliation":[{"name":"Columbia University School of Nursing , New York City, New York, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7146-3051","authenticated-orcid":false,"given":"Lauren","family":"Evans","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy & Research, VNS Health , New York, New York, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2852-4175","authenticated-orcid":false,"given":"Mollie","family":"Hobensack","sequence":"additional","affiliation":[{"name":"Columbia University School of Nursing , New York City, New York, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7740-5725","authenticated-orcid":false,"given":"Kathryn H","family":"Bowles","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy & Research, VNS Health , New York, New York, USA"},{"name":"Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing , Philadelphia, Pennsylvania, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1045-0956","authenticated-orcid":false,"given":"Margaret V","family":"McDonald","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy & Research, VNS Health , New York, New York, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7064-937X","authenticated-orcid":false,"given":"Yolanda","family":"Barr\u00f3n","sequence":"additional","affiliation":[{"name":"Center for Home Care Policy & Research, VNS Health , New York, New York, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2632-8867","authenticated-orcid":false,"given":"Sarah Collins","family":"Rossetti","sequence":"additional","affiliation":[{"name":"Columbia University School of Nursing , New York City, New York, USA"},{"name":"Department of Biomedical Informatics, Columbia University , New York City, New York, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0704-3826","authenticated-orcid":false,"given":"Kenrick","family":"Cato","sequence":"additional","affiliation":[{"name":"Department of Family and Community Health, University of Pennsylvania School of Nursing , 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