Hospital readmission prediction based on improved feature selection using grey relational analysis and LASSO

Document Type

Article

Publication Date

10-19-2021

Abstract

This paper develops a robust hospital readmission prediction framework by combining the feature selection algorithm and machine learning (ML) classifiers. The improved feature selection is proposed by considering the uncertainty in patient's attributes that leads to the output variable. Design/methodology/approach - First, data preprocessing is conducted which includes how raw data is managed. Second, the impactful features are selected through feature selection process. It started with calculating the relational grade of each patient towards readmission using grey relational analysis (GRA) and the grade is used as the target values for feature selection. Then, the influenced features are selected using the Least Absolute Shrinkage and Selection Operator (LASSO) method. This proposed method is termed as Grey-LASSO feature selection. The final task is the readmission prediction using ML classifiers. Findings - The proposed method offered good performances with a minimum feature subset up to 54-65% discarded features. Multi-Layer Perceptron with Grey-LASSO gave the best performance. Research limitations/implications - The performance of Grey-LASSO is justified in two readmission datasets. Further research is required to examine the generalisability to other datasets. Originality/value - In designing the feature selection algorithm, the selection on influenced input variables was based on the integration of GRA and LASSO. Specifically, GRA is a part of the grey system theory, which was employed to analyse the relation between systems under uncertain conditions. The LASSO approach was adopted due to its ability for sparse data representation.

Keywords

Grey relational analysis, Hospital readmission, Machine learning, LASSO, Feature selection

Divisions

fsktm

Funders

Health Informatics Centre, Ministry of Health Malaysia[NMRR-18-2909-44625],Universiti Malaya[IIRG004B-19HWB],Universiti Kebangsaan Malaysia,Ministry of Education, Malaysia

Publication Title

Grey Systems-Theory and Application

Volume

11

Issue

4

Publisher

Emerald Group Publishing

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