Phenotyping and prediction of the longitudinal home care requirement of elderly citizens
Student thesis: Master Thesis and HD Thesis
- Steffen Jensen
- Mathilde Fischer Gadensgaard
4. term, Biomedical Engineering and Informatics, Master (Master Programme)
Background
The municipality-based eldercare is in the need of improving the efficiency on account of having to manage an increasing amount of tasks while limiting the expenses hereof. In this regard, the increasingly diverse group of elderly citizens poses a challenge. From this, it is investigated whether data from electronic home care records may be utilized in a data-driven application to extract and predict phenotypes of care requirements.
Methods and Materials
The present study developed and implemented a system consisting of two central parts. The first part is made up of a comparison of k-means clustering and hierarchical agglomerative clustering for the task of extracting care requirement phenotypes from the longitudinal trajectory of elderly citizens in the duration of a year. The second part constituted a classifier for prediction of the care requirement phenotype of a citizen, based on demographic data and information regarding the first visitation. In this regard, a Random Forest and a Neural Network were compared.
Results
The developed proof of concept-system, deduced six unique care requirement phenotypes using k-means clustering. In the subsequent classification of the care requirement phenotype, the system achieved a maximum ROC AUC of 0.77 and PR AP of 0.43 with the implemented Random Forest.
Conclusion
Data from electronic home care records may be utilized in a data-driven application for extracting phenotypes, using k-means clustering. Furthermore, the use of a Random Forest classifier applied on data from the first visitation of the citizen, constitute a potential method for estimation of the future care requirement
The municipality-based eldercare is in the need of improving the efficiency on account of having to manage an increasing amount of tasks while limiting the expenses hereof. In this regard, the increasingly diverse group of elderly citizens poses a challenge. From this, it is investigated whether data from electronic home care records may be utilized in a data-driven application to extract and predict phenotypes of care requirements.
Methods and Materials
The present study developed and implemented a system consisting of two central parts. The first part is made up of a comparison of k-means clustering and hierarchical agglomerative clustering for the task of extracting care requirement phenotypes from the longitudinal trajectory of elderly citizens in the duration of a year. The second part constituted a classifier for prediction of the care requirement phenotype of a citizen, based on demographic data and information regarding the first visitation. In this regard, a Random Forest and a Neural Network were compared.
Results
The developed proof of concept-system, deduced six unique care requirement phenotypes using k-means clustering. In the subsequent classification of the care requirement phenotype, the system achieved a maximum ROC AUC of 0.77 and PR AP of 0.43 with the implemented Random Forest.
Conclusion
Data from electronic home care records may be utilized in a data-driven application for extracting phenotypes, using k-means clustering. Furthermore, the use of a Random Forest classifier applied on data from the first visitation of the citizen, constitute a potential method for estimation of the future care requirement
Language | Danish |
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Publication date | 2 Jun 2020 |
Number of pages | 105 |
External collaborator | KMD A/S Flemming Lundager FHU@kmd.dk Information group |