Overtriage, Undertriage, and Value of Care after Major Surgery: An Automated, Explainable Deep Learning-Enabled Classification System.

Journal: Journal of the American College of Surgeons
Published Date: Nov 8, 2022

Abstract

BACKGROUND: In single-institution studies, overtriaging low-risk postoperative patients to ICUs has been associated with a low value of care; undertriaging high-risk postoperative patients to general wards has been associated with increased mortality and morbidity. This study tested the reproducibility of an automated postoperative triage classification system to generating an actionable, explainable decision support system.

Authors

  • Tyler J Loftus
    Department of Surgery, University of Florida Health, Gainesville, FL. Electronic address: tyler.loftus@surgery.ufl.edu.
  • Matthew M Ruppert
    Department of Medicine, University of Florida, Gainesville, Florida; Precision and Intelligent Systems in Medicine (Prisma(P)), University of Florida, Gainesville, Florida.
  • Benjamin Shickel
    Department of Medicine, University of Florida, Gainesville, FL USA.
  • Tezcan Ozrazgat-Baslanti
    Department of Medicine, University of Florida, Gainesville, FL USA.
  • Jeremy A Balch
    Department of Surgery, University of Florida Health, Gainesville, FL, United States.
  • Die Hu
    Center for Information in Biomedicine, University of Electronic Science and Technology of China, Chengdu 610000, China. Electronic address: 15182510600@163.com.
  • Adnan Javed
    Departments of Emergency Medicine (Javed, Guirgis), University of Florida College of Medicine, Jacksonville, FL.
  • Firas Madbak
    Surgery (Madbak, Skarupa), University of Florida College of Medicine, Jacksonville, FL.
  • David J Skarupa
    Surgery (Madbak, Skarupa), University of Florida College of Medicine, Jacksonville, FL.
  • Faheem Guirgis
    Departments of Emergency Medicine (Javed, Guirgis), University of Florida College of Medicine, Jacksonville, FL.
  • Philip A Efron
    Department of Surgery, Sepsis and Critical Illness Research Center, University of Florida Health, Gainesville, Florida.
  • Patrick J Tighe
    Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA.
  • William R Hogan
    Department of Health Outcomes and Biomedical Informatics.
  • Parisa Rashidi
    Department of Biomedical Engineering, University of Florida, Gainesville, FL USA.
  • Gilbert R Upchurch
    TCV Division, Department of Surgery, University of Virginia Medical Center, Charlottesville, Virginia.
  • Azra Bihorac
    Department of Medicine, University of Florida, Gainesville, FL USA.

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