학술논문

Identifying subgroups in heart failure patients with multimorbidity by clustering and network analysis.
Document Type
Article
Source
BMC Medical Informatics & Decision Making. 4/15/2024, Vol. 24 Issue 1, p1-14. 14p.
Subject
*HEART failure patients
*CLUSTER analysis (Statistics)
*COMORBIDITY
*ELECTRONIC health records
*PROGNOSIS
Language
ISSN
1472-6947
Abstract
This study presents a workflow for identifying and characterizing patients with Heart Failure (HF) and multimorbidity utilizing data from Electronic Health Records. Multimorbidity, the co-occurrence of two or more chronic conditions, poses a significant challenge on healthcare systems. Nonetheless, understanding of patients with multimorbidity, including the most common disease interactions, risk factors, and treatment responses, remains limited, particularly for complex and heterogeneous conditions like HF. We conducted a clustering analysis of 3745 HF patients using demographics, comorbidities, laboratory values, and drug prescriptions. Our analysis revealed four distinct clusters with significant differences in multimorbidity profiles showing differential prognostic implications regarding unplanned hospital admissions. These findings underscore the considerable disease heterogeneity within HF patients and emphasize the potential for improved characterization of patient subgroups for clinical risk stratification through the use of EHR data. [ABSTRACT FROM AUTHOR]