Optimizing discharge after major surgery using an artificial intelligence-based decision support tool (DESIRE): An external validation study.

Journal: Surgery
Published Date: May 4, 2022

Abstract

BACKGROUND: In the DESIRE study (Discharge aftEr Surgery usIng aRtificial intElligence), we have previously developed and validated a machine learning concept in 1,677 gastrointestinal and oncology surgery patients that can predict safe hospital discharge after the second postoperative day. Despite strong model performance (area under the receiver operating characteristics curve of 0.88) in an academic surgical population, it remains unknown whether these findings can be translated to other hospitals and surgical populations. We therefore aimed to determine the generalizability of the previously developed machine learning concept.

Authors

  • Davy van de Sande
    Erasmus MC Datahub, Erasmus University Medical Centre, Rotterdam, the Netherlands; Department of Adult Intensive Care, Erasmus University Medical Centre, Rotterdam, the Netherlands.
  • Michel E van Genderen
    Erasmus MC Datahub, Erasmus University Medical Centre, Rotterdam, the Netherlands; Department of Adult Intensive Care, Erasmus University Medical Centre, Rotterdam, the Netherlands.
  • Cornelis Verhoef
    Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Centre, University Medical Centre Rotterdam, the Netherlands.
  • Joost Huiskens
    SAS Institute B.V, Huizen, The Netherlands.
  • Diederik Gommers
    Erasmus MC Datahub, Erasmus University Medical Centre, Rotterdam, the Netherlands; Department of Adult Intensive Care, Erasmus University Medical Centre, Rotterdam, the Netherlands.
  • Edwin van Unen
    SAS Institute Inc, Health, Huizen, The Netherlands.
  • Renske A Schasfoort
    Department of Surgery, Treant Care Group, Emmen, The Netherlands.
  • Judith Schepers
    Department of Business Intelligence, Treant Care Group, Emmen, The Netherlands.
  • Jasper van Bommel
    Department of Adult Intensive Care, Erasmus MC University Medical Center, Room Ne-413, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
  • Dirk J Grünhagen
    Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Centre, University Medical Centre Rotterdam, the Netherlands.

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