Abstract
The objective of this research was to build and assess the performance of a prediction model for post-operative recovery status measured by quality of life among individuals experiencing a variety of surgery types. In addition, we assessed the performance of the model for two subgroups (high and moderately consistent wearable device users). Study variables were derived from the electronic health records, questionnaires, and wearable devices of a cohort of individuals with one of 8 surgery types and that were part of the NIH All of Us research program. Through multivariable analysis, high frailty index (OR 1.69, 95% 1.05-7.22, p<0.006), and older age (OR 1.76, 95% 1.55-4.08, p<0.024) were found to be the driving risk factors of poor recovery post-surgery. Our logistic regression model included 15 variables, 5 of which included wearable device data. In wearable use subgroups, the model had better accuracy for high wearable users (81%). Findings demonstrate the potential for models that use wearable measures to assess frailty to inform clinicians of patients at risk for poor surgical outcomes. Our model performed with high accuracy across multiple surgery types and were robust to variable consistency in wearable use.
Original language | English (US) |
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Pages (from-to) | 31-42 |
Number of pages | 12 |
Journal | Pacific Symposium on Biocomputing |
Issue number | 2023 |
DOIs | |
State | Published - 2023 |
Event | 28th Pacific Symposium on Biocomputing, PSB 2023 - Kohala Coast, United States Duration: Jan 3 2023 → Jan 7 2023 |
Keywords
- digital health technologies
- predictive modeling
- risk factors
- wearables
ASJC Scopus subject areas
- Biomedical Engineering
- Computational Theory and Mathematics