Machine Learning Reveals Demographic Disparities in Palliative Care Timing Among Patients With Traumatic Brain Injury Receiving Neurosurgical Consultation.

Journal: Neurocritical care
Published Date: Dec 10, 2024

Abstract

BACKGROUND: Timely palliative care (PC) consultations offer demonstrable benefits for patients with traumatic brain injury (TBI), yet their implementation remains inconsistent. This study employs machine learning methods to identify distinct patient phenotypes and elucidate the primary drivers of PC consultation timing variability in TBI management, aiming to uncover disparities and inform more equitable care strategies.

Authors

  • Carlos A Aude
  • Vikas N Vattipally
  • Oishika Das
    Department of Neurosurgery, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, 21287, MD, USA.
  • Kathleen R Ran
  • Ganiat A Giwa
    Department of Neurosurgery, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, 21287, MD, USA.
  • Jordina Rincon-Torroella
    Department of Neurosurgery, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, 21287, MD, USA.
  • Risheng Xu
    Department of Neurosurgery, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, 21287, MD, USA.
  • James P Byrne
    Division of Trauma and Acute Care Surgery, The Johns Hopkins Hospital, The Johns Hopkins Department of Surgery, Baltimore, MD, USA.
  • Susanne Muehlschlegel
    Division of Neurosciences Critical Care, Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Jose I Suarez
    Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
  • Debraj Mukherjee
    Department of Neurosurgery, Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, 21287, MD, USA.
  • Judy Huang
    Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
  • Tej D Azad
  • Chetan Bettegowda
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

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