Perioperative medicine & outcomes

Predicting patient care pathway deviations and their consequences in anaesthesia using machine learning

J Clin Monit ComputPublished Retrospective prognostic model development study

Authors' conclusion

Machine learning applied to routinely collected data can identify patients at risk of deviating from their intended day-case pathway with stable performance and the potential for clinical usefulness.

Study context

Population
Consecutive ambulatory anaesthesia procedures, Belgian network
Participants
51,112 procedures
Comparison
Seven machine-learning algorithms for predicting unplanned admission
Outcome
Unplanned admission after day-case surgery
Methodological detailsmachine learning, training, validation and test sets, SMOTENC on training data
  • Machine learning
  • Training, validation and test sets
  • SMOTENC on training data

Performance

As reported in the abstract

Prediction of unplanned admission
Test or modelAUCAverage precisionF1-score
Explainable boosting machine (EBM)0.8260.4720.392
Logistic regression0.595— not stated in the abstract— not stated in the abstract

AUC

Explainable boosting machine (EBM)0.826
Logistic regression0.595

Average precision

Explainable boosting machine (EBM)0.472
Logistic regression— not stated in the abstract

F1-score

Explainable boosting machine (EBM)0.392
Logistic regression— not stated in the abstract

— not stated in the abstract

Unplanned admission incidence
9.08%

Original publication

Predicting patient care pathway deviations and their consequences in anaesthesia using machine learning. J Clin Monit Comput. Published 8 September 2026. doi:10.1007/s10877-026-01496-y

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