Development and Validation of Pneumonia Patients Prognosis Prediction Model in Emergency Department Disposition Time

Sunjin Hwang, Sejin Heo, Sungjun Hong, Won Chul Cha, Junsang Yoo

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

This study aimed to develop and evaluate an artificial intelligence model to predict 28-day mortality of pneumonia patients at the time of disposition from emergency department (ED). A multicenter retrospective study was conducted on data from pneumonia patients who visited the ED of a tertiary academic hospital for 8 months and from the Medical Information Mart for Intensive Care (MIMIC-IV) database. We combined chest X-ray information, clinical data, and CURB-65 score to develop three models with the CURB-65 score as a baseline. A total of 2,874 ED visits were analyzed. The RSF model using CXR, clinical data and CURB-65 achieved a C-index of 0.872 in test set, significantly outperforming the CURB-65 score. This study developed a prediction model in pneumonia patients’ prognosis, highlighting the potential for supporting clinical decision making in ED through multi-modal clinical information.

Original languageEnglish
Title of host publicationMEDINFO 2025 - Healthcare Smart x Medicine Deep
Subtitle of host publicationProceedings of the 20th World Congress on Medical and Health Informatics
EditorsMowafa S. Househ, Mowafa S. Househ, Zain Ul Abideen Tariq, Mahmood Al-Zubaidi, Uzair Shah, Elaine Huesing
PublisherIOS Press BV
Pages540-544
Number of pages5
ISBN (Electronic)9781643686080
DOIs
StatePublished - 7 Aug 2025
Event20th World Congress on Medical and Health Informatics, MEDINFO 2025 - Taipei, Taiwan, Province of China
Duration: 9 Aug 202513 Aug 2025

Publication series

NameStudies in Health Technology and Informatics
Volume329
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference20th World Congress on Medical and Health Informatics, MEDINFO 2025
Country/TerritoryTaiwan, Province of China
CityTaipei
Period9/08/2513/08/25

Keywords

  • Emergency Department
  • Machine Learning
  • Prognostic Prediction

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