Decision Model for Unplanned ICU Transfer in a Hospital with Association Rule Learning

Abstract

The initial decision after treatment in the hospital emergency room is very important because apart from being an indicator of the quality of care for emergency room practitioners, it is also needed to achieve health goals, namely improving the quality of critical care and preventing death. The initial decision was also for an unplanned ICU transfer. Unplanned ICU transfer is the transfer of patients who originally came from the ER (Emergency Room), then to the Inpatient Room (having been treated for 24-48 hours), then to the ICU. Many studies have been carried out to predict the initial decision of unplanned ICU transfer using univariate analysis, logistic regression analysis, and association rules. The association rule algorithm generates rules between patient diagnosis features that form a decision model for unplanned ICU transfers, so it is essential to get an association rule algorithm that is more efficient in generating rules. In this study, we compare two association rule algorithms to get a more efficient algorithm; then, the rules are used to form a decision model for unplanned ICU transfers. The study results obtained that the Apriori algorithm requires a completion time of 3 ms and the FP-Growth algorithm requires a completion time of 31 ms. Hence, the FP-Growth algorithm is 28 ms more efficient than the Apriori algorithm, while the resulting rule generation is the same number of 67 rules. Only 11 rules meet the minsupp and minconf threshold and include the set of Class Association Rules (CAR), which are used to form a decision model for unplanned ICU transfers with binary integer programming