Predictive Modeling of COVID-19 Readmissions: Insights from Machine Learning and Deep Learning Approaches

Author:

Loo Wei Kit1,Voon Wingates2,Suhaimi Anwar3ORCID,Teh Cindy Shuan Ju4,Tee Yee Kai2ORCID,Hum Yan Chai2,Hasikin Khairunnisa1ORCID,Teo Kareen1,Ong Hang Cheng5,Lai Khin Wee1ORCID

Affiliation:

1. Department of Biomedical Engineering, Faculty of Engineering, Universiti Malaya, Kuala Lumpur 50603, Malaysia

2. Lee Kong Chian Faculty of Engineering and Science, Universiti Tunku Abdul Rahman, Kajang 43000, Malaysia

3. Department of Rehabilitation Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, Malaysia

4. Department of Medical Microbiology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, Malaysia

5. Infectious Diseases Unit, Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 56300, Malaysia

Abstract

This project employs artificial intelligence, including machine learning and deep learning, to assess COVID-19 readmission risk in Malaysia. It offers tools to mitigate healthcare resource strain and enhance patient outcomes. This study outlines a methodology for classifying COVID-19 readmissions. It starts with dataset description and pre-processing, while the data balancing was computed through Random Oversampling, Borderline SMOTE, and Adaptive Synthetic Sampling. Nine machine learning and ten deep learning techniques are applied, with five-fold cross-validation for evaluation. Optuna is used for hyperparameter selection, while the consistency in training hyperparameters is maintained. Evaluation metrics encompass accuracy, AUC, and training/inference times. Results were based on stratified five-fold cross-validation and different data-balancing methods. Notably, CatBoost consistently excelled in accuracy and AUC across all tables. Using ROS, CatBoost achieved the highest accuracy (0.9882 ± 0.0020) with an AUC of 1.0000 ± 0.0000. CatBoost maintained its superiority in BSMOTE and ADASYN as well. Deep learning approaches performed well, with SAINT leading in ROS and TabNet leading in BSMOTE and ADASYN. Decision Tree ensembles like Random Forest and XGBoost consistently showed strong performance.

Funder

Impact-Oriented Interdisciplinary Research Grant (IIRG), Universiti Malaya

Publisher

MDPI AG

Reference32 articles.

1. (2023, October 11). Coronavirus Cases. Available online: https://www.worldometers.info/coronavirus/.

2. Mathieu, E. (2020, March 05). Coronavirus Pandemic (COVID-19). Available online: https://ourworldindata.org/covid-hospitalizations.

3. Hassan (2023, October 25). (2023, May 3). Malaysia Faces New COVID-19 Wave as More Get Hospitalised. Available online: https://www.straitstimes.com/asia/se-asia/malaysia-faces-new-covid-19-wave-as-more-get-hospitalised.

4. Recurrence of SARS-CoV-2 PCR positivity in COVID-19 patients: A single center experience and potential implications;Huang;MedRxiv,2020

5. Raftarai, A., Mahounaki, R.R., Harouni, M., Karimi, M., and Olghoran, S.K. (2021). Predictive models of hospital readmission rate using the improved adaboost in COVID-19. Intelligent Computing Applications for COVID-19, CRC Press.

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